Improper Food Storage, Labeling, and Kitchen Sanitation Practices
Penalty
Summary
The deficiency involves failure to store food and maintain kitchen equipment in accordance with professional standards and the facility’s own policies. Surveyors reviewing the facility’s “Food Storage: Cold Foods” policy noted requirements for proper temperature control, labeling, dating, and prevention of cross-contamination. During observation of the dry storage area, they found multiple open containers and packages of food, including ziti pasta, fettucine pasta, croutons, dinner rolls, and hot dog buns, that were not dated with an open date. Several hot dog bun packages were past their use-by dates, and two packages showed spots consistent with mold. In the main kitchen, four bins of assorted cereal and a bin of sugar were found with use-by dates that had already passed. A bin of thickener was labeled with an older date, was caked with debris, contained a scoop stored inside, and had black specks throughout the powder. The sugar bin also had a scoop stored inside. The Dietary Manager stated that scoops should not be stored inside the thickener and sugar bins and that these bins should be replenished and cleaned at least every two months. Additional observations showed that cold storage and equipment cleanliness were not maintained as required. Reach-in Refrigerators 1 and 3 had bottoms and sides that were heavily soiled with debris and spill marks, and Reach-in Freezer 3 was also heavily soiled. In Reach-in Refrigerator 2, a bin of turkey sausage was dated with a use-by date that had already passed, and a bin of carrots was not dated. In Reach-in Refrigerator 3, an open container of strawberry lemonade lacked an open date; the Dietary Manager acknowledged it should be discarded and that all open food and beverage containers should be labeled with an open date. In Reach-in Freezer 1, three bags of mixed vegetables were not dated, and the temperature gauge read 17°F, above the policy requirement of 0°F or below; the Dietary Manager reported the freezer had been left open for about 30 minutes. On a return visit, Reach-in Refrigerators 1 and 3 appeared to have been cleaned but still had debris and spill marks. Review of 2025 dish machine temperature logs showed that logs for October, November, and December could not be located. The Nursing Home Administrator and Dietary Manager both stated expectations that food be stored, labeled, dated, and equipment cleaned and utilized in accordance with professional standards and facility policy.
