F0814 F814: Dispose of garbage and refuse properly.
E

Improper Management and Disposal of Garbage and Refuse at Dumpsters

The Grand Rehabilitation And Nrsg At River ValleyPoughkeepsie, New York Survey Completed on 01-28-2026

Summary

The facility failed to ensure proper disposal of garbage and refuse in accordance with its policy and regulatory requirements. The written policy titled "Food-Related Garbage and Refuse Disposal," reviewed in January 2024, required that outside dumpsters provided by garbage pickup services be kept closed and free of surrounding litter. During an observation of the garbage area with the acting Food Service Director, only one of three dumpsters had its lid closed, while the other two were open. Litter was observed on the ground, including an unused plastic garbage bag, plastic straws, used blue and white plastic gloves, cardboard, spilled food, and a plastic bag full of garbage on the ground between the two open dumpsters. A subsequent observation of the garbage area showed all three dumpster lids open. The right dumpster was spilling over with cardboard boxes, with one box on the ground, and the middle dumpster was full of garbage and boxes, including a bag hanging over the side. Additional litter was scattered in front of the dumpsters, including an empty bottle of tube feeding formula, straws, gloves, plastic, napkins, and a plastic bag of garbage partially under the dumpster. The third dumpster was partially full, with cardboard boxes trapped under it and surrounding debris such as a milk carton and used gloves. In interviews, the acting Food Service Director and the Housekeeping Director stated that garbage and recycling were picked up multiple times per week and that dumpster lids were routinely left open during the day, with the expectation that staff would fill one dumpster and close it before using the next, and that the last housekeeper would close the lids late at night.

Penalty

No penalty information released
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The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Resources

Below are regulatory guidelines relevant to this citation:

See other F0814 citations
Improper Dumpster Waste Disposal
E
F0814 F814: Dispose of garbage and refuse properly.
Short Summary

Improper Dumpster Waste Disposal: The dumpster area behind the kitchen had open doors on 2 dumpsters and trash left on the ground behind them, including iron bars and black trash bags. The MM stated anyone using the dumpsters was responsible for placing trash properly and closing the doors, but he had not been trained and had not seen a waste disposal policy. The ADM stated no one was assigned to monitor the issue and staff had not been trained on the task or reviewed the facility's dumpster use and waste disposal policy.

No penalty information released
tooltip icon
The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.
Improper Garbage and Refuse Disposal
D
F0814 F814: Dispose of garbage and refuse properly.
Short Summary

Improper Garbage and Refuse Disposal: Surveyors observed a large lidless dumpster containing exposed facility trash bags and a small dumpster with an open lid exposing its contents to pests and wildlife. The Kitchen Manager acknowledged the conditions, and the Interim Certified Dietary Manager stated the large dumpster was a construction dumpster and should not have contained facility trash.

No penalty information released
tooltip icon
The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.
Uncovered Trash Can in Food Prep Area
D
F0814 F814: Dispose of garbage and refuse properly.
Short Summary

Uncovered Trash Can in Food Prep Area: A 50-gallon trash can in the food prep area was observed about half full and without a lid while not in use. The Food Service Supervisor stated she was not aware the garbage can required a lid but would get one.

No penalty information released
tooltip icon
The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.
Improper Dumpster Waste Disposal and Open Dumpster Doors
E
F0814 F814: Dispose of garbage and refuse properly.
Short Summary

Improper dumpster waste disposal and open dumpster doors were cited after surveyors observed two commercial dumpsters with their doors left open and an improperly trashed recliner chair left on the ground behind them. The HKS, MM, and ADM each described responsibility for keeping the area clean and closing the doors, and the facility policy required waste to be placed fully inside the dumpster and doors or lids to remain closed when not in use.

No penalty information released
tooltip icon
The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.
Improperly Covered Outdoor Trash Receptacle
C
F0814 F814: Dispose of garbage and refuse properly.
Short Summary

Improperly Covered Outdoor Trash Receptacle: During a kitchen tour, the outside garbage receptacle was observed with three of eight lids open. Dietary staff, maintenance staff, and administrative staff all stated the dumpster lids should be closed when not in use, and the facility policy documented that outdoor trash receptacles would be kept covered.

No penalty information released
tooltip icon
The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.
Unsanitary Outside Dumpster Area
F
F0814 F814: Dispose of garbage and refuse properly.
Short Summary

Unsanitary Outside Dumpster Area: Surveyors observed two outside dumpsters with litter and debris on the ground beneath them, including a soiled disposable brief, eggshells, an empty hand sanitizer container, and piles of brown debris. The DM stated they did not know which department was responsible for cleaning the dumpster area and acknowledged there should not be litter on the ground. A facility policy stated the area around outside dumpsters should be free from litter.

No penalty information released
tooltip icon
The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.
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