Chico Terrace Care Center

In the surveyor’s words

From the most serious findings on record at Chico Terrace Care Center, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF802Mar 6, 2025

  Based on observations, interviews and record reviews, the facility failed to ensure staff were trained, competent and following their training when: *1. Staff did not clean fixed equipment (equipment that cannot be put thought a dish washer or washed in a sink, such as refrigerators, steamers, stoves, carts, counters, shelving, and small appliances) according to policy or standards of practice. *2. Staff did not consistently follow professional standards of practice to avoid cross contamination during food production processes. (Cross Reference F812). *3. […]

• No harm, potential for more than minimal, widespreadF803Mar 6, 2025

  Based on observation, interview and record review the facility failed to ensure that recipes were standardized to provide a repeatable desirable product, yield and texture; that appropriate ingredients were available on the order guide to prepare recipes successfully and in compliance with their nutrient analysis; and to provide seasoning acceptable to the diet order and resident satisfaction. These failures had the potential to result in staff not following recipes because they didn't work or didn't produce the correct yield or consistency, and the potential to decrease resident satisfaction, meal intakes, and overall health status. […]

• No harm, potential for more than minimal, widespreadF809Mar 6, 2025

  Based on observations, interviews, and record review, the facility failed to ensure all residents were consistently offered evening bedtime snacks per facility policy for four out of four sampled residents (Resident 372, 15, 59, 34). Facility also failed to ensure snacks were stocked at two out of two nursing stations per facility policy. This failure had the potential to negatively affect nutrition status and wellbeing of all residents. The facility census was 72. Findings: During a record review of facility policy titled Nourishment and Snacks 4/1/14, indicated Individual and/or bulk snacks are available at the nurse's station for consumption by residents. Additional snacks may be made available upon resident request. […]

• No harm, potential for more than minimal, widespreadF812Mar 6, 2025

  Based on observation, interview and record review, the facility failed to ensure food was stored, prepared and distributed in accordance with professional food safety standards when: 1) Fixed equipment (Fixed equipment is equipment that cannot be put thought a dish washer or washed in a sink, such as refrigerators, steamers, stoves, carts, counters, shelving, and small appliances) was not clean. 2) Apron was not changed between cleaning dishes and preparing food. Apron was not worn when soiled counter was cleaned. 3) Dietary staff touched face with gloved hands when trays were loaded onto cart and did not change gloves or wash hands. Dietary staff touched tops and bottoms of dessert bowls and scooped Jell-O into them without gloves. […]

• No harm, potential for more than minimal, widespreadF908Mar 6, 2025

  Based on observation, interview and record review the facility failed to ensure conditions essential to the sanitation of the kitchen were maintained when uncleanable surfaces were not repaired or replaced. This failure had the potential to result in cross contamination, the attraction of pests, and foodborne illness for all residents consuming food from the facility. Findings: A review of the Food and Drug Administration (FDA) 2022 Food Code, Section 4-202.16, Nonfood-contact surfaces shall be free of unnecessary ledges, projections, and crevices, and designed and constructed to allow easy cleaning and to facilitate maintenance. […]