|§483.60(i) Food safety requirements.|
The facility must -
§483.60(i)(1) - Procure food from sources approved or considered satisfactory by federal, state or local authorities.
(i) This may include food items obtained directly from local producers, subject to applicable State and local laws or regulations.
(ii) This provision does not prohibit or prevent facilities from using produce grown in facility gardens, subject to compliance with applicable safe growing and food-handling practices.
(iii) This provision does not preclude residents from consuming foods not procured by the facility.
§483.60(i)(2) - Store, prepare, distribute and serve food in accordance with professional standards for food service safety.
Based on review of policies, observations and staff interviews, it was determined that the facility failed to ensure that residents' water pitchers were clean and sanitized.
The facility's policy regarding water distribution, dated September 18, 2019, revealed that the nursing staff were to collect the water pitchers for sanitation per the cleaning schedule or provide the residents' with disposable foam cups daily. The dietary department was to completely sanitize water pitchers and return them to the unit.
The facility's water pitcher/cup/tray cleaning schedule, dated December 21, 2016, revealed that the day shift (7:00 a.m. to 3:00 p.m.) staff were to collect the pitchers/cups/trays by 1:30 p.m. and pick up the cleaned pitchers/cups/trays at 2:45 p.m. The schedule indicated that water pitchers were collected and cleaned once a week on each unit:
Monday - Willow
Tuesday - Elm
Wednesday - Maple
Thursday - Spruce
Observations on the Willow unit on Tuesday, September 17, 2019, at 10:45 a.m. and Wednesday, September 18, 2019, at 11:30 a.m. revealed that Resident 1's water pitcher was half-full of water and had a removable, brown film/substance on the inside. Interview with the Director of Nursing on September 18, 2019, at 11:31 a.m. confirmed that the water pitcher needed replaced.
Observations on the Willow unit on September 17, 2019, at 10:49 a.m. and September 18, 2019, at 11:40 a.m. revealed that Resident 11's water pitcher lid had a removable substance on it. Interview with the Director of Nursing on September 18, 2019, at 11:50 a.m. confirmed that the lid needed replaced.
Interview with the Director of Nursing on September 18, 2019, at 3:25 p.m. revealed that there was no documented evidence that the water pitchers on the Willow unit were cleaned as scheduled on Monday, September 16, 2019.
42 CFR 483.60(i)(1)(2) Food Procurement, Store/Prepare/Serve-Sanitary.
Previously cited 1/16/19.
28 Pa. Code 211.6(f) Dietary services.
Previously cited 1/16/19.
| ||Plan of Correction - To be completed: 10/14/2019|
1. In order to correct the deficient practice the water pitchers identified were immediately replaced and fresh water was provided.
2. In order to identify other residents having the potential to be affected by the same deficient fresh water was provided to all residents, the water pitchers were checked and were clean thus no other residents were affected.
3. In order to prevent the deficient practice from recurring Education will be performed with the dietary staff and Nursing assistants to ensure they are knowledgeable of the cleaning schedule.
4. Weekly audits will be performed to ensure the deficient practice does not recur. If any water pitcher does not appear clean, it will be immediately replaced.
5. Corrective action to be completed by: October 14, 2019