The Shores Post-Acute

In the surveyor’s words

From the most serious findings on record at The Shores Post-Acute, in the surveyor’s own words.

• Immediate jeopardy, isolatedF921Feb 22, 2022

  Based on observation, staff interviews, and record review, the facility failed to ensure a safe, functional, and sanitary environment for residents who receive food from the kitchen, and all staff who access the kitchen when a sewage backflow flood was observed in the kitchen. The facility prepared and served resident breakfast meals from the kitchen during the sewage flood backflow in the basement, which affected the kitchen. The facility's failure to ensure safe and sanitary conditions in the kitchen due to plumbing backflow sewage flood, had the likelihood for contaminated microorganisms (tiny bacterial organisms) to come into contact with the residents' food and could have led to widespread foodborne illnesses for 247 residents who received food prepared in the kitchen. […]

• No harm, potential for more than minimal, widespreadF800Feb 22, 2022

  Based on observations, interviews, and record reviews the facility failed to ensure overall systematic operations was effectively executed for its food and nutrition services department when: 1. A resident with a 10.4% significant weight loss in six months was not consistently monitored. 2. Facility Menus were not approved by the RD, and the emergency menus and recipes were not followed as printed. (fortified diet) 3. Evening nourishments were not consistently offered to all residents at bedtime. 4. The kitchen environment was unsanitary and unsafe with open ceiling holes and uncovered and broken floor tiles were exposed in the walk in refrigerator and Pots & pans, 5. Kitchen staff competence issues- thermometer calibration, dish machine and red bucket sanitizer strength levels. […]

• No harm, potential for more than minimal, widespreadF801Feb 22, 2022

  Based on observation, interview, and facility document review, the facility failed to ensure the competency of the Food and Nutrition Services Director (FNDS) and Registered Dietitian 1 (RD 1) when multiple issues relating to a safe and sanitary kitchen environment, serving food preferences and appropriate texture of food, and staff competency for using the dish machine were identified. This failure had the potential for decreased nutrient intake for 2 residents; as well as the potential for contamination of food, equipment, utensils leading to food borne illness and/or spread of disease for 264 residents who received food from the kitchen out of a facility census of 267. […]

• No harm, potential for more than minimal, widespreadF801Feb 22, 2022

  Based on observation, interview, and facility document review, the facility failed to ensure the competency of the Food and Nutrition Services Director (FNDS) and Registered Dietitian 1 (RD 1) when multiple issues relating to a safe and sanitary kitchen environment, serving food preferences and appropriate texture of food, and staff competency for using the dish machine were identified. This failure had the potential for decreased nutrient intake for 2 residents; as well as the potential for contamination of food, equipment, utensils leading to food borne illness and/or spread of disease for 264 residents who received food from the kitchen out of a facility census of 267. […]

• No harm, potential for more than minimal, widespreadF802Feb 22, 2022

  Based on observation, interview, and record review, the facility failed to ensure the kitchen staff carried out the tasks of the food and nutrition services department in accordance with the standard of practice for the following kitchen competencies: 1. Kitchen staff did not know how to calibrate food thermometers. 2. Kitchen staff did not follow the facility policy and procedure for fortifying resident diets. 3. Kitchen staff did not follow the facility policy and procedure for liquefied pureed diet for residents. 4. Kitchen staff did not know the quaternary ammonium concentration of the kitchen sanitizer buckets. 5. Kitchen staff did not wash cantaloupe in a safe manner prior to serving. 6. […]