| 8 |
CEDARS NURSING CARE CENTER |
205003 |
630 OCEAN AVENUE |
PORTLAND |
ME |
4112 |
2019-02-28 |
812 |
E |
0 |
1 |
51MR11 |
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation and interviews, the facility failed to ensure that food readily available for resident use in refrigerators and dry food storage areas was labeled, dated, and removed after the expiration date during 2 of 4 days of survey ([DATE] and [DATE]); and to ensure that residents are served food in a sanitary manner on 1 of 10 dining observations ([DATE]). Findings: 1. On [DATE] at 08:45 a. m. during a tour of the kitchen, a surveyor and the Food Service Director (FSD) observed the following expired food items in the dry storage area, and in the white refrigeration unit: - 5 packages of English muffins with a sell by date on package of [DATE]; and -3 opened containers of thickened flavored drink (1 orange; 1 grape; 1 lemon water) with no opened date on the container. In an interview with the surveyor on [DATE], at approximately 10:00 a. m., the FSD indicated confirmation from the manufacturer that the thickened liquids can be safely used for 7 days after opening and bread for 3 days after the sell-by date on the packaging. 2. On [DATE], at 9:30 a. m., a surveyor and the unit manager observed the Black/Wolf Unit resident snack refrigerator to contain: -1 small styrofoam container of food, without a resident name and with a hand-written date of ,[DATE] on the package. On [DATE], at approximately 9:45 a. m., a surveyor and the unit manager observed the Shapiro Unit resident snack refrigerator and dry food storage snack cabinet to contain: -1 cardboard take-out food container, and 4 plastic take-out food containers with a hand written dated of ,[DATE] but with no resident name identified on the packages; -1 opened bag of wheat bread, with best by date stamp of [DATE]; and -2 opened packages of undated English muffins with no expiration date. On [DATE], at approximately 10:15 a. m., a surveyor and the unit manager observed the Leibowitz unit Resident snack refrigerator to contain 2 unopened, half gallon sized containers of orange juice with a manufacture date stamp of (MONTH) 14, 2019 on the container. The side of the label indicated the contents can be consumed through the date stamped on the carton. The surveyor confirmed the findings at the time of the observations. 3. On [DATE] at 12:15 p. m., in the first floor main dining room, during the lunch meal service, a surveyor observed a dietary aide pick up and move two soiled drinking cups and a bowl from a resident, while holding onto the top rim of the cups with his/her bare fingers. The dietary aide continued, without cleaning his/her hands, to serve a clean plate of food to another resident and, with bare hands, held down the sandwich bun while cutting it, then repositioned the sandwich meat on the bun. The surveyor intervened and the plate was removed from the Resident prior to consumption. At 12:20 p.m., in an interview with the dietary aide, infection control practices were discussed and the dietary aide was provided education on hand hygiene during meal service and use of gloves when touching ready to eat food. In an interview on [DATE], at 1:00 p. m., the surveyor and the Food Service Director discussed the findings for kitchen and meal service. The surveyor confirmed the findings. |
2020-09-01 |