Medilodge of Plymouth

In the surveyor’s words

From the most serious findings on record at Medilodge of Plymouth, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF801Apr 20, 2023

  Based on observation, interview, and record review, the facility failed to ensure a qualified Certified Dietary Manager, Certified Food Service Manager, and/or full time Registered Dietitian was in place to lead the dietary department as required, resulting in operational failures which have the potential affect all 33 of the nursing home residents that eat out of the kitchen. Findings include: During an interview on 4/18/23 at 1:36 PM, Assistant Director of Nursing (ADON), Registered Nurse E said,The facility's registered dietitian was coming once a week but went on maternity leave about two to three weeks ago. […]

• No harm, potential for more than minimal, widespreadF802Apr 20, 2023

  Based on observation, interview, and record review, the facility failed to ensure the kitchen was adequately staffed in order to prepare and serve meals in a timely manner and manage and operate the kitchen properly, resulting in resident dissatisfaction, untimely meal service, and standard kitchen operations not being performed affecting all residents eating meals from the kitchen. Findings include: A review of a facility provided document revealed meals were to be served at the following times: breakfast at 8 AM, lunch at 12 noon, and dinner at 6 PM. During an observation on 4/18/23 at 2:00 PM, Resident #141 (R141) had not been served lunch. […]

• No harm, potential for more than minimal, widespreadF803Apr 20, 2023

  Based on observation, interview, and record review, the facility failed to follow the established planned menu for all residents eating from the kitchen, resulting in the residents not being informed of what was being served in advance and the potential for unmet resident nutritional needs. Findings include: The facility provided a menu for Tuesday, 4/18/2023 which indicated the following was to be served for lunch: pork chop with sour cream, herbed rice, green beans, wheat bread, fresh apple slices, and garnish parsley sprig. The facility served the following for lunch on 4/18/2023: sweet and sour chicken, rice, green beans, mixed corn, pineapples, and rolls. […]

• No harm, potential for more than minimal, widespreadF812Apr 20, 2023

  Based on observation, interview, and record review, the facility failed to (1) effectively clean food service equipment, (2) properly date-label food in the cooler, (3) ensure staff food was stored separately from resident food, (4) consistently test the dish machine operating temperature, and (5) correctly obtain steam table food temperatures. These deficient practices have the potential to affect all residents who eat food out of the kitchen resulting in the increased potential for cross-contamination, bacterial harborage, and increased potential for resident foodborne illness. […]

• No harm, potential for more than minimal, widespreadF814Apr 20, 2023

  Based on observation, interview, and record review, the facility failed to properly dispose of refuge and maintain cleanliness of the outside garbage area, resulting in the potential for harborage of pests. This deficient practice had the potential to affect all 34 residents that resided in the facility. Findings include: On 4/19/23 at approximately 2:00 PM, during an observation of the outside dumpster area with the Dietary Manager A, two carts were observed in the dumpster area. The contents of a blue cart, approximately a quarter full of garbage, was described by Dietary Manager (DM) A as Soiled gloves, masks, and pill cups. A black cart was observed containing approximately three quarters full of dark, murky water that contained debris including tree branches. […]