Shields Richmond Nursing Center

In the surveyor’s words

From the most serious findings on record at Shields Richmond Nursing Center, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF801Dec 8, 2023

  Based on staff interviews and review of facility documents, the facility failed to comply with Federal regulations related to the oversight of food service operations when the facility did not have a full-time dietitian and the requirements were not met as specified in established standards (California Code, Health and Safety Code - HSC S 1265.4) for food service managers which required, employment of a full-time, qualified dietetic supervisor when the dietitian was not full time. The lack of a qualified, competent, and full-time supervisor resulted in staff not having adequate supervision, training, and knowledge to carry out Food and Nutrition Services in a safe and sanitary manner. […]

• No harm, potential for more than minimal, widespreadF802Dec 8, 2023

  Based on observation, interview, and facility document review, the facility failed to ensure kitchen staff were competent regarding job duties when: 1. A cook did not know the appropriate method for manually cleaning soiled utensils and equipment using the 3-compartment sink. 2. A diet aide did not know the appropriate procedures for testing the strength of the sanitizer solution used for sanitizing kitchen surfaces. 3. A diet aide did not demonstrate appropriate procedures for testing the sanitizer in the dish machine. These failures had the potential to result in contamination of kitchen equipment and/or utensils leading to illness caused by pathogens (harmful organisms) for 58 residents who received food from the kitchen. Findings: 1. […]

• No harm, potential for more than minimal, widespreadF803Dec 8, 2023

  Based on observation, interview, and facility document review, the facility failed to ensure: 1. the menu met the nutritional needs of the residents; 2. there was a menu for a vegetarian diet; and 3. portions for diets provided matched what was indicated in the diet manual. These failures had the potential for residents to receive meals containing nutrients at levels not appropriate for their prescribed diet leading to food related medical complications for 58 residents who received food from the kitchen. Findings: 1. Per the National Institute of Health, Nutrient Recommendations: Dietary Reference Intake (DRI) are documents issued by the Food and Nutrition Board of the National Academies of Sciences Engineering, and Medicine. […]

• No harm, potential for more than minimal, widespreadF804Dec 8, 2023

  Based on observation, interview, and record review, the facility failed to serve food that was palatable when food was bland (lacked flavor). This failure had the potential to negatively impact the residents' dining experience which may result in poor dietary intake compromising the health and nutritional status of 58 residents who received food from the kitchen. Findings: During an interview on 12/04/23 at 10:45 a.m. with Resident 16, Resident 16 stated the facility's food was lacking in taste and beans were very plain. During a review of daily menu, dated 12/04/23, the lunch menu indicated green beans were served for all diets. During a concurrent observation and interview on 10/04/23 at 12:50 p.m. with Registered Dietitian Nutritionist (RDN), a test tray was conducted. […]

• No harm, potential for more than minimal, widespreadF806Dec 8, 2023

  Based on observation, interview, and facility document review, the facility failed to: 1. Provide an alternate vegetarian entree of similar nutritive value to the regular entree for one non-sampled resident (Resident 57). 2. Ensure peanut butter and jelly sandwiches offered as an alternate entree were of similar nutritive value to the regular entree. These failures had the potential to result in a decreased nutrient intake as indicated by the planned menu for 29 residents who received Regular textured food. Findings: 1. […]