Pennsylvania Department of Health
HEALTH CARE CENTER AT WHITE HORSE VILLAGE, THE
Patient Care Inspection Results

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HEALTH CARE CENTER AT WHITE HORSE VILLAGE, THE
Inspection Results For:

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HEALTH CARE CENTER AT WHITE HORSE VILLAGE, THE - Inspection Results Scope of Citation
Number of Residents Affected
By Deficient Practice
Initial comments:
Based on a Medicare/Medicaid Recertification, State Licensure and Civil Rights Compliance survey completed on January 9, 2025, it was determined that Health Care Center of White Horse was not in compliance with the following requirements of 42 CFR 483, Subpart B, Requirements for Long Term Care and the 28 PA Code, Commonwealth of Pennsylvania Long Term Care Licensure Regulations as it relates to the Health portion of the survey process.


 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 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 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 facility policy and procedure review, observations and staff interview it was determined the facility failed to store food in sanitary manner in the kitchen.

Findings include:

Review of facility policy (unnamed and undated) regarding food storage, revealed that all food items stored in the refrigerator or freezer should be covered, labeled, dated, and discarded once expired, or beyond their use by date.

Observation of facility main kitchen walk-in refrigerator #1 on January 07, 2025, at 1:00 pm revealed one container of expired lime juice that was opened without a date of first use and three unopened expired containers of lime juice. All were expired and dated for December 17, 2024.

Observation of facility main kitchen walk-in refrigerator #1 revealed a case of liquid egg cartons that were dated illegibly. These eggs were inside of a case that was dated for January 05, 2025, Nursing Home Administrator and Employee E3 confirmed that the carton of eggs was illegible and discarded at the time of the findings.

Observation of facility main kitchen walk-in freezer #1 on January 07, 2025, at 1:15 p.m. revealed a box with a bag of unsealed frozen salmon.

Observation on January 07, 2025, at 1:15 pm in the presence of Nursing Home Administrator, Employee E3, and Employe E4 all confirmed the noted expiration dates and Employee E3 discarded these items.

Interview with Employee E3 on January 07, 2025 @ 1:30 pm revealed that the expired case of liquid eggs had "recently arrived" from the distributer and the case was opened and dated at the facility on January 05, 2025.

Interview with the Nursing Home Administrator on January 08, 2025 @ 11:00 a.m. confirmed that all food in the freezers and refrigerators were to be sealed, labeled appropriately, and dated and discarded once expired.


28 Pa. Code 211.6(f) Dietary services










 Plan of Correction - To be completed: 02/07/2025

On 01/09/2025 – Identified items were removed and disposed.
Documented Food Safety Walk through audits will be completed by the General Manager of Dining Services and/or their designee daily x 1 month; then 3 times per week for 1 month and then weekly ongoing. Results will be submitted to the Quality Assurance Performance Improvement Committee on a monthly basis for 4 quarters.
Dining Staff will be educated on proper receiving and storing of foods, proper labeling and dating of food including open and use by dates and food product shelf life.



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