Marian Regional Medical Center D/P SNF

In the surveyor’s words

From the most serious findings on record at Marian Regional Medical Center D/P SNF, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Apr 8, 2025

  Based on observation, interview, and record review, the facility failed to ensure food and ice were stored in accordance with professional standards for food service safety when: 1. The ice machine located in the kitchen had a brown substance on the grate above the water trough where water was present; and 2. Food items were above 41 degrees Fahrenheit (F) in three of the four wings (Wing 100, 300, 400) unit refrigerators located on the nursing units. These failures have the potential to result in a growth of microorganisms which can increase the risk of foodborne illness for all the residents eating and drinking at the facility. The facility census was 89. Findings: 1. […]

• No harm, potential for more than minimal, widespreadF801Feb 15, 2024

  Based on observation, interview and record review, the facility failed to ensure the Food Service Manager (FSM) demonstrated skills sets to carry out the functions of the food and nutrition service when: 1. Dietary staff were not trained on monitoring, and documenting, wash water temperature for the high temperature dish machine in accordance with manufacturer's guidelines and facility policy and procedure. 2. There was not a system, to include a policy and procedure, to guide staff on the requirement to purchase pasteurized shell eggs to have readily available in order to honor a resident's request for an undercooked egg, such as sunny side up eggs, in a safe manner for Resident A (confidential resident). […]

• No harm, potential for more than minimal, widespreadF803Mar 23, 2023

  Based on observation, interview, and record review, the facility failed to ensure: 1. the planned menu was followed when incorrect portion sizes were given of the mashed potatoes for the 17 residents on the regular diet (Resident 52, 2, 51, 49, 41, 24, 48, 10, 62, 127, 130, 132, 133, 135, 621, 622, 625, 58 and 16 residents on the carbohydrate controlled diets (Resident 36, 27, 25, 22, 53, 8, 56, 66, 23, 122, 125, 126, 128, 131, 623, 628); and of the zucchini for the 15 residents on the heart healthy or low sodium diet (Resident 33, 14, 46, 25, 38, 42, 7, 20, 6, 121, 123, 124, 129, 134, 627; 2. the menus reflected the needs of the resident's when they had a lack of variety for five residents on a puree diet (Resident 3, 19, 5, 26, 421); 3. […]

• No harm, potential for more than minimal, widespreadF812Mar 23, 2023

  Based on observation, interview, and record review, the facility failed to store, prepare, and serve food in accordance with professional standards for food service safety when: 1. Kitchen staff failed to monitor cool down procedure for potentially hazardous foods. 2. The scoop handle in the bulk oatmeal bin, had oatmeal in the handle. 3. Dented cans were not removed from the dry food storage room. 4. There were undated, thawed health shakes in the nourishment refrigerator. These facility failures had the potential to result in the growth of microorganisms and the potential for foodborne illness in a vulnerable resident population. Findings: 1. a. […]

• No harm, potential for more than minimal, patternF806Apr 8, 2025

  Based on observation, interview, and record review, the facility failed to ensure that the grilled cheese sandwich, provided as an alternative meal option, was of similar or nutritive value to the scheduled entree when residents (Residents 5, 9, 62) requested a different meal choice. This resulted in resident's not being provided equal nutritive value which may result in weight loss, further compromising the nutritional and medical status. Findings: During an observation of the lunch meal service on 4/1/25 at 12:15 PM, [NAME] 1 was making grilled cheese sandwich on white bread on the stove. There were two slices of orange cheese and white bread with butter. The grilled cheese sandwich was for Resident 9. […]