Every finding on record at Cedarfield Pinnacle Living

Based on observation, interviews, and facility policy review, the facility failed to ensure that food service staff wore appropriate hair restraints (hairnets) while in the main kitchen and failed to ensure that frozen food items were stored in sealed, covered containers in accordance with professional standards for food service safety, with the potential to affect all residents' dependent on facility-prepared meals. (Main Kitchen)Findings include:1. Two dietary employees were observed wearing standard baseball caps through the main kitchen which did not effectively restrain their hair. On 7/20/26 at approximately 12:30 PM during the initial kitchen observation, the surveyor observed two employees wearing standard baseball caps, with approximately 2 inches of loose hair hanging out from beneath the back and sides of the caps as they walked through the main kitchen. They were walking through the kitchen in the area where another dietary employee was prepping raw chicken for another meal, directly exposing unrestrained hair near the raw chicken. When asked why they were not wearing hairnets they responded saying they thought baseball caps were ok and no one had said anything to them before. According to the Executive Chef, he thought baseball caps were acceptable to secure hair in the main kitchen. The findings were shared with the Executive Director and Director of Nursing on 7/20/26 at approximately 3:40 PM. The Executive Director confirmed that all kitchen service employees are required to wear hair and beard restraints that completely contain all hair. A review of the facility policy titled, Hair Restraints, revised 3/29/24, reads in part, All employees are required to wear hair restraint(s) when in the food production areas. Hairnets and beard nets will be available at each entrance to food production areas. 2. Dietary staff failed to properly store frozen food. On 7/20/26 at approximately 12:40pm, during tour of the kitchen with the Executive Chef, observations in walk-in freezer revealed, One open package of frozen fish with no date indicating when the package had been opened or prepared for storage. One closed bag containing salted butter balls with no date identifying when the product had been open for use or placed into storage. Three pieces of frozen French toast in a box without a bag or date indicating when the product had been prepared or frozen. The Executive Chef was present during these observations and acknowledged the undated food items. The findings were shared with the Executive Director and director of Nursing on 7/20/26 at approximately 3:40pm.

Based on observation, interview, and policy review, the facility failed to ensure that garbage and refuse storage areas were maintained in a sanitary condition and that the outdoor dumpster area was free of trash on the ground. This had the potential to affect all residents residing in the facility by creating a potential harborage and feeding environment for rodents and pests. The findings included:On 7/20/26 at approximately 12:55 PM, during an initial tour of the exterior service and dietary loading dock area accompanied by the Executive Chef, inspection of the dumpster revealed the loose food debris, plastic cup lids, loose cardboard scraps, metal can lids and plastic gloves were scattered on the concrete pad directly beneath and surrounding the base of the dumpster. An interview was conducted with the Executive Chef, where he stated that the waste management truck had come and gone and occasionally bits of trash are displaced when truck leaves after emptying the waste bins. He confirmed that the environmental services and dietary staff are jointly responsible for ensuring trash is securely contained within the dumpster unit and that trash should never be left on the ground outside the container. The above findings from the kitchen tour was shared with the Executive Director and Director of Nursing on 7/20/26 at 3:40pm. A review of the facility's policy and procedure titled. Disposal of Garbage policy, revised 3/29/24 reads in part, Dumpster area should be cleaned and hosed down as needed.