Health inspection·June 23, 2022

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 observation, interview and record review, the facility failed to provide residents properly cooked food for 1 of 20 residents (R20) reviewed for food temperatures in the sample of 18. Residents Affected - Few Findings include: R20's Care Plan dated 2/29/2020 documents, Regular Diet, Mechanical Soft texture, thin consistency. On 6/22/2022 at 11:32 AM, during the lunch service V8, Dietary Aid, prepared a plate of mechanical meat for R20 and it was served to her at the dining room table. On 6/22/2022 at 11:28 AM, the mechanical meat temperature was taken with a metal, calibrated thermometer and registered 121.1 degrees Fahrenheit (F). On 6/22/2022 at 11:27 AM, during the lunch service the lid to the mechanical meat was not hot to the touch. On 6/22/2022 at 11:00 AM, the Food Log Temperature Book was reviewed and does not document any temperatures were taken for the mechanical meat. The area was blank. On 6/23/2022 at 9:35 AM, V7, Dietary Manager, stated, After we talked (V8) went and added the temperature to the mechanical meat food log book. I was there with you and it was blank and not filled out when you asked to see it. I am not sure where she got that temperature but I know it was not correct. On 6/22/2022 at 11:30 AM, V8, Dietary Aid, stated, I did not take a temperature on the mechanical meat, only the regular meat, and it was within range. The area was blank because I did not take it for the mechanical soft meat. On 6/22/2022 at 11:32 AM, V7, Dietary Manager, stated, I expect all food on the steam table to be at least 135 degrees (F) or higher. The mechanical meat should have been at a higher temperature and the temperatures should have been taken. On 6/23/2022 at 1:45 PM, V14, Dietician, stated, On 6/23/2022 at 2:01 PM, V14, Dietician stated, I would expect all of the food on the steam table to be held at 135 degrees Fahrenheit (F) or higher. If a food item temperature is lower than 135, I would not expect it to be served to the residents. When the food is under 135 F, it can be a danger zone/hazardous. The danger zone is an ideal environment for bacterial growth. Page 1 of 2 146025 146025 06/23/2022 Clinton Manor Living Center 111 East Illinois Street New Baden, IL 62265

F 0804 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few On 6/22/2022 at 3:31 PM, V2, Director of Nursing (DON), provided a list of residents on pureed and/or mechanical texture diets and the following residents were documented: R3, R14, R17 and R20. The Facility Food Preparation and Service Policy with a revision date of 4/2019 document, Food and Nutrition services employees prepare and serve food in a manner that complies with safe food handling practices. The danger zone for food temperatures is between 41 F and 135 F. This temperature range promotes the rapid growth of pathogenic microorganisms that cause food borne illness. Potentially hazardous food include meats. Mechanically altered hot foods prepared for a modified consistency diet remain above 135 degrees F during preparation or they are reheated to 165 F for at least 15 seconds. 146025 Page 2 of 2