Health inspection·July 13, 2023

F 0584 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, it was determined that the facility failed to provide a safe, clean, and comfortable environment for residents on two of three nursing units (Front and Back) and in one of two resident dining rooms. (Shangri-La) Findings include: Observation on July 12, 2023 at 10:30 a.m., on the Front nursing unit, revealed there were several areas of marred and scratched walls along the hallway by resident rooms [ROOM NUMBERS]. Observations at various times between July 11, 2023, at 10:02 a.m., through July 12, 2023, at 12:05 p.m., on the Back nursing unit revealed that the walls were marred and scratched and the paint was chipped around the door frames in resident rooms 22, 23, 24, 25, 28, the hallway wall adjacent to 30, and 31. In resident room [ROOM NUMBER], the baseboard molding was peeling at the corner of the room and bathroom. In resident room [ROOM NUMBER] bed A, the bottom of the wall above the baseboard between the bathroom and the room was gouged and the ceiling tile in the bathroom had a brown stain. In resident rooms [ROOM NUMBERS], the bathroom walls were heavily marred. In resident room [ROOM NUMBER], underneath the sink in the bathroom, there was a large pink stained area with multiple black colored spots. In room [ROOM NUMBER], the walls were heavily marred on the side of bed A and there was peeling wall paper behind bed B. In room [ROOM NUMBER], the baseboard trim was missing by bed A. Observation on July 12, 2023, at 10:38 a.m. and at 12:02 p.m., on the Back unit hallway adjacent to resident rooms [ROOM NUMBER], revealed three dead insects on the floor. There was a cobweb on the inside of a window at the end of the hallway. Observation of the Shangri-La dining room on July 12, 2023, at 12:20 p.m., revealed marred and scratched walls next to the resident tables throughout the dining room. The floor was marred and scratched in the dining room area where the residents sit and at the entrance. CFR 483.10 (i) Safe Environment Previously cited 7/29/22 28 Pa. Code 201.14(a) Responsibility of licensee. Page 1 of 2 395217 395217 07/13/2023 Richboro Rehabilitation & Nursing Center 253 Twining Ford Road Richboro, PA 18954

F 0812 Level of Harm - Minimal harm or potential for actual harm Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Based on policy review, observation, and staff interview, it was determined that the facility failed to properly store food and maintain sanitary conditions in the dietary department. Residents Affected - Many Findings include: Review of the facility's policy entitled, Food Safety and Sanitation, dated January 6, 2023, revealed that food was to be handled to prevent contamination and when a food package was opened, the food item was to be marked with an open date. Review of the facility's policy entitled, Food Storage, dated January 6, 2023, revealed that all refrigerated foods were to be covered, labeled and dated and were to be discarded by the use-by dates. Observation during the tour of the kitchen on July 11, 2023, at 10:57 a.m., revealed the following: In the walk-in cooler, there was a pan of cooked fish with a use-by date of July 10, 2023, a container of meatball soup with a use-by date of July 8, 2023, a pan of potato soup with a use-by date of July 7, 2023, a pan of cooked turkey with a use-by date of July 8, 2023, a pan cooked corn with a use-by date of July 8, 2023, a pan of cooked sweet potato with a use-by date of July 8, 2023, a pan of cooked rice with a use-by date of July 9, 2023, a pan of cooked chicken with a use-by date of July 9, 2023 and a pan of cooked soup with a use by date of July 8, 2023. There were two food containers not labeled or dated and the Food Service Director (FSD) stated the items were egg salad and pasta. There were two uncovered egg crates stacked on a shelf, each crate had several broken eggs. The floor below the eggs had dried liquid food debris. There were several raw tomatoes that were on the floor in the corners of the cooler. There was an opened container of cottage cheese with a use-by date of July 1, 2023. There were three large opened salad dressing containers with no date. In the cooks' food preparation area, the window fan was on and there was a layer of dust on the fan shield. The bulk flour container had a layer of white food debris covering the top of the lid and there was food debris around the container and shelf area. The dry food storage area revealed there was a dented food can placed on the floor under the leg of a food storage shelf. The FSD stated the can was there to support the shelves. There were three bulk bins of flour, sugar, and breadcrumbs that were not dated. There was a white food debris substance next to the food bins along the window shelf. In the back hallway adjacent to the kitchen, there was a dented food can with dried liquid on the floor. The FSD reported that it was used to prop open the door. In an interview conducted on July 11, 2023, at 11:45 a.m., the FSD confirmed that identified food items should have been labeled and dated and/or removed from the cooler when expired. CFR 483.60 (i) Food Safety Requirement Previously cited 10/14/22, 7/19/22 28 Pa. Code 201.14(a) Responsibility of licensee. 395217 Page 2 of 2