Health inspection·June 17, 2021

F 0577 Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. Level of Harm - Potential for minimal harm Based on record review and interview, the facility failed to maintain the survey book with all surveys over the past three years. Residents Affected - Some Findings: Review of the survey book located outside the social service office did not include all recent surveys. A complaint survey conducted on 8/20/20, resulting in an Immediate Jeopardy, was missing for viewing by residents, visitors and staff. not in the survey book. There were no additional survey books readily available for review. Page 1 of 2 105670 105670 06/17/2021 Avante at St Cloud Inc 1301 Kansas Ave Saint Cloud, FL 34769

F 0812 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Based on observation, interview and record review, the facility failed to ensure foods were correctly stored in the walk-in cooler and walk-in freezer to prevent contamination, failed to ensure staff members had appropriate hand hygiene/grooming, and failed to ensure the walk-in cooler was in good repair. Findings: 1. On 6/14/21 at 9:20 AM observation of the walk-in freezer with the Certified Dietetic Manager (CDM) revealed bags of vegetables store directly under the evaporator fan. There was ice buildup on the line under the fan that had the potential to drip onto the bags of vegetables. 2. On 6/14/21 at 9:25 AM, Dietary Aide (DA) A was working on clean side of dish machine removing and stacking clean dishes. She had long painted fingernails over 1/2 inch past the tip of her fingers. Her thumbs had punched through barrier gloves. The CDM acknowledged that DA A had long nails and that it was unacceptable for her to have nails that long. 3. On 6/14/21 at 9:30 AM, the outdoor walk-in refrigerator had an empty steam table bucket under the evaporator fan. There was condensation build up on the underside of the fan. The CDM said the soup bucket was there to catch the water that sometimes drips from the line under the fan. Food items stored on the shelf under fan included cooked turkey breast, cooked diced potatoes and cooked corned beef. The door to the walk-in refrigeration did not seal when closed. Light from outside was visible on the top of the door, the handle side of the door, and the bottom left of the door. 4. On 6/15/21 at 3:10 PM, the walk-in cooler door gasket was torn, shredded., and covered in a black-like substance. At 3:30 PM, the Director of Maintenance said that he was aware of the problem with the gasket. He acknowledged that when he cleaned the refrigerator on 5/27/21, the gasket was torn. Review of the work order in the electronic work order log noted the damaged gasket on 5/27/21. The Director of Maintenance confirmed he had not contacted any service company to repair the gasket. 105670 Page 2 of 2