Inspection·September 11, 2025

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 review of policies, observations and staff interviews, it was determined that the facility failed to ensure that food was stored, prepared, distributed and served in accordance with professional standards for food service safety in the kitchen, in one of two pantries (second floor) and one of two refrigerators (third floor pantry) observed.Findings include: The facility policy regarding food storage, dated April 29, 2025, revealed that any food that has been opened must be labeled, dated and secured in such a way that the food item is not open to air, and that the facility would ensure a clean and sanitary environment. The facility's policy regarding food production and safety, dated April 29, 2025, revealed that the purpose of the policy was to ensure food would be cooked and/or held at appropriate temperatures to maintain safety, and that temperatures would be taken prior to meal service. Observations in the main kitchen's walk in freezer on September 8, 2025, at 9:30 a.m. revealed that there were 25 egg omelets, 15 sausage patties, five chicken cutlets, six pork chops and approximately one third of a bag of cut frozen carrots that were not dated with an opened date and were all open to the air. Observations on the back wall of the main walk in freezer on September 8, 2025, at 9:35 a.m. revealed that there was an approximate three foot by one and one half foot build up of ice. This ice extended from the pipe below the ceiling into and through the lid of a cardboard box that contained bags of frozen perogies.Observations in the second floor panty on September 8, 2025, at 3:35 p.m. revealed that there were, 3 boxes of frozen waffles that were undated and open to the air, and a box containing one and one half pieces of pizza that was not dated or labeled with a resident name. Observations in the third floor pantry refrigerator on September 8, 2025, at 3:40 p.m. revealed a moderate amount of an orange colored dried on sticky substance on the lower bottom right storage drawer.Observations in the kitchen on September 9, 2025, at 9:32 a.m. and September 10, 2025, at 8:40 a.m. respectively, revealed that there were four washed and ready to use insulated serving bowls that had a moderate amount of a dried white food substance on them, six plastic measuring cups, and one large plastic pitcher, all of which were in circulation for kitchen use, that had a moderate to large amount of a removable substance inside them.Observations in the kitchen of the bottom shelf of the stainless steel prep table on September 10, 2025, at 11:31 a.m. revealed that there was one five pound bag of dried noodles that was labeled and dated, but was open to the air.Observations in the kitchen on September 10, 2025, at 12:10 p.m. revealed that [NAME] 2 was plating food for the lunch meal. The menu was a cold meal that included a turkey sandwich and macaroni salad. A hot substitute choice of hamburgers, mashed potatoes and gravy was available and was observed to be plated for a resident. Observations of the lunch food temperature log revealed that the temperatures of the hot food items were not obtained to ensure that food was served at the proper temperature. Interview with the Regional Dietician 3 on September 10, 2025, at 12:10 p.m. confirmed that the food temperature log did not indicate that the hot foods were temped (temperature was taken) prior to plating. She further indicated that all food items (continued on next page) Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation. LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE TITLE (X6) DATE FORM CMS-2567 (02/99) Previous Versions Obsolete Facility ID: If continuation sheet Page 1 of 2 Event ID: 395985 Printed: 05/15/2026 Form Approved OMB No. 0938-0391 Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION (X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER: (X2) MULTIPLE CONSTRUCTION 395985 B. Wing A. Building (X3) DATE SURVEY COMPLETED 09/11/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Midtown Oaks Health & Rehab Center 1020 Green Avenue Altoona, PA 16601 For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)