| 3927 |
BRIGHTWOOD CENTER |
515128 |
840 LEE ROAD |
FOLLANSBEE |
WV |
26037 |
2016-11-04 |
371 |
F |
0 |
1 |
VTNG11 |
Based on observation, staff interviews and policy review, the facility failed to store and serve food in a safe and sanitary manner. Food in the cooler was exposed to air and undated, and food in the nourishment refrigerator rooms was unlabeled and undated. The staff were serving food with contaminated gloves, and touching food items with their bare hands. This has the potential to affect more than a limited number of residents. Facility census 109. Findings include: a) Cooler and nourishment room refrigerator 1. During the initial tour of the kitchen, on 10/31/16 at 11:50 a.m., with food service director, observation of the cooler found fourteen (14) large carrots open, undated and exposed to the air. The food service director acknowledge the need for the carrots to be covered and dated when they were open. Observed the cooler on 11/02/16 at 2:00 p.m., found the fourteen (14) carrots continue to be open and exposed to air and undated. Observation of the cooler on 11/03/16 at 9:40 a.m., found fourteen (14) carrots continued to be opened and exposed to air and undated. 2. Observation and interview with clinical reimbursement coordinator (CRC) #93, on 11/02/16 at 4:45 p.m., found the (a) side of the nourishment room refrigerator with 21 slices of American cheese in a clear plastic zip lock bag, half a gallon (1/8th full) of two (2) percent milk (with a best used by date of 11/01/16), a plastic pitcher full of orange juice, another half a gallon of two (2) percent milk (3/4th full), and a half a gallon of Tru Moo milk (1/3rd full). These items were undated and/or unlabeled. The (b) side of the nourishment room refrigerator was observed with CRC #93, on 11/02/16 at 4:49 p.m., with a half a gallon of 2% milk (1/2 full was open and undated). During the two (2) observations of the nourishment refrigerator with CRC #93, she confirmed someone should have thrown away the milk that was already passed the used by date, and put the date they opened the other milk. The CRC said the orange juice should have had a date on the top when it was put in the refrigerator and the cheese should have had a label and a use by date on the bag. A review of the facility's refrigerated/ frozen storage policy, on 11/03/16 at 3:00 p.m., revealed all food is to be labeled with the name of the product and the date received and use by date once opened. b) Handling food 1. During a dining observation of the Coral dining room, on 11/01/16 from 12:04 p.m. through 12:45 p.m., Nurse Aide (NA) #90 touched bread with bare hands. The NA lifted the top slice of bread, exposing the filling beneath, asked the resident if she wanted lettuce or tomato, placed it back on the sandwich, lifted it again and placed items on the sandwich. The NA held the bread in place with her fingers, while cutting the sandwich in half, then served it to Resident #73. Nurse Aide (NA) #135, also touched bread with bare hands while serving a sandwich to Resident #67. An interview with Nurse Practice Educator (NPE) #38, on 11/02/16 at 1:06 p.m., confirmed staff should not have touched food items with bare hands and related facility practice required staff utilize gloves if touching food items. 3. On 11/01/2016 at 11:59 p.m. observation revealed Dietary Cook #42 wearing gloves handling meal slips. The employee opened bun bags and prepared fish sandwiches while wearing the contaminated gloves. Dietary Cook #42 proceeded to handle dispenser of aluminum foil and cover plates of food. The employee prepared additional sandwiches wearing the contaminated gloves. An additional observation in the presence of the Food Service Director revealed the employee removed buns from the bags and prepared fish sandwiches without changing contaminated gloves. The Food Service Director agreed the employee ' s gloves should have been changed. During an interview on 11/02/16 at 1:00 p.m., the Nurse Practice Educator stated upon orientation, staff are trained on proper food handling, but the kitchen will provide education regarding use of gloves when handling packaged items, serving foods and also holding glasses of beverages by the rims. |
2020-04-01 |