Health inspection·October 25, 2023

F 0804 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Level of Harm - Minimal harm or potential for actual harm Based on review of facility policies, resident interviews, observations, and staff interviews, it was determined that the facility failed to serve food items at appetizing temperatures. Residents Affected - Few Findings Include: The facility's policy regarding food temperatures, dated, August 14, 2023, revealed that all hot items may not fall below 135 Fahrenheit (F) while holding after cooking. Hot foot should be at least 135 degrees F when plated and be palatable at point of delivery. Observations of the lunch meal service on October 25, 2023, revealed that the fourth and last cart containing a test tray left the kitchen at 11:24 a.m. and arrived on the short hall at 11:26 a.m. Trays were passed to the residents in the dining area across from the nurses' station at 11:26 a.m. Trays were passed to the residents in their rooms at 11:26 a.m. and the last resident was served at 11:30 a.m. The test tray was removed from the cart at 11:31 a.m. and the temperature of the coffee was 135 degrees F, the pork ribs were 133 degrees F, and the potato cubes were 105 degrees F. The coffee and potatoes were lukewarm and not appetizing to taste. Interview with the Dietary Manager at the time of the observations confirmed that the potatoes were not good. Interview with Nursing Home Administrator on October 25, 2023, at 2:20 p.m. confirmed that food should be at 135 degrees F and be palatable. 28 Pa. Code 201.18(b)(1)(3)(e)(1) Management. 28 Pa. Code 211.6(c) Dietary services. Page 1 of 2 395726 395726 10/25/2023 Harmon House Health & Rehab Center 601 South Church Street Mount Pleasant, PA 15666

F 0812 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few 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, as well as observations and staff interviews, it was determined that the facility failed to distribute and serve food in accordance with professional standards for food service safety by failing to ensure that dietary staff wore gloves on their hands with long false fingernails while serving food. Findings include: The facility's policy regarding dress and personal hygiene, dated August 14, 2023, indicated that fingernails should be clean and trimmed. Polished or false nails are not allowed in the food service area unless gloves are worn. Observations in the kitchen on October 25, 2023, at 10:45 a.m. during the lunch meal revealed that Dietary Aide 1 was plating food items, had false fingernails that were longer than one inch, and she was not wearing gloves. Interview with the Dietary Manager on October 25, 2023, at 12:09 p.m. confirmed that the dietary aide should have worn gloves while serving food and that her nails should have been trimmed. 28 Pa. Code 211.6(f) Dietary services. 395726 Page 2 of 2