WI Veterans Hm Ainsworth Hall

In the surveyor’s words

From the most serious findings on record at WI Veterans Hm Ainsworth Hall, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Jan 31, 2024

  Based on observation, staff interview and record review, the facility did not ensure kitchen equipment was monitored appropriately to ensure food safety. This practice had the potential to affect all 164 residents residing in the facility. Mechanical warewashing wash, sanitization, and internal surface temperature logs were not consistently completed. Cooking and cooling temperature logs for food cooked in the oven were not consistently completed. Logs that documented parts per million (PPM) of the sanitizing solution in sanitizer buckets and sanitization levels in the 3 compartment sink were not consistently completed. Findings include: On 1/29/24 at 8:40 AM, Surveyor began an initial kitchen tour with Dietary Administrator (DA)-F and Food Service Manager (FSM)-H. […]

• No harm, potential for more than minimal, widespreadF812Dec 7, 2022

  Based on observation, staff interview, and record review, the facility did not ensure food was prepared and served in a sanitary manner. This practice had the potential to affect all 151 residents. The Warewashing machine (dishwasher) sanitizing rinse did not meet the required minimum temperature of 180 degrees Fahrenheit (F) during observation and per monitoring logs in November and December of 2022. In addition, the internal surface temperature monitoring device did not meet the required 160 degrees F during observation. The kitchen floor was visibly soiled and not cleanable in multiple areas. Findings include: On 12/5/22 at 9:08 AM, Dietary Manager (DM)-D indicated the facility used the Food and Drug Administration (FDA) Food Code as its standard of practice. […]

• No harm, potential for more than minimal, widespreadF880Dec 7, 2022

  Based on observation, staff interview, and record review, the facility did not maintain appropriate infection control procedures to ensure residents' clothing, pillows and linens were protected from contamination in the facility's laundry area. This practice had the potential to affect all 151 residents. The floor in the facility's kitchen kettle room was in disrepair and contained numerous divots and areas of missing flooring. The kettle room was located above the facility's clean storage and laundry labeling area. The laundry area contained a plastic bin that collected approximately 37 gallons of liquid per day that drained from the kitchen floor through a membrane in the ceiling that contained hoses and funnels. […]

• No harm, potential for more than minimal, widespreadF886Sep 23, 2021

  Based on staff interview and record review, the facility did not ensure staff were tested at required intervals during an outbreak/per community transmission rate before allowing staff to work. This practice had the potential to affect all 155 residents. The facility policy did not require staff who were not in work status on COVID-19 test dates to be tested before returning to work, resulting in unvaccinated staff working without meeting the facility policy for outbreak testing every 3 to 7 days since COVID-19 outbreak began on 7/16/2021 and unvaccinated staff working without meeting the routine testing requirements based on COVID-19 community transmission level. […]

• No harm, potential for more than minimal, patternF812Mar 19, 2025

  Based on observation, staff interview, and record review, the facility did not ensure food was stored and prepared in a safe and sanitary manner. This practice had the potential to affect more than 4 of the 105 residents residing in the facility. Food items for resident consumption were not appropriately labeled and/or were beyond the discard date. Equipment in the main kitchen and unit 2 kitchenette was not in clean condition and/or covered. Findings include: On 3/17/25 at 9:20 AM, Surveyor interviewed Dietary Manager (DM)-K who stated the facility follows the Federal Food Code. […]