Health inspection·May 25, 2023

F 0803 Level of Harm - Minimal harm or potential for actual harm Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. Based on observation, record review, and interview, the facility failed to follow the menu for pureed foods and pureed portion sizes. Residents Affected - Few Findings: Review of the facility's menu revealed the lunch meal for 5/22/23 consisted of Curry Chicken, Steamed Carrots, Pearled Rice, Dinner Roll, Pudding Parfait, Coffee or Tea and Beverage of Choice. On 5/22/23 at 12:02 PM, the lunch tray line was observed. The food holding temperatures were taken and staff began to plate meals. The therapeutic menu noted residents on pureed diet would receive approximately 1 ounce portion of pureed bread. Observation of the steam table and trayline noted there was no pureed bread. The cook said she did not make pureed bread but gave no explanation why the pureed bread was not prepared. Dietary Aide A stated they had already sent out the pureed meals. At 12:20 PM, the morning cook and the evening cook determined that a #10 scoop was used to plate the pureed curry chicken. The menu noted that a #8 scoop should have been used for the curry chicken. The #10 scoop was smaller indicating the kitchen staff gave less curry chicken to the residents on pureed diets. The facility staff could not explain why the facility's menu was not followed. Review of the Facility's Diet Census revealed there were 10 residents on pureed diet. Page 1 of 2 105791 105791 05/25/2023 Delaney Park Health and Rehabilitation Center 215 Annie Street Orlando, FL 32806

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, record review, and interview, the facility failed to ensure food packages were re-sealed to prevent contamination and ensure supplements were discarded timely to prevent foodborne illnesses. Findings 1. On 5/22/23 at approximately 10:23 AM, the initial kitchen inspection was conducted. A large bag of corn flakes, less than half full was noted in the Dry Storage room. The bag had been previously opened and the staff used a sliver of plastic wrap as a make-shift twist tie in attempt to re-seal the bag. A previously opened bag of egg noodles and 2 bags of elbow macaroni were re-secured in a similar fashion, with a sliver of plastic wrap. The Registered Dietitian stated this was not the proper way to store/re-seal the bags. The facility's policy and procedure for food storage noted, Dry goods may be placed in plastic bags and sealed or placed in plastic containers. There was a large rectangular plastic container on the bottom shelf in the Dry Storage room that was used for bulk storage of corn starch. This container was covered with a a green lid and corn starch powder was observed on top of the lid. A plastic scoop used to retrieve the corn starch was noted in a large plastic bag. The plastic bag had corn starch powder sticking to the inside of the bag, obscuring the plastic scoop. The plastic scoop was pulled out of the bag and the scoop had caked-on corn starch powder sticking to the scoop. The facility's cook stated she did not use any corn starch today to prepare meals. When asked for the cleaning schedule and/or how often scoops used for bulk items, were cleaned and sanitized, the Certified Dietary Manager (CDM) did not provide an answer. 2. On 5/22/23 at 12:54 PM, the refrigerator in the second floor pantry had 2 cartons of fortified liquid nutritional supplement that had been opened and dated 5/10/23 and 5/11/23, respectively. The second floor Unit Manager explained that nurses provided supplements to the residents in accordance with their physicians' orders. She stated the dates on the cartons indicated the dates the cartons were opened. The Unit Manager was not sure when the opened cartons of supplements needed to be thrown out. She checked the facility's policy and explained the supplements should have been thrown out 3 days after they were opened. 105791 Page 2 of 2