Health inspection·December 10, 2024

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, policy review, diet order list review, and interview, the facility failed to store food in a sanitary manner. This had the potential to affect all residents who received food from the kitchen except Residents #19, #28 and #73 who were ordered nothing by mouth. The census was 75. Findings include: Observation on 12/10/24 at 12:45 P.M. during tour of the kitchen with Dietary Manager (DM) #1 revealed there was an opened 32-ounce cardboard jug of liquid eggs without an opened date, a two-quart plastic container of what appeared to be sausage links without a label or date and a two-quart plastic container of what appeared to be hash browns without a label or date in the walk-in refrigerator. There was an opened plastic bag of shredded cheese without an opened date, three opened and varying sizes bags of parmesan cheese without an opened date, an opened bag of hot dogs without an opened date, a plastic gallon bag of what appeared to be sliced deli meat without a label or date, an opened bag of tortillas without an open date, a sandwich plastic bag of what appeared to be Swiss cheese without a label or a date, a plastic wrapped item of what appeared to be sliced cheddar cheese without a label or a date, a plastic wrapped item of what appeared to be four hardboiled eggs without a label or a date, a plastic wrapped item of what appeared to be two hardboiled eggs without a label or a date, three opened and varying sizes of sticks of butter without a opened date, a 12-quart plastic container of chicken noodle soup dated 11/30/24 and a 12-quart plastic container of wilted shredded iceberg lettuce dated 11/23/24. Interview, during the observation, with DM #1 verified the above findings and verified all food should be labeled and dated. Interview on 12/10/24 at 2:50 P.M. with the Administrator revealed all food should be labeled and dated. Review of the facility's undated Food Storage policy revealed all products should be inspected for safety and quality and be dated upon receipt, when open, and when prepared. Use use by date on all food stored in refrigerators and use dates according to the timetable in the Storage of Food Guidelines. Review of the facility's undated Storage of Food guidelines revealed raw refrigerated salad should be kept one to two weeks and refrigerated soups should be kept for three to four days. Review of the diet order list dated 12/10/24 revealed all residents had a diet order except Residents #19, #28 and #73 who were ordered nothing by mouth. Page 1 of 2 366434 366434 12/10/2024 Hudson Springs Nursing and Rehab 5000 Sowul Boulevard Stow, OH 44224

F 0812 This deficiency represents non-compliance investigated under Complaint Number OH00159545. Level of Harm - Minimal harm or potential for actual harm Residents Affected - Many 366434 Page 2 of 2