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Inspection visit

Health inspection

WESTOVER RETIREMENT COMMUNITYCMS #3662321 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

This survey cited 1 deficiency. The full statement and the facility’s plan of correction follow, verbatim from the federal record.

366232 02/20/2020 Westover Retirement Community 855 Stahlheber Road Hamilton, OH 45013
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 foods in the coolers and freezer were dated and stored in closed containers. The facility also failed to ensure the kitchen was clean. Additionally, the facility failed to appropriately discard items that were contaminated. This had the potential to affect all 46 residents residing in the facility whose meals were prepared in the kitchen. The facility census was 46. Findings included: 1. The initial tour of the kitchen on 02/18/20 at 10:19 A.M. revealed the following areas of concern: • Floor under deep fryer had a heavy black buildup of unknown material. • The reach in cooler #2 had four hot dogs in plastic bag and a log of sliced cheese which was open and undated. • The reach in freezer #1 had four, three-gallon containers of ice cream and a bag of french fries which was opened and undated. Ice cream containers were not sealed properly with lids exposing contents to air. • Walk in freezer had an opened undated bag of french fries. There was also a plastic mat on the floor with an open weave, in between multiple weaves was a buildup of unidentified multicolored material. • Dry food storage had an opened and undated bag of pinto beans. Interview with Interim General Manager #288 verified all areas of concern on 02/18/20 at 11:30 A.M. Page 1 of 2 366232 366232 02/20/2020 Westover Retirement Community 855 Stahlheber Road Hamilton, OH 45013
F 0812 During the interview a request for cleaning schedules revealed an blank daily document. Level of Harm - Minimal harm or potential for actual harm Interview with Interim General Manager #288 on 02/19/20 at 12:35 P.M. verified the process for cleaning the kitchen areas was being revamped and not all aspects of the cleaning schedule have been implemented. Further stated the facility was obtaining financial quotes from outside cleaning suppliers for deep cleaning. Residents Affected - Many 2. Observation on 02/19/20 at 12:01 P.M. of Dietary Staff #72 opening reach in refrigerator and removed individual cups of fruit in a closed plastic bag and plastic silverware in a separate closed plastic bag. Dietary Staff #72 dropped the plastic bag with silverware onto the kitchen floor. Dietary Staff #72 then picked up the bag containing the plastic silverware from the floor and placed it back into the refrigerator laying it on top of the cups of individual fruit cups. Interview with Assistant Dining Services Director #289 immediately following the observation verified the silverware should have been discarded. The facility confirmed the dietary concerns had the potential to affect all 46 residents residing in the facility as all residents received their meals from the kitchen. Review of the Food Storage and Handling policy, revealed it was the policy of the dining services department to cover, label, date and store all foods in a safe and appropriate manner. 366232 Page 2 of 2

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Citations

1 citation 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.

FAQ · About this visit

Common questions about this visit

What happened during the February 20, 2020 survey of WESTOVER RETIREMENT COMMUNITY?

This was a inspection survey of WESTOVER RETIREMENT COMMUNITY on February 20, 2020. The surveyor cited 1 deficiency, recorded on the federal Form 2567 statement of deficiencies.

Were any deficiencies cited at WESTOVER RETIREMENT COMMUNITY on February 20, 2020?

Yes, 1 deficiency was 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.