| 25 |
HIGHLANDS HEALTH AND REHAB |
15012 |
380 WOODS COVE ROAD |
SCOTTSBORO |
AL |
35768 |
2019-06-06 |
812 |
F |
0 |
1 |
3PTZ11 |
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview and review of a facility Policy Titled, Food Storage, the facility failed to ensure that expired food items and undated food items were not present in the food storage area and walk-in cooler during the initial tour of the kitchen. Further, the facility failed to ensure expired Juven was not stored in a cabinet at the nurse's station. This deficient practice had the potential to affect 45 out of 45 residents who received meals from the kitchen. Findings include: Review of a facility policy titled, Food Storage with no date, revealed the following: . 2. Stock is rotated with each delivery to ensure freshness . c.) Stock should be dated . 7. Leftover food . clearly labeled, and dated . On [DATE] at 03:08 PM during the initial tour of the kitchen, observations of the dry storage area revealed the following items: - a container of graham crumbles prepared on [DATE] with a use by date of [DATE] - 1 bag of almonds opened ,[DATE], not labeled with a use by date - 2 out of 4 bags of almonds stamped with a best by date of [DATE] - a bag of macaroni opened and tied closed in a box with no open or use by date noted on the bag or box - one open box of Juven therapeutic nutrition powder with 9 packets inside, as well as 2 full boxes of 30 packets each, all with use by dates of [DATE] - 2 additional closed cases of Juven therapeutic nutrition powder with use by date of [DATE] - eight two-packs of baby food peaches with an expiration date of [DATE], (YEAR) - 3 individual cups of baby food sweet potato with no expiration stamp on the packs - one [MEDICATION NAME] bottle (one liter) for tube feed which had a use before (MONTH) 1, 2019 date stamped on the bottle On [DATE] at 03:39 PM an observation of the walk in freezer revealed frozen sweet peas and frozen breaded cod squares were in an open, clear plastic bag in a box, with no open or use by date noted. On [DATE] at 03:45 PM an observation of the walk in cooler to the right revealed the following items: - a block of cheese opened and rewrapped with use by date of [DATE] and prepared date of [DATE], - opened bag of feta cheese, resealed with a use by date [DATE], prepared on [DATE] - an opened package of provolone sliced cheese, resealed, with a use by date of [DATE] and a prepared date of [DATE]. On [DATE] at 9:35 AM, the surveyor, along with Employee Identifier (EI) #3, Registered Nurse (RN), observed a case of Juven containing three unopened boxes of 30 packets and one opened box containing 17 packets with an expiration date of (MONTH) 2019, in a cabinet at the nurses station. On [DATE] at 05:20 PM an interview with Employee Identifier (EI) #1, Supervisor for Dietary Aides, was conducted. EI #1 was asked to look at the cheese items on the shelf and tell the surveyor if there were any concerns. EI#1 replied, yes, some were expired; they should be thrown out. EI #1 was asked what the potential harm could be in serving food that is expired, and EI #1 replied a person could get food poisoning, or it could make the residents sick. EI #1 was then asked if there should be expired items available to serve to the residents. EI#1 replied, no there should not. EI #1 was asked to look at the [MEDICATION NAME] bottle and if there was a concern. EI#1 replied that it had a date to use before (MONTH) 1, 2019. EI #1 further stated it was expired and should be removed. On [DATE] at 09:32 AM, an interview was conducted with EI #2, the Food Service Director, regarding expired food items. EI #2 was asked, who was responsible for ensuring that expired items are not available. EI #2 answered that all of the supervisors, as well as herself, were responsible. EI #2 was further asked, why there were expired items found in the dry storage and the walk-in coolers. EI#2 replied that they did not do a thorough job in their inspections. EI #2 was then asked, what would be the potential harm in having expired food items available for use. EI #2 answered that the potential harm would be to potentially make someone sick. |
2020-09-01 |