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Inspection visit

Health inspection

RAE ANN SUBURBANCMS #3658452 citations on this visit
2 citations recorded

Inspector’s narrative

What the inspector wrote

This survey cited 2 deficiencies. The full statement and the facility’s plan of correction follow, verbatim from the federal record.

365845 12/15/2024 Rae Ann Suburban 29505 Detroit Rd Westlake, OH 44145
F 0812 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Many Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Based on observation, staff interview and policy review, the facility failed to ensure its kitchen area was maintained in a clean and sanitary condition. This had the potential to affect all residents. The facility census was 90. Findings include: Observation of the kitchen area on 12/15/24 between 7:30 A.M. and 8:00 A.M. with Dietary Aides (DA) #600 and #601 revealed the following that was verified at the time of discovery; - A large puddle of water was noted in the facility's dishwasher area. DA #600 explained that a drain to the dishwasher had not been working for some time. DA #600 estimated months and thus created a pool of water in the area. - The sanitizer bucket underneath the dishwasher was open and had a swarm of fruit flies around the lid of the bucket. - A package of bacon was observed to be defrosting in the warming area underneath the steam table. The bacon was noted to be lying in a pool of water on the steam table that was yellow in color and had many noticeable food particles floating in the water. - The left side door of the facility's convection oven was completely stained with grease to the extent you could not see in or out of the door. - The hood suppression system had noticeable buildup of grease and rust. - The area beneath the coffee pots in the kitchen was leaking water from an unknown source. - In the walk-in cooler, a rotten green bell pepper, a package of brown (discolored) celery, three undated peanut butter and jelly sandwiches, and two undated ham and cheese sandwiches were noted. - In the dry storage area, an undated container of cherries and two undated and opened bottles of vanilla extract were noted. Review of the policy entitled Preventing Foodborne Illness-Food Handling dated 07/01/14 revealed food will be stored, prepared, handled and served so that the risk of foodborne illness is minimized. This deficiency represents non-compliance investigated under Complaint Number OH00160140. Page 1 of 2 365845 365845 12/15/2024 Rae Ann Suburban 29505 Detroit Rd Westlake, OH 44145
F 0814 Dispose of garbage and refuse properly. Level of Harm - Potential for minimal harm Based on observation and staff interview the facility failed to ensure its dumpster area was maintained in a clean and sanitary condition. This had the potential to affect all residents. The facility census was 90. Residents Affected - Many Findings include: Observation of the dumpster area with Dietary Aide # 601 on 12/15/24 at 9:05 A.M. revealed multiple areas of food debris, plastic gloves, and other numerous instances of other trash/refuse. DA #601 verified the condition of the dumpster area on 12/15/24 at 9:07 A.M. DA #601 stated (while smiling) cant say I am surprised. This deficiency represents an incidental finding of non-compliance discovered during the complaint investigation. 365845 Page 2 of 2

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Citations

2 citations recorded*CMS

What do CMS severity letters mean?

Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.

General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.

Each letter combines severity with scope: how many residents the deficiency affected.

  • 0812GeneralS&S Fpotential for harm

    F812 - Food safety requirements

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  • 0814GeneralS&S Cno actual harm

    F814 - Food Safety Requirements

    Dispose of garbage and refuse properly.

FAQ · About this visit

Common questions about this visit

What happened during the December 15, 2024 survey of RAE ANN SUBURBAN?

This was a inspection survey of RAE ANN SUBURBAN on December 15, 2024. The surveyor cited 2 deficiencies, recorded on the federal Form 2567 statement of deficiencies.

Were any deficiencies cited at RAE ANN SUBURBAN on December 15, 2024?

Yes, 2 deficiencies were cited, each with a CMS Scope and Severity grade. The first was: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordanc..."

What type of survey was this?

This was a inspection survey conducted by state surveyors under federal Centers for Medicare & Medicaid Services (CMS) oversight. Findings are published on CMS Care Compare.

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Next steps

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Data from CMS Care Compare public records. Dataset last refreshed . If you believe any information is inaccurate, report it here.