Health inspection·December 4, 2025

F 0812 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Based on review of facility policies, observations, and staff interview, it was determined that the facility failed to ensure that food was stored in accordance with standards for food safety in one of two resident refrigerators (Nursing Unit Two); failed to label food brought into the facility with the resident's name and use by date in one of two resident refrigerators ( Nursing Unit Two); failed to maintain sanitary conditions in one of two resident refrigerators (Nursing Unit One); failed to maintain dishwashing machine water temperatures in accordance with manufacturer recommendations for food service safety for the kitchen dishwasher; and failed to prepare food items in accordance with professional standards in the facility's main kitchen. Findings include:Review of facility policy entitled, Food Brought by Family/Visitors with a policy review date of 1/1/25, indicated that Residents/families are asked that containers be labeled with the resident ' s name, the item, and the date. The nursing or housekeeping staff will discard foods that are past their use by / expiration date or that are visibly rotten or rotting if not done so by the resident or family. Review of facility policy entitled, Monitoring of Cooler/Freezer Temperature with a policy review date of 1/1/25, indicated that Refrigerated food shall be labeled, dated, and monitored so that it is used by the use by date, and refrigerators are to be cleaned weekly and remain free of spills, and spoiled foods. Review of facility policy entitled, Dishwasher Machine Use with a policy review date of 1/1/25, indicated to use Dish Machine Temperature log to record information at each use. High Temperature Dishwasher: wash 160 degrees F (Fahrenheit) minimum and final rinse 180 degrees F minimum and to stop dishwashing if wash and/or rinse temperatures are below required levels. Report to supervisor immediately and do not resume until temperatures are adjusted. Review of the facility temperature log sheets revealed that the minimum temperature requirements for the wash cycle was: Wash 150 degrees F and the Rinse 180 degrees F. Notify maintenance and supervisor if temperatures not appropriate. Review of facility policy entitled, Food Temperature Logs with a policy review date of 1/1/25, indicated that food temperatures must be recorded on hot and cold foods prior to service using the temperature evaluation form. Observations on 9/30/25, at 11:50 a.m. of the refrigerator in Nursing Station Two used for residents revealed a brown icy-like substance on the shelves, and walls of the freezer. During an interview on 9/30/25, at the time of observation, the Dietary Manager confirmed that the freezer was not clean. Observations on 10/1/25, at 9:55 a.m. of a refrigerator in Nursing Unit Two used for residents revealed an opened jar of pickled beets without a resident name or date; two extra cheesy pizza Lunchables without a resident name or date; a bag of cherries with a resident name and date of 8/16/25; and a Walmart bag with a resident name and dated 8/22/25 that contained an opened bag of cheese cubes, opened bag of turkey breast slices, and opened bag of ham slices. Further observations of the freezer revealed one opened bag of frozen strawberries without a name or date, and four frozen microwave meals without resident names or dates. During an interview on 10/01/25, at the time of observation, the Assistant Director of Nursing Page 1 of 3 395231 395231 12/04/2025 Hermitage Nursing and Rehabilitation 500 Clarksville Road Hermitage, PA 16148

F 0812 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some confirmed that food items in the resident refrigerator/freezer should have a resident name and opened date and should be discarded before or by their use by date. Review of dishwasher temperature log for the kitchen for the months of August and September 2025 revealed that the kitchen had 183 opportunities (three times daily) to record dish machine temperatures and only had 163 recorded, leaving 20 opportunities where temperatures were not recorded for monitoring. Further review revealed three opportunities where the wash temperatures were recorded below the required temperature of 150 degrees F, and 60 opportunities where the rinse temperatures were recorded below the required temperature of 180 degrees F. During an interview on 10/15/2025, at 9:45 a.m. the Dietary Manager confirmed that dishwashing machine temperatures are supposed to meet 150 degrees F during the wash cycle and 180 degrees during the rinse cycle. Staff should record their readings on the dishwasher temperature log and are to inform management and maintenance if the dishwashing machines do not meet the required temperatures for wash and rinse cycles. Review of food temperature logs for the kitchen for the months of August and September 2025 revealed that the kitchen had 183 opportunities (three times daily) to record meal temperatures and only had 168 recorded, leaving 15 opportunities where temperatures were not recorded for monitoring. During an interview on 10/15/2025, at 9:45 a.m. the Dietary Manager confirmed that food temperatures are to be checked and recorded for each meal. 28 Pa. Code 201.14(a) Responsibility of licensee28 Pa. Code 201.18(b)(1) Management 395231 Page 2 of 3 395231 12/04/2025 Hermitage Nursing and Rehabilitation 500 Clarksville Road Hermitage, PA 16148

F 0947 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. Based on review of facility employee in-service training records and staff interview, it was determined that the facility failed to assure that staff completed all the required mandatory trainings for the yearly 12 hour mandatory trainings for five of five Nurse Aide (NA) records reviewed.Findings include:Review of NA in-service records dated from 10/2024 through 10/2025, revealed that for NA employees the facility did not have evidence of documentation that the required 12 hours of in-service trainings were completed.During an interview on 10/15/25, at 2:30 p.m. the Director of Nursing confirmed that there was no process in place to track in-service training for NAs as required.28 Pa. Code 211.12 (d)(3) Nursing services 395231 Page 3 of 3