Union County Nursing Home

In the surveyor’s words

From the most serious findings on record at Union County Nursing Home, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF804Jul 1, 2024

  Based on observation, staff interviews, and review of the facility-provided document titled Texture Modification Inservice, the facility failed to ensure a puree recipe was followed to conserve the nutrient value of puree country-fried steak for six of six residents receiving a pureed diet. This deficient practice had the potential to cause residents receiving a pureed diet to have a decreased nutritional intake and a potential for weight loss. Findings include: Review of the undated facility-provided document titled Texture Modification Inservice revealed the section titled Guidelines for Texture Modification: Pureed Foods included Never free pour large amounts of liquids or thickeners into purees as it can impact the nutritional value and quality of the food item. […]

• No harm, potential for more than minimal, widespreadF812Jul 1, 2024

  Based on observation, staff interviews, and review of the facility's policy titled Receiving, the facility failed to appropriately label and date food items stored in the kitchen's walk-in freezer. The deficient practice(s) had the potential to place 96 residents who received an oral diet from the kitchen at risk of contracting a foodborne illness. The facility census was 101. Findings include: A review of the facility's policy titled Receiving revealed the Policy Statement of Safe food handling procedures for time and temperature control will be practiced in the transportation, delivery, and subsequent storage of all food items. The Procedures section documented 5. […]

• No harm, potential for more than minimal, widespreadF812Jan 12, 2023

  Based on observations, interviews, and review of policies titled Receiving, Food Storage: Dry Goods, and Food Storage: Cold Foods, the facility failed to ensure opened food items in the dry storage area were labeled and dated; failed to discard expired food items in the walk-in freezer, two reach in freezers and two of two resident pantries. This deficiency had the potential to affect 90 of 91 residents receiving an oral diet. Findings include: 1. Review of the policy titled Receiving revised ,d+[DATE], revealed the policy is that safe food handling procedures for time and temperature control will be practiced in the transportation, delivery, and subsequent storage of all food items. Procedure: 5. […]

• No harm, potential for more than minimal, widespreadF908Jan 12, 2023

  Based on observations, interviews, and policy review, the facility failed to ensure that essential equipment in the kitchen was in working order as evidenced by ice buildup inside the walk-in freezer on an air flow vent above the doorway, ice formation down the interior door frame, and across the floor. This deficiency had the potential to affect 90 of 91 residents receiving an oral diet. Findings include: Review of the policy titled Equipment revised 9/2017, revealed the policy statement is all foodservice equipment will be clean, sanitary, and in proper working order. Procedure: number 1. All equipment will be routinely cleaned and maintained in accordance with manufacturer's directions and training materials. Number 4. All non-food contact equipment will be clean and free of debris. […]

• No harm, potential for more than minimal, patternF755Jul 1, 2024

  Based on observations, staff interviews, and review of the facility policy titled, Storage of Medication, the facility failed to properly maintain, and store three of six medication cart as evidenced by missing end of shift controlled medication count signatures. Findings include: Review of the facility policy titled Storage of Medication revised April 2007 revealed under Policy Statement: The facility shall store all drugs and biologicals in a safe, secure, and orderly manner. Observation on 6/27/2024 at 9:45 am of three of six medication carts revealed each cart had a controlled substance book which had the current months End of Shift Controlled Drug Count sheet in each book. […]