cms_GU: 37
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 37 | GUAM MEMORIAL HOSPITAL AUTHORITY | 655000 | 499 NORTH SABANA DRIVE | BARRIGADA | GU | 96913 | 2016-09-29 | 456 | F | 0 | 1 | H7FJ11 | Based on observation, interview, and record review, the facility did not maintain all essential mechanical and electrical equipment in safe operating condition. Findings include: 1. During the initial tour on 9/26/16, a dietary staff (DS11) stated that the kitchen's dishwasher, a high temperature washer, was out of service. DS11 added that as a consequence, residents were being served disposable Styrofoam, plates, cups, and plastic eating forks, knives, spoons. According to DS11, the machine been out of order since the beginning of the year (2016) because of a broken booster pump. During an interview on 9/28/16, a maintenance staff member (MS1) stated that the dishwasher had been out of order since (MONTH) (YEAR). MS1 explained that the heater booster was broken and could not reached the (high) temperature required for washing and sanitation. MS1 further added that since the machine was old, a decision was made not to replace the booster but purchase a new unit. Review of maintenance records revealed the lack of documentation evidencing inspection and/or service maintenance provided on the dishwasher. In the same interview, MS1 stated that preventive maintenance was provided by a vendor regularly but was discontinued in 2012 when the contract was not renewed because of the lack of funds. Since then, according to MS1, maintenance staff did what they could do, replacing parts that were broken. In the interview, MS1 added that the contract agreement would have been for the inspection, testing, maintenance, troubleshooting, and repairs for its (the facility's) commercial cooking equipment and ice machine at the skilled nursing unit. Review of the document however did not include the dishwasher. (Cross-refer to F490.) 2. During the initial tour of the kitchen on 9/26/16, a sign on the cover of the ice machine noted, Not available for consumption. In an interview during the tour, DS11 stated that dietary staff were waiting for the results of a laboratory test on a culture that was recently obtained. Review of test results provided by MS1 revealed that no growth was identified for tests from (MONTH) through (MONTH) (YEAR). In August, the results of a culture from the ice machine dated 8/07/16 noted the presence of 60 org/ml of non-fermenting gram-negative rods (that were) not Pseudomonas. In September, the culture results dated 9/16/16 and 9/17/16 revealed the presence of 400 org/ml of Pseudomonas Stutzeri and 20 org/ml of Coagulase negative staph (staphylococcus), a gram-negative bacteria that can cause fever, chills, nausea, vomiting and other symptoms. There was no indication that an investigation was conducted to determine the cause of contamination. During the same kitchen observation on 9/28/16 a, brown colored container identified by MS1 as a water filter was observed connected to the back of the ice machine from the water supply. MS1 added that the filter was installed with the ice machine. Review of the ice machine ' s user manual revealed that water filters are recommended to remove suspended solids. When asked when the filter cartridge was last replaced, MS1 could not recall but stated that the cartridge had been removed years ago and had not been replaced. Review of the preventive maintenance checklist revealed that while replacing the water filter was part of the checklist, there was no indication that the water filter was being checked and that the filter cartridge was replaced as recommended. The ice machine's user manual noted that the water filter was to be changed if it had been installed more than 6 months. 3. During the initial kitchen tour on 9/26/16, the following observations were also made: a. The upper compartment of the steamer had a sign indicating it was out of order. b. Ice build-up was noted around the door to the walk-in freezer. The door did not easily close and had to be pushed firmly in order for it to close properly to prevent condensation. c. One of two reach-in windows of the walk-in refrigerator was noted to have been taped heavily on the outside. In an interview, DS1 explained that the tape was there to secure the window and prevent it from opening when the walk-in refrigerator door is closed. | 2020-09-01 |