cms_AZ: 91
Data source: Big Local News · About: big-local-datasette
| rowid | facility_name | facility_id | address | city | state | zip | inspection_date | deficiency_tag | scope_severity | complaint | standard | eventid | inspection_text | filedate |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 91 | DESERT HAVEN CARE CENTER | 35062 | 2645 EAST THOMAS ROAD | PHOENIX | AZ | 85016 | 2017-02-03 | 371 | E | 0 | 1 | TPN311 | Based on observations, staff interviews and policy review, the facility failed to ensure that ready to eat foods were handled properly, that food and beverages were properly labeled and that the nourishment refrigerator temperatures were consistently obtained and documented. Findings include: -A lunch observation was conducted in the main dining room on (MONTH) 30, (YEAR). During this observation a CNA (Certified Nursing Assistant) was observed to donn gloves, remove a resident's meal tray from the rack, carry the tray to the resident's table and place the food items in front of the resident. The CNA was then observed to butter the resident's bread, with the same gloves on. With the same gloves on, the CNA was then observed to reposition the meal cart in the dining room and removed another resident's meal tray from the rack. Again, the CNA removed the food items and placed them in front of the resident. The CNA then proceeded to butter the resident's bread, with the same gloves on. The CNA was not observed to change her gloves after touching the non-food items or in between assisting residents. An interview was conducted on (MONTH) 1, (YEAR) at 8:40 a.m., with a CNA (staff #32). She stated that gloves were suppose to be changed after touching a non-food item, like the meal cart and were suppose to be worn when handling food. A facility policy titled, Handling Ready to Eat Foods included Nursing staff and other dinning assistive personnel shall provide ready to eat foods while assuring sanitation guidelines are followed. The policy also included the following: 2. If a resident requires assistance with opening and handling of an item the associate assisting shall: a. Wash their hands. b. Caution to only touch the wrapper and avoid touching the food item. c. Wear gloves as appropriate if food item must be handled. d. Gloves shall be changed between service to each resident. 5. As gloves are changed between each resident the associate shall; a. Wash their hands. b. Use a hand sanitizer as indicated by the manufacturer's label. -An observation of three resident nourishment refrigerators was conducted on (MONTH) 31, (YEAR) at 2:15 p.m., with the Kitchen Manager (staff #112 ) present. The nourishment refrigerators contained unlabeled and undated beverages and foods. In addition, review of the refrigerator temperature logs revealed that the refrigerator temperatures were to be maintained between 38-41 degrees F, and if the temperatures were not in range, it was staff's responsibility to correct the issue (i.e. change temperature or write a work order.) Further review of the temperature logs from (MONTH) (YEAR) through (MONTH) (YEAR) revealed the following: -August: There were seven days with no documentation that the temperature was checked. The documentation included that on (MONTH) 13, a temperature reading of 50 degrees was documented and a note indicated that the unit needed defrosting. However, there was no documentation that the refrigerator was defrosted and there were no follow up temperatures which were recorded on (MONTH) 14, 15, or 16 to confirm that the temperatures were at the appropriate temperature. -September: There were five days with no documentation that the temperatures were checked. -October: There were five days with no temperatures documented. -November: There were eight days with no temperatures documented. -December: There were seven days with no temperatures documented. -January: There were five days with no temperatures documented. During the six month time frame, the documentation on the temperature logs showed that the refrigerator required adjustments or defrosting eight times to maintain safe operating temperatures. An interview was conducted on (MONTH) 31, (YEAR) at 2:18 p.m. with the Kitchen Manager (staff #112) who stated it was the floor nurses responsibility to monitor and record the refrigerator temperatures. Another interview was conducted on (MONTH) 31, (YEAR) at 2:31 p.m. with a LPN (Licensed Practical Nurse/staff #45) ). Staff #45 stated that the temperatures were to be checked and recorded by the night nurses and the Unit Managers review the logs to ensure compliance, and follow up on any pending work orders. Staff #45 stated that the Unit Manager position was eliminated a few months earlier and the task was not reassigned to anyone specifically to ensure it was being done. On (MONTH) 31, (YEAR) at 2:51 p.m., an interview was conducted with the acting DON (Director of Nursing/staff #31), who stated there were so many other problems to resolve that she missed it. Review of the Facility Nourishment Refrigerator Policy revealed the refrigerator temperatures were to be at or below 41 degrees F and at or above 38 degrees F, to prevent the spread of food borne illness. The policy included the following procedure: The night nurses (11 p.m.-7 a.m shift on weekends or 7 p.m.-7 a.m. shift on weekdays) will read the thermometer in the refrigerator and record the temperature on the refrigerator log nightly. Any temperature not in the range of 38-41 degrees F, must be reported to maintenance on a work order form and food thrown away. | 2020-09-01 |