Nursing Investigation Results -

Pennsylvania Department of Health
CONEMAUGH MEMORIAL MEDICAL CENTER TRANSITIONAL CARE UNIT
Patient Care Inspection Results

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CONEMAUGH MEMORIAL MEDICAL CENTER TRANSITIONAL CARE UNIT
Inspection Results For:

There are  35 surveys for this facility. Please select a date to view the survey results.

Surveys don't appear on this website until at least 41 days have elapsed since the exit date of the survey.
CONEMAUGH MEMORIAL MEDICAL CENTER TRANSITIONAL CARE UNIT - Inspection Results Scope of Citation
Number of Residents Affected
By Deficient Practice
Initial comments:


Based on a complaint survey completed on February 18, 2020, it was determined that Conemaugh Memorial Medical Center Transitional Care Unit 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:This is a less serious (but not lowest level) deficiency and is isolated to the fewest number of residents, staff, or occurrences. This deficiency is one that results in minimal discomfort to the resident or has the potential (not yet realized) to negatively affect the resident's ability to achieve his/her highest functional status.
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.
Observations:


Based on review of policies, as well as observations and staff interviews, it was determined that the facility failed to ensure that food was prepared and distributed in accordance with professional standards for food service safety by failing to ensure that dietary staff wore proper hair restraints.

Findings include:

The facility's policy regarding uniforms, dated August 2019, indicated that team members working with food should wear approved hair restraints while on duty, and the only exception was to remove hair restraints when delivering trays to residents.

Observations in the kitchen during breakfast preparations on February 18, 2020, at 7:42 a.m. and during lunch preparations at 11:28 a.m. revealed that Cook 1 was placing food onto residents' meal trays while wearing a hat that did not cover all of her hair in the front of her head.

Interview with the Director of Food and Nutrition on February 18, 2020, at 11:48 a.m. confirmed that Cook 1's hair was not entirely covered by her hat.

28 Pa. Code 211.6(f) Dietary services.







 Plan of Correction - To be completed: 03/03/2020

All current staff were instructed to completely cover hair while in the kitchen preparation area
All new employees will be educated during their new hire orientation process
Hair Restraint education was completed with 100% completion by 2/21/20
Weekly audits for hair restraint compliance will be completed by Nutrition Management to ensure 100% compliance. This will be for four weeks to ensure compliance. Results will be reviewed at the transitional care center quarterly Quality Assurance Performance Improvement meeting.
This corrective action will be completed by March 31, 2020.


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