cms_GA: 2186
Data source: Big Local News · About: big-local-datasette
| rowid | facility_name | facility_id | address | city | state | zip | inspection_date | deficiency_tag | scope_severity | complaint | standard | eventid | inspection_text | filedate |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2186 | RENAISSANCE CENTER FOR NURSING AND HEALING | 115537 | 415 AIRPORT ROAD | GRIFFIN | GA | 30223 | 2016-12-08 | 371 | E | 0 | 1 | 02KJ11 | Based on observation, staff interview, and record review it was determined the facility failed to ensure a refrigerator in one resident room was clean, temperature recorded, and outdated food items discarded; failed to ensure opened food items in the kitchen refrigerators, freezers, and dry storage were securely wrapped, labeled, and dated; failed to ensure the meat slicer, stand-up mixer, walk-in freezer floor, reach in freezer door were clean and free from debris; failed to discard cottage cheese, peeled garlic, and chocolate milk by the best by date. This deficient practice had the potential to effect 136 residents receiving an oral diet. Findings include: Observation on 12/5/16 at 10:33 a. m. of the reach-in refrigerator revealed a one gallon container of peeled fresh garlic with a use by date of (MONTH) 24, (YEAR). Observation on 12/5/16 at 10:45 a. m. of the dry storage area revealed an open ten pound bag of elbow macaroni which was not securely wrapped. Observation on 12/5/16 at 10:50 a. m. of the walk-in refrigerator revealed two, five pound containers of cottage cheese with a use by date of 12/2/16. Continued observation of the walk-in refrigerator revealed a round white plastic container cover with plastic wrap with a label stating beef soup, made date 11/27/16 and discard date 12/3/16. Further observation revealed a block of cheddar cheese four inches in length and one inch in height in clear plastic resealable bag that was not sealed and exposed to the air. Observation on 12/5/16 at 11:10 a. m. of the meat slicer revealed the bottom area where the slicing arm is connected to the slicer had a black substance with food debris. This black substance and food debris was collected in a small tray that was 18 inches in length and two inches in width. Observation on 12/5/16 at 11:15 a. m. of the stand-up mixer revealed a white substance under the mixing arm which was one inch in length and quarter inch in width. Continued observation revealed when the white substance was touched it flaked off. Observation on 12/5/16 at 11:20 a. m. of the chest refrigerator containing dairy products revealed a one gallon container of chocolate milk with a best by date of 12/2/16. Interview 12/5/16 at 11:30 a. m. with the Dietary Manager (DM) revealed she confirmed the gallon container of peeled garlic had a use by date of (MONTH) 24, (YEAR) in the reach-in refrigerator. The DM confirmed the elbow macaroni in the dry storage area was not securly wrapped. The DM confirmed in the walk-in refrigerator the two containers of cottage cheese had use by dated of 12/2/16, the beef soup had a discard date of 12/3/16, and the clear plastic bag containing cheddar cheese was not sealed. Further interview with the DM revealed she confirmed the bottom area of the slicer had a black substance with food debris and the stand-up mixer had a white substance that flaked off when touched under the mixing arm. She confirmed the gallon container of chocolate milk located in the chest refrigerator had best by date of 12/2/16. The DM expects dietary staff to review dates of food items in the refrigerator and discard accordingly. She expects dietary staff to securly wrap, label and date all opened food items before storage. The DM expects dietary staff to properly clean kitchen equipment after use. Observation on 12/7/16 at 10:25 a. m. of the walk-in freezer revealed a pink substance on the floor near the door. The pink substance was three inches in length and two inches in width. Continued observation revealed two pre-portioned Styrofoam ice cream cups on the floor on the left side after opening door. Further observation revealed a single potato tartar tot frozen to the top shelf of the wire storage rack. Continued observation revealed a tan food item six inches in length and width in a clear resealable bag with no label or date. Observation on 12/7/16 at 12:40 p. m. of the reach-in freezer located across the service hallway revealed a pale orange food spillage on inside of the right side door. The food spillage was three feet in length and one foot in width which streamed down from the middle of the door to the bottom. Interview on 12/7/16 at 2:30 p. m. with the DM revealed she confirmed the pink substance on the floor in the walk-in refrigerator as well as two ice cream cups on the floor. The DM confirmed there was food product, potato tartar tot, randomly found on the wire storage rack in the walk-in freezer. The DM confirmed the tan colored food item in the clear plastic bag did not have a label or date. The DM confirmed the pale orange food spillage on the inside of the right side door of the reach-in freezer. She revealed that due to limited dietary staff some of the weekly cleaning tasks have not been completed as they should be and she had been trying to complete the cleaning tasks. She revealed that she had recently place food items in the freezer but did not notice the food spillage on the door. Continued interview with the DM revealed she expects dietary staff to clean food spillage when seen. Review of the refrigerator/frozen storage policy revealed refrigeration all foods are labeled with name of product and the date received and use by date once opened. Continued review of the policy revealed freezer, foods are kept in original container, if removed from original container foods are completely covered and labeled with name of product and use by date. Freezers are kept clean and organized. Review of the dry storage policy revealed opened packages are stored in closed container, tightly secured with ties or in food quality storage bags and includes the use by date. Review of the food and nutrition services department cleaning schedule revealed the week of (MONTH) 20, (YEAR) and the week of (MONTH) 27, (YEAR) dietary staff were assigned to clean the walk-in freezer and reach-in freezer and tasks were not completed. Continued review of the department cleaning schedule for the week of (MONTH) 20, (YEAR) and (MONTH) 27, (YEAR) revealed dietary staff cleaned the meat slicer after usage. Review of the dietary in-service training completed on 6/24/16 revealed dietary staff were educated regarding maintaining a clean/sanitary kitchen is an essential part of day to day job responsibilities. The in-service also discussed there are several ways that germs can contaminate food such as the use of dirty dishes, utensils, and equipment. Continued review of dietary in-services revealed on 11/11/16 dietary staff were educated regarding cleaning up any spillage promptly. Observation on 12/08/2016 at 5:56 p.m. of resident's room revealed Resident (R) #32's private refrigerator had spots of sticky brown substances throughout the inside of the refrigerator and a large brown substance measuring three (3) inches in diameter on the inside part of the door . The white rubber around the front door had black substances all around it. The last temperature log for the refrigerator was missing the month it was placed on the front of the refrigerator and only has one check for 9:45 a.m. on the 13th of the missing month. There was an expired strawberry banana yogurt dated 11/23/16. The freezer bin was almost fully frozen with ice. Interview on 12/08/2016 at 1:15 p.m. with staff DD revealed that staff DD has never had to clean any resident refrigerators and that this is the responsibility of other staff members. Interview on 12/08/2016 1:25 p.m. with staff EE revealed that the unit managers are responsible for monitoring residents' refrigerator temperatures daily during the week and the nurse supervisors are responsible for them daily on the weekends. Staff EE stated she wasn't sure who's reponsible for keeping the refrigerators cleaned. Interview on 12/08/2016 at 1:50 p.m. with staff BB revealed that refrigerator temperatures are monitored by the unit managers on a daily basis and that the resident refrigerators are cleaned weekly every wednesday and as needed by the unit managers and volunteers during wild wednesday. Staff BB further revealed that wild wednesday was done yesterday and all the resident refrigerators were cleaned out and expired foods thrown out. Upon looking into R #32's refrigerator, staff BB agreed that the refrigerator did have black and brown substances throughout and that the yogurt had expired since 11/23/2016. She stated she must have forgotten to clean out R #32's refrigerator and she agreed the temperature for the refrigerator has not been monitored or logged for a while. Staff BB proceeded to then clean out the refrigerator and throw away the expired yogurt. Interview with the (Director of Nursing) DON on 12/08/2016 at 1:55 p.m.revealed that although there is no policy relating to the upkeep of resident refrigerators, family is expected to keep the refrigerators clean along with the facility. The DON further revealed that ultimately, the facility is responsible for following proper storage and temperature monitoring of those refrigerators in order to promote sanitary storage of food. The DON stated that the temperatures are monitored by staff twice a day and the CNAs and housekeeping are responsible for keeping them clean. | 2020-09-01 |