West Reading Skilled Nursing and Rehabilitation Ce

In the surveyor’s words

From the most serious findings on record at West Reading Skilled Nursing and Rehabilitation Ce, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Dec 10, 2024

  Based on facility policy review, staff interview, and observation, it was determined that the facility failed to store food in a sanitary manner in the dietary department and on one of three nursing units. (Nursing unit 2) Findings include: Review of the facility policy entitled, Food Handling, dated [DATE], revealed that staff were to label food items with the date prepared or opened. At the beginning of each meal service, staff were to obtain tray line holding food temperatures and record them onto the Production Worksheet. Observations during the kitchen tour on [DATE], at 9:23 a.m., revealed the following: In reach-in cooler #1, there were two chef salads, three opened bags of cheddar cheese, lettuce, shredded carrots, and an opened container of diced tomatoes that were not dated. […]

• No harm, potential for more than minimal, widespreadF812Jun 28, 2024

  Based on staff interview, observation, and facility policy review, it was determined that the facility failed to store food in a sanitary manner in the dietary department and on three of three nursing units. (Second, Third, and Fourth floors) Findings include: In an interview on [DATE], at 10:20 a.m., Dietary Employee 1 (DE 1) stated all foods were to be labelled with a date that the item was opened and processed meats were to be discarded seven days after the date opened. Observations during the kitchen tour on [DATE], at 10:25 a.m., revealed the following: In dry storage, there was an opened plastic container of dry cereal that was not dated. In the reach-in dairy cooler, there was a container of strawberries that was not dated. […]

• No harm, potential for more than minimal, widespreadF812Jan 25, 2024

  Based on policy review, observation, and staff interview, it was determined that the facility failed to store food in a sanitary manner in the dietary department. Findings include: Review of the facility's policy entitled, Refrigerated/ Frozen Storage, last reviewed [DATE], revealed that all foods were to be labelled with a date received and prepared food items were to be dated. Observation during the kitchen tour on [DATE], at 10:00 a.m., revealed that in the kitchen freezer, there were three bags of spinach removed from the original box and not dated. In the snack refrigerator, there was a tray of 14 dishes containing applesauce or fruit cocktail that were not dated. There was a dish of pureed fruit cocktail with a date of [DATE]. […]

• No harm, potential for more than minimal, widespreadF801Sep 15, 2023

  Based on staff interview, it was determined that the facility failed to employ a full-time qualified dietary services manager in the absence of a full-time qualified dietitian. Findings include: During an interview on September 15, 2023, at 1:05 p.m., the Director of Nursing (DON), stated that the facility did not currently employ a certified dietary manager. The DON also stated that there was not a full time registered dietitian at the facility. There was no evidence that the facility employed a certified dietary manager in the absence of a full time qualified dietitian. 28 Pa Code 201.18(e)(1)(6) Management.

• No harm, potential for more than minimal, widespreadF812Feb 16, 2022

  Based on observation and facility policy review, it was determined that the facility failed to store and serve food under safe and sanitary conditions in the kitchen. Findings include: Review of the facility policy entitled, Food Safety Management System, PQA - Food Product Shelf Guidelines, revised February 4, 2021, and reviewed September 2, 2021, indicated that food manufacturer/supplier code dates, use by dates, use through dates, or expires on dates should always be considered the first level of control and should be adhered to for quality reasons. Fresh chicken pieces were to be stored in the refrigerator for one to two days and mayonnaise was to be stored up to two months in the refrigerator when opened. Observation during a tour of the kitchen on February 13, 2022, at 9:52 a.m. […]