Town & Country

In the surveyor’s words

From the most serious findings on record at Town & Country, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF812Nov 20, 2025

  Based on observation, interview, facility document review, and facility P&P review, the facility failed to ensure the food safety and sanitation guidelines were followed. * Meat thawing process was not followed; * Expired food was not discarded; * Meal preparation equipment was not air dried; * The food preparation sink did not have backflow prevention; * Food preparation equipment was not clean; and * Cutting boards were stained and heavily marred. These failures posed the risk for food-borne illnesses in highly susceptible resident population of 82 facility residents who received food prepared in the kitchen.Findings: 1. According to USDA Food Code 2022, Section 3-501.13, freezing prevents microbial growth in foods, but usually does not destroy all microorganisms. […]

• No harm, potential for more than minimal, patternF909Nov 20, 2025

  Based on observation, interview, medical record review, facility document review, and facility P&P review, the facility failed to ensure the residents' entrapment assessments were accurate and complete for 10 of 10 final sampled residents (Residents 1, 3, 7, 8, 10, 11, 29, 37, 43, and 58) reviewed for bed rails use. * The facility failed to ensure the entrapment assessment of bed rails were accurate and complete for Residents 1, 3, 7, 8, 10, 11, 29, 37, 43, and 58. These failures had the potential to negatively impact the residents resulting in possible entrapment, serious injury, and death. […]

• No harm, potential for more than minimal, patternF812Sep 13, 2024

  Based on observation, interview, facility document review, and facility P&P review, the facility failed to ensure the food safety and sanitary requirements were met in the kitchen. * The facility failed to ensure the ice machine was properly cleaned. * The facility failed to ensure the ice scoopers were properly stored. * The facility failed to ensure the food items were discarded on or before the best by date. * The facility failed to ensure the food preparation utensils and equipment were in good, sanitary, and cleanable working conditions. […]

• No harm, potential for more than minimal, patternF880Sep 13, 2024

  Based on observation, interview, medical record review, facility document review, and facility P&P review, the facility failed to establish and maintain the infection control program and practices designed to help prevent the development and transmission of diseases and infections as evidenced by: * The facility failed to ensure the contact and droplet precautions were practiced for Resident 569. * The facility failed to ensure the infection control was maintained in the laundry room. * The facility failed to show consistent and accurate documentation of its testing protocols for Legionella and other opportunistic pathogens in building water systems. These failures had the potential risk for transmission of communicable diseases or organisms to residents in the facility. Findings: 1. […]

• No harm, potential for more than minimal, patternF908Sep 13, 2024

  Based on observation, interview, facility document review, and facility P&P review, the facility failed to ensure the essential kitchen equipment were in safe operating condition. * The facility failed to ensure two of two ice machines were properly cleaned as per the ice machine cleaning instruction. This failure had the potential for ice served from the kitchen to be unsanitary. Findings: Review of the facility document titled Hoshizaki Instruction Manual revised 11/2018 showed Hoshizaki provides this manual primarily to assist qualified service technicians in the installation, maintenance, and service of the appliance. Further review of the facility document showed the cleaning and sanitizing instructions in the manual included the following: - Cleaning solution: dilute 9.6 fl. oz. […]