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Inspection visit

Health inspection

WILLOWBROOKE COURT SKILLED CARE CENTER AT BRITTANYCMS #3957621 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

This survey cited 1 deficiency. The full statement and the facility’s plan of correction follow, verbatim from the federal record.

395762 07/13/2023 Willowbrooke Court Skilled Care Center at Brittany 1001 Valley Forge Road Lansdale, PA 19446
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 policy, observation, and staff interview, it was determined that the facility failed to maintain sanitary conditions in the dietary department. Residents Affected - Many Findings include: Review of the facility policy entitled Cleaning and Sanitation Culinary Nutrition Department, last reviewed April 11, 2023, revealed that a regular schedule of cleaning was to be developed and posted for employees to maintain cleanliness and sanitation of the culinary nutrition services department. The procedure was for the culinary services manager to initiate the cleaning schedule and supervise employee compliance to the schedule. All cleaning tasks were to be checked nightly to ensure that they met standards. Observations during the environmental tour of the kitchen on July 11, 2023, at 9:34 a.m., revealed the following: The steel back splash of the main service oven was splattered and stained with a black substance behind the burners on the stove. The fryer was soiled with grease and oil. The warmer device located over the fryer was also soiled with grease and oil. The main grill had heavily soiled rags that were stored beneath the grill in a dry metal bin. The rags were not in any type of sanitizing solution. The main grill was soiled with a black substance. The ceramic tiles behind the walls of the main cooking area were soiled with splattered grease and oil. The floors were soiled with crumbs and debris behind, around and on the sides of the ovens. There was a steel divider between the ovens that was also soiled and stained with a black substance. Further observations revealed that there was a second main service oven on the other side of the kitchen that was heavily soiled with a black substance on the outside of the doors, front of the oven and tops of the oven doors. The inside of this oven was also soiled with crumbs and a black substance. All four convection ovens were heavily soiled with grease and burnt crumbs on the bottom, inside and outside of the ovens. The baking racks inside the ovens were soiled. The glass doors on all four Page 1 of 2 395762 395762 07/13/2023 Willowbrooke Court Skilled Care Center at Brittany 1001 Valley Forge Road Lansdale, PA 19446
F 0812 ovens were covered with grease and dark substances. Level of Harm - Minimal harm or potential for actual harm In an interview on July 11, 2023, at 10:00 a.m., the Director of Culinary and Nutritional Services stated that the ovens were to be cleaned weekly. The Director confirmed that the ovens, floors and walls observed during this environmental tour were soiled and in need of cleaning. Residents Affected - Many CFR 483.60(i)(1)(2) Food Procurement, Store/Prepare/Serve-Sanitary Previously cited 8/12/22 28 Pa. Code 201.18(b)(1)(3) Management. 28 Pa. Code 207.2(a) Administrator's responsibility. 395762 Page 2 of 2

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Citations

1 citation recorded*CMS

What do CMS severity letters mean?

Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.

General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.

Each letter combines severity with scope: how many residents the deficiency affected.

  • 0812GeneralS&S Fpotential for harm

    F812 - Food safety requirements

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

FAQ · About this visit

Common questions about this visit

What happened during the July 13, 2023 survey of WILLOWBROOKE COURT SKILLED CARE CENTER AT BRITTANY?

This was a inspection survey of WILLOWBROOKE COURT SKILLED CARE CENTER AT BRITTANY on July 13, 2023. The surveyor cited 1 deficiency, recorded on the federal Form 2567 statement of deficiencies.

Were any deficiencies cited at WILLOWBROOKE COURT SKILLED CARE CENTER AT BRITTANY on July 13, 2023?

Yes, 1 deficiency was cited, each with a CMS Scope and Severity grade. The first was: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordanc..."

What type of survey was this?

This was a inspection survey conducted by state surveyors under federal Centers for Medicare & Medicaid Services (CMS) oversight. Findings are published on CMS Care Compare.

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Next steps

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Data from CMS Care Compare public records. Dataset last refreshed . If you believe any information is inaccurate, report it here.