Health inspection·September 15, 2023

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 review of facility policies, observations, and staff interviews it was determined that the facility failed to maintain sanitary conditions in the Main Kitchen. Residents Affected - Many Findings Include: A review of the facility policy Cleaning and Disinfecting of Environmental Surfaces, Dated 3/28/23, indicated environmental surfaces will be cleaned and disinfected according to CDC recommendations and OSHA standards. During observations in the main kitchen on 8/14/23, at 11:00 a.m. the following was observed: The floors in the main kitchen, walk in freezer and refrigerator had a buildup of brown and black substances, and brown and white dust. The beverage refrigerator and ice cream cooler had white streaks and smears on the glass surfaces. The tray drying rack near the three-compartment sink had brown debris and white dust on the bottom rack. The dishwashing machine had thick white streaks on the outer surface. The ceiling tiles above the food preparation area had fuzzy gray buildup and gray dust. During an interview on 8/14/23, at 12:30 p.m. the Dietary Manager Employee E1 confirmed the above observations and that the facility failed to maintain sanitary conditions in the main kitchen. 28 Pa. Code 211.6(c) Dietary services. 28 Pa. Code: 201.18(b)(1) Management. Page 1 of 2 395624 395624 09/15/2023 Wecare at Rolling Meadows Rehab and Nursing Ce 107 Curry Road Waynesburg, PA 15370

F 0880 Provide and implement an infection prevention and control program. Level of Harm - Minimal harm or potential for actual harm Based on observations and interview, the facility failed to store medications in a safe and sanitary manner for three of four medication carts reviewed (Zone 1, Zone 2/4, and Zone 5). Residents Affected - Some Findings include: Review of the facility policy Storage of Medications reviewed 3/28/23, indicated drugs are stored in the packaging, containers or other dispensing systems in which they are received. During an observation on 9/14/23, at 11:10 a.m., Zone 5 medication cart contained seven of 10 insulin pens in compartments not bagged, posing the risk of cross-contamination. During an interview at that time, Licensed Practical Nurse (LPN) Employee E2 confirmed the insulin pens were not bagged. During an observation on 9/14/23, at 11:20 a.m. Zone 1 medication cart contained one of three insulin pens were in a compartment not bagged, posing the risk of cross-contamination. During an interview at that time, LPN Employee E3 confirmed the insulin pen was not bagged. During an observation on 9/14/23, at 11:22 a.m. Zone 2/4 medication cart contained one of two insulin pens in a compartment not bagged, posing a risk of cross-contamination. During an interview at that time, LPN Employee E3 confirmed the insulin pen was not bagged. During an interview on 9/15/23 at 8:15 a.m. the Director of Nursing stated the facility received insulin pens in bags from the pharmacy, and confirmed the facility failed to prevent the risk of cross-contamination by storing insulin pens not bagged in the medication carts for Zone 1, Zone 2/4, and Zone 5. 28 Pa code 201.14(a)Responsibility of Licensee. 28 Pa code 211.12(d)(1) Nursing services. 395624 Page 2 of 2