Twin City Trails of Journey LLC

In the surveyor’s words

From the most serious findings on record at Twin City Trails of Journey LLC, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Jun 21, 2024

  Based on observations, staff interviews, and review of the facility policies titled Food Preparation and Service F804 F812 and Refrigerators and Freezers F812, the facility failed to store foods in accordance with professional standards for food service safety. Additionally, the facility staff failed to record the daily temperatures of the refrigerator and freezer for two of two observed for temperature logs. The deficient practices had the potential to place 75 residents who received an oral diet from the kitchen at risk of contracting a foodborne illness. Findings include: A review of the facility policy titled Food Preparation and Service F804 F812, last revised 10/23, revealed: Residents are provided with meals that are prepared by methods that conserve value, flavor, and appearance. […]

• No harm, potential for more than minimal, widespreadF925Jun 21, 2024

  Based on observations, staff interviews, and review of the facility policy titled Sanitation F812, the facility failed to ensure doors in the main kitchen remained in good repair to prevent pests from invading the main kitchen and one of two dining areas. This failure had the potential for pests to transfer harmful microorganisms to food leading to foodborne illness for the 75 residents receiving food from the kitchen. Findings include: A review of the facility's policy titled Sanitation F812, effective 10/23, revealed: 1. All kitchens, kitchen areas and dining areas shall be kept clean, free from litter and rubbish and protected from rodents, roaches, flies and other insects. […]

• No harm, potential for more than minimal, widespreadF801Oct 13, 2022

  Based on observations, staff interviews, and review of facility policy 'Food Service Staffing', the facility failed to ensure that the staff designated as director of food and nutrition services was a certified dietary or food service manager or had a similar food service management certification or degree. The deficient practice had the potential to affect 73 of 77 residents that received an oral diet. Findings include: Review of policy titled 'Food Service Staffing' last revised 10/2022 revealed '5. If the Dietician is not full time, then the community will employ another qualified nutritional professional to serve as the Dietary Manager. The person at a minimum must meet-one of the following qualifications: a. A certified dietary manager; b. A certified food service manager; c. […]

• No harm, potential for more than minimal, widespreadF812Oct 13, 2022

  Based on observations and interviews, the facility failed to ensure the kitchen was maintained in a sanitary environment free of standing water in the dishwasher room, watering leaking into a plastic bin in the refrigerator, standing water under the ice machine with brown colored substance pooled beneath the ice machine, and a vent in the dry storage room with a thick coat of black substance. The facility also failed to maintain the holding temperature of five foods on the steam table above 135 degrees, to prevent the potential for food-borne illnesses. This had potential to affect 73 of 77 residents receiving oral diets. Findings include: 1. During initial tour of kitchen on 10/13/22 at 10:17 a.m. revealed water running under the ice machine from a pipe. […]

• No harm, potential for more than minimal, widespreadF908Oct 13, 2022

  Based on observations and interview, the facility failed to ensure that essential equipment in the kitchen was in working order, specifically the steam table, one of two refrigerators, and one ice machine. This had the potential to affect 73 of 77 residents receiving an oral diet. Findings include: During initial tour of kitchen on 10/11/22 at 10:17 a.m. with Cook 'AA' revealed water running under the ice machine from one of the pipes. Refrigerator located in kitchen had water dripping from a vent inside the refrigerator into a plastic pan. During walk through of kitchen on 10/11/22 at 11:03 a.m. with Administrator confirmed the findings. […]