Health inspection·December 9, 2023

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, review of select facilities policies and procedures, and staff interview, it was determined that the facility failed to store food, prepare, and distribute food, and ensure temperature monitoring was in place to prevent the potential spread of food-borne illness in the facility's main kitchen. Findings included: The current facility policy entitled Food Preparation and Service, revealed potentially hazardous foods are cooled rapidly. This is defined as cooling from 135°F (Fahrenheit) to 70°F within two hours and then to a temperature of 41°F or below within the next 4 hours. The total cooling time between 135°F and 41°F should not exceed 6 hours. Proper hot and cold temperatures are maintained during food distribution and service. Foods that are held in the temperature danger zone are discarded after 4 hours. The temperatures of foods held in steam tables are monitored throughout the meal service by food and nutrition services staff. The current facility policy entitled Food Receiving and Storage, revealed all foods stored in the refrigerator or freezer are covered, labeled, and dated (use by date). Refrigerated foods are labeled, dated, and monitored so they are used by their use by date, frozen, or discarded. Observation of Employee 1 (cook) and Employee 2 (cook) in the main kitchen preparing breakfast trays on the tray line on December 9, 2023, from 7:20 to 7:50 AM revealed that they failed to monitor temperatures during this meal service. An interview with Employee 2 on December 9, 2023, at 7:55 AM confirmed these findings. Observation of the walk-in refrigerator in the facility's main kitchen on December 9, 2023, at 8:10 AM revealed the following items past their use-by date: Container of leftover vegetable soup with a use-by date of December 1, 2023. Container of leftover tater tot casserole with a use-by date of December 8, 2023. Container of leftover cheesesteaks with a use-by date of December 1, 2023. Container of leftover sloppy joe meat with a use-by date of December 1, 2023. Container of leftover egg salad with a use-by date of December 8, 2023. Page 1 of 2 395683 395683 12/09/2023 Highlands Rehabilitation and Healthcare 918 Main Street Laporte, PA 18626

F 0812 Container of leftover macaroni and cheese with a use-by date of December 8, 2023. Level of Harm - Minimal harm or potential for actual harm A large jug of relish with a use-by date of November 20, 2023. Residents Affected - Many The above information was reviewed in a meeting with the Nursing Home Administrator and Director of Nursing on December 9, 2023, at 10: 56 AM. The Nursing Home Administrator confirmed that the food listed above should have been discarded. He stated the facility had no further documentation indicating staff had cool-down logs for the food items identified in the walk-in refrigerator. The facility failed to store and prepare foods in a manner that prevented potential food borne illness. 28 Pa. Code 201.14(a) Responsibility of licensee 395683 Page 2 of 2