| 70 |
BANGOR NURSING & REHABILITATION |
205020 |
103 TEXAS AVE |
BANGOR |
ME |
4401 |
2019-07-17 |
812 |
F |
0 |
1 |
2DG411 |
Based on observations, interviews and review of the facility's Kitchen/Dining Room Coolers, Freezer and Dry Storage Temperature Log sheet, the facility failed to ensure refrigerator temperatures were maintained at 41 degrees Fahrenheit (F) or below for 5 consecutively taken temperatures. The facility failed to maintain Potentially Hazardous Foods (PHF) at a temperature of 41 degrees F or below prior to meal services for 7 meals. The facility failed to ensure foods kept in the walk in freezer had no signs of negative outcome (freezer burn, food dried out or ice crystal build up) for 1 of 1 days of survey (7/15/19), in addition the facility failed to ensure the kitchen was maintained in a clean and sanitary manner for the large food mixer located near the cooks refrigerator that had chipped paint and the ice machine that has a side fan that is dust covered for 2 of 3 days of survey. (7/15/19 and 7/16/19) Findings: 1. On 7/15/19 at 11:00 a.m., during the initial kitchen tour, the refrigerator labeled as the reach in dietary aide refrigerator temperature was observed at 52 degrees F. The Dining Services Director (DSD) was made aware and placed a second thermometer in the refrigerator and stated it would be monitored. Review of the Kitchen/Dining Room Coolers, Freezer and Dry Storage Temperature Log sheet indicated that on 7/10/19, 7/11/19 and 7/12/19 the temperature of the reach in Dietary Aide refrigerator was above 41 degrees F. The DSD was made aware the food was moved to a different refrigerator and the refrigerator was repaired and the food was put back in the reach in Dietary Aide refrigerator. On 7/14/19 the temperature for the reach in Dietary Aide refrigerator was taken twice with both temperatures above 41 degrees F. 2. On 7/15/19 at 11:00 a.m. Also, during the initial tour of the kitchen, the surveyor observed the walk-in freezer have ice buildup on the left side of the door, on the floor, shelves and on packages of food stored on the left side of the walk-in freezer. The following foods were covered with ice crystals, were not sealed to prevent freezer burn, and were not sealed 6 biscuits in an unsealed bag, 24 croissants on a tray that were not properly covered, 1/4 bag of unsealed small onions, 1 angel food cake with ice crystal build up, 4 chicken breasts with ice crystals build up, 1 loaf of white bread, 12 Salisbury steaks in an unsealed container, 2 bagels in an unsealed bag, 2 quarts of beans with ice crystal build up. During this tour the surveyor observed the large food mixer had chipped and missing paint on the mixer arm, and the sides of the mixer creating uncleanable surfaces and the ice machine has a vented side panel that was dust covered. The surveyor confirmed these findings with the DSD at the time of the observation. 3. On 7/16/19 at 8:30 a.m., during a follow up tour of the kitchen the surveyor observed the temperature in the reach in dietary aide refrigerator (using the internal thermometer) was 52 degrees F, The Surveyor made the Kitchen Supervisor/cook aware who stated that she had not taken the temperatures for the refrigerators that morning. At 8:30 a.m. the surveyor and the Kitchen Supervisor/cook reviewed the digital temperature for the reach in Dietary Aide refrigerator, the reading was 56 degrees F. The service department was called to come in and repair the refrigerator. The surveyor observed the large food mixer was still in use with the chipped paint on the mixer arm and the sides. DSD was made aware and the large food mixer was taken out of use until repaired. 4. On 7/16/19 at 9:00 am. the DSD came to the kitchen and took the temperature of an unopened half gallon of 2 % milk, using a digital thermometer the temperature of the milk was 57 degrees F, other diary items in the refrigerator were temped, the yogurt was at 54 degrees F. At 9:15 a.m. The dietary aide took the temperature of a homemade health shake using a digital thermometer, the temperature was 57 degrees F. The items in the refrigerator were removed and discarded. During review of the temperature log the surveyor confirmed with the DSD that the dairy products that were in the reach in Dietary Aide refrigerator were used for all 3 meals on 7/14/19 and 7/15/19 and 1 meal on 7/16/19. The surveyor confirmed the above finding at the time of the observation and that the DSD was not made aware of the elevated temperatures on 7/14/19. |
2020-09-01 |