Health inspection·August 6, 2025

F 0804 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Level of Harm - Minimal harm or potential for actual harm Based on interview, observation, and record review, the facility failed to maintain palatable and appetizing food temperature when serving meals. This applies to all 121 residents receiving meals from the facility. The findings include: The facility data sheet, dated August 4, 2025, documents 133 residents in the facility, with 121 receiving food from the Dietary department, and 12 residents on NPO (Nothing by mouth) status.From August 4 to August 6, 2025, R1, R4, R7, R10, R11, and R14 were observed at mealtime and interviewed about the facility's food service. R1, R4, R7, R10, R11, and R14 are assessed to be alert and oriented based on their most recent MDS (Minimum Data Set) assessments. R1, R4, R7, R10, R11, and R14 all stated the food was lukewarm or cold, and they would prefer that food be served warmer. R12 was a former resident from the facility. R12 was alert and oriented based on her last her last MDS prior to discharge. On August 4, 2025, at 1:15 PM, V17 (family member) stated R12 was always complaining to V17 the food in the facility was always served cold.On August 5, 2025, 11:35 AM, the lunch meal was observed on the second floor. There were a few residents in the dining room. A kitchen staff delivered the second food cart in the dining room. V20 (Dietary manager), V21 (Certified Nursing Assistant/CNA), and V22 (CNA) were setting up the trays and serving food in the dining room. At 11:41 AM, the third food cart was delivered. V22 started setting it up, she placed condiments and drinks in each tray. V23 (Wound Care Aid and Central Supply) and V24 (CNA) came in to help. The facility menu was roasted turkey with gravy, cornbread dressing, zucchini, and mandarin fruit for dessert. All the food carts were delivered with a plastic cover that was zippered closed on all the four corners of the carts. The staff unzipped all the four corners of the cover as they started to set up the trays placing condiments and drinks on each tray. The carts were not insulated, nor was a plate warmer in place to aide in maintaining temperatures. At 11:52 AM, the food cart was delivered to the hallway for residents eating in their rooms.On August 5, 2025, at 12:00 PM, R10's lunch tray was tested for food temperature. The cornbread dressing was 50.1 degrees/Fahrenheit (F), and the turkey with gravy was 50.3F.On August 5, 2025, at 12:04 PM, R11's lunch tray was tested for food temperature. The cornbread dressing was 107.6 F and the turkey with gravy was 115.7 F; the zucchini vegetable was 107.5 F. On August 5, 2025, at 12:42 PM, V20 (Dietary Manager) stated they check the food temperature prior to delivering food in the unit. V20 explained food is plated on a ceramic plate and covered with a plastic lid. The food temperature in the kitchen should be at least 135F. V20 added then the trays are placed on a cart, covered with a plastic zipped cover and delivered to each floor or unit. V20 stated the food holding temperature should be 135F. V20 has been a Dietary manager for 20 plus years. They deliver food through tray line. The staff would place food on the ceramic plate and would be covered with a plastic food lid, they deliver the meals via tall food cart which was covered with zippered plastic cover. The holding temperature for the hot food should be 135F, which means that when it's delivered to the residents it should be a little less than 135F. On August 6, 2025, at 12:20 PM, V20 (Dietary Manager) also stated she just started working in the facility Residents Affected - Some (continued on next page) Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation. LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE TITLE (X6) DATE FORM CMS-2567 (02/99) Previous Versions Obsolete Facility ID: If continuation sheet Page 1 of 3 Event ID: 145372 Printed: 05/15/2026 Form Approved OMB No. 0938-0391 Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION (X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER: (X2) MULTIPLE CONSTRUCTION 145372 B. Wing A. Building (X3) DATE SURVEY COMPLETED 08/06/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Pearl of Joliet, The 306 North Larkin Avenue Joliet, IL 60435 For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)