Nursing Investigation Results -

Pennsylvania Department of Health
Patient Care Inspection Results

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Severity Designations

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Minimal Citation - No Harm Minimal Harm Actual Harm Serious Harm
Inspection Results For:

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Number of Residents Affected
By Deficient Practice
Initial comments:

Based on an Abbreviated Survey in response to a complaint completed on September 26, 2019, it was determined that Harborview Rehabilitation Care Center at Doylestown was not in compliance with the following Requirements of 42 CFR Part 483, Subpart B, Requirements for Long Term Care Facilities and the 28 PA Code, Commonwealth of Pennsylvania Long Term Care Licensure Regulations.

 Plan of Correction:

483.60(i)(1)(2) REQUIREMENT Food Procurement,Store/Prepare/Serve-Sanitary:Least serious deficiency but was found to be widespread throughout the facility and/or has the potential to affect a large portion or all the residents. This deficiency has the potential for causing no more than a minor negative impact on the resident.
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 observation and staff interview, it was determined that the facility failed to ensure sanitation of utensils in the kitchen.

Findings include:

During a tour of kitchen on September 25, 2019 , the dish machine dial displayed "probe error" for the rinse temperature. Review of dish machine temperature log revealed that no rinse temperatures had been recorded after September 9, 2019.

In an interview at the time of the observation, the Dietary Manager stated that the dish machine rinse temperature probe had been malfunctioning for at least 2 weeks and that they ran out of test strips and had no means of ensuring proper sanitation from September 10 through 12, 2019.

28 Pa. Code 201.14(a) Responsibility of licensee
Previously cited 7/24/19.

 Plan of Correction - To be completed: 10/08/2019

Facility obtained test strips and verified accurate temperature for dishwasher rinse cycle
Dietary staff were educated on proper documentation for the dishwasher temperature logs
Food Service Director completed audit of dietary temperature logs
Dishwasher Machine Temp Log audits will be completed 5 times a week for one week, 3 times a week for 2 weeks, and weekly for 4 weeks
Results will be reviewed by the QAPI

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