Every finding on record at Salude - The Art of Recovery

Based on observations, staff interviews, and review of the facility policies titled, Date marking for Food Safety and Food Safety Requirement, the facility failed to ensure that opened food items were labeled and dated. This deficient practice had the potential to affect all 54 of 54 residents receiving an oral diet. Findings included: Review of the facility policy titled, Date Marking for Food Safety, dated 5/1/2023, under subtitle, Policy Explanation and Compliance Guidelines for Staffing revealed: 2. The food shall be clearly marked to indicate the date or day by which the food shall be consumed or discarded. 3. The individual opening or preparing a food shall be responsible for date marking the food at the time the food is opened or prepared. Review of the facility policy titled, Food Safety Requirements, dated 5/1/2023, under subtitle, Policy Explanation and Compliance Guidelines revealed: 3. (c) Refrigerated storage-foods that require refrigeration shall be frigerated immediately upon receipt or place in freezer, whichever is applicable. Practices to maintain safe refrigerated storage include: (iv.) Labeling, dating, and monitoring refrigerated food, including but not limited to leftovers, soi t is used b its use by date, or frozen (where applicable)/discarded; and (v.) keeping food covered or in tight containers. Observation on 10/13/2023 at 8:04 a.m. of the walk-in cooler revealed the following: A plastic 20-ounce jar of Smucker's Sundae Carmel Syrup was not labeled or dated. A bag of Roseli mozzarella cheese, no weight provided. The bag was opened, unlabeled, and undated. Observation of the walk-freezer on 10/13/2023 at 8:08 a.m. revealed the following: A box of JBB Tender Shaped Chicken Breasts. Inside the box was a plastic bag that was open to the air. The bag was unlabeled and undated. A box of Chef's Line vegetarian hamburger patties. Inside the box was a bag of hamburger patties open to the air. The bag was unlabeled and undated. A bag of vegetarian breaded nuggets, no weight provided. The bag was open to the air and unlabeled and undated. A box of Supreme fish filets. Inside the box was a bag of fish filets, open to the air and unlabeled and undated. A box of Cattleman's Beef Patties. Inside the box was a bag of patties, which was open to the air, unlabeled, and undated. A bag of tater tots, no weight provided. The bag was open to the air and unlabeled and undated. A bag of waffles with four waffles. The bag was open to the air and unlabeled and undated. Interview on 10/13/2023 at 8:14 a.m. with the Director of Nursing (DON) acknowledged that staff did not properly store the items in the refrigerator and freezer. DON stated that staff should have sealed, labeled, and dated the food items. Observation on 10/13/2023 at 8:15 a.m. of the dried goods revealed an open bag of Roseli Tri Colored Pasta with no weight provided. The bag was unlabeled and undated. Interview on 10/13/2023 at 8:20 a.m. with Cook (AA) confirmed the items in the walk-in freezer, refrigerator, and dry goods were not stored properly, labeled, or dated after opening. He stated all items should have been stored securely, labeled, and dated. Interview on 10/14/2023 at 12:42 p.m. with the Dietary Manager (DM) acknowledged the staff did not store the items properly. DM stated the staff should have sealed, labeled, and dated the food items.

Based on observation and staff interview the facility failed to properly label and date food items in the walk-in refrigerator and failed to discard expired food items in the walk-in refrigerator and dry storage area. The facility did not have any resident 's receiving alternative nutritional needs. This had the potential to affect all forty-one (41) residents. Findings include: Observation on 05/11/15 at 10:30 a.m. of the walk-in refrigerator revealed the following items on the top shelf: - A one (1) gallon container of French's Worcestershire sauce that was partially used with no date of when it was opened. - Two (2), forty-eight (48) ounce bottles of lemon juice that were were opened with no date to indicate when they were opened. - A one (1) gallon container of Creamy Caesar salad dressing had an date open date of 07/16. - A one (1) gallon container of Sweet and Sour sauce had an open date of 10/30. Continued observation in the walk-in refrigerator was a bag of partially used shredded cheddar cheese with no date of when opened. Further observation revealed that there was a posting on the outside of the walk-in refrigerator titled Food Storage and Shelf Life. It indicated that food items such as salad dressing should be discarded three (3) months after opening and food items such as condiments should be discarded six (6) months after opening. Interview on 05/11/15 at 10:30 a.m. with the Registered Dietitian (RD) she confirmed that the Worcestershire sauce, both bottles of lemon juice, and the bag of shredded cheddar cheese did not have a date of when they were opened. The RD acknowledged that they should have a date of when they were opened. The RD confirmed that the Creamy Caesar dressing had an open date of 7/16, and the Sweet and Sour sauce had an open date of 10/30. She further revealed that she believes that dietary staff used the date the containers were to expire and not when it was opened for usage. The RD acknowledged that staff had dated the items incorrectly. Continued interview revealed that she did not know what the policy stated as to how long food items can be stored after opening. Observation on 05/11/15 at 10:45 a.m. of the dry storage area revealed that there were twelve (12), fifteen (15) ounce boxes of raisins on the rack shelf with a use by date of April 28, 2015. Interview with the RD at that time confirmed that the raisins had a use by date of April 28, 2015 and the staff should have discarded them. She further revealed that she expected staff to review the expiration and use by dates on all food products before use. Interview on 05/12/15 at 5:10 p.m. with the Interim Dietary Manager revealed that the staff had an in-service a few weeks ago regarding label and dating of food items after opening and before storing. She revealed that the staff had been educated to also follow the Food Storage and Shelf Life information sheet that was posted on the walk-in refrigerator. The DM further revealed that she and the cook went through the entire walk-in refrigerator and discarded any food item that was not complaint with the Food Storage and Shelf Life guidelines.