Health inspection·July 2, 2025

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 observations, interviews with staff, and a review of facility policy, it was determined that the facility failed to store food, in accordance with professional standards for food service safety. Residents Affected - Few Findings Include: Review of facility Policy titled, Food Storage: Cold Foods, last revised February 2023 states, Policy Statement- All Time/Temperature Control for Safety (TSC) foods, frozen and refrigerated, will be appropriately stored in accordance with guidelines of the FDA Food Code. Procedures- 5. All foods will be stored wrapped or covered in containers, labeled and dated, and arranged in a manner to prevent cross contamination. A tour of the facility kitchen area was conducted on July 2, 2025, at 10:05 a.m. with the Director of Dining Employee E3. During observation several items were observed in the walk-in refrigerator undated or labeled improperly. The first item was a container of prepared shredded carrots that had a labeled date of June 10, 2025 but no Use By date. When asked if the food is supposed to be labeled Employee E3 stated, I was told that we didn't need to label the fresh items, but we do throw them out when they look like they start getting slimy. When the container of carrots were uncovered they did appear to be very dry with some having with residue on them. Continued review of the walk-in refrigerator revealed, a large portion of deli ham unsliced with a date of June 30, 2025, but no Use By date label. A container of finely chopped mix ham and cheese with a date of June 27, 2025, but no Use By date label. A container with a block of deli cheese with a date of June 30, 2025, but no Use By date label. A container thawed raw ground beef with a date of July 2, 2025, but no Use By date label. A package of hard-boiled eggs with a Use By label of June 30, 2025. A container of finely chopped fresh fruit small with a date of June 30, 2025, but no Use By date. A container of prepared peas with a date of June 30, 2025, but no Use By date label. A container with raviolis with an Opened date labeled June 26, 2025, but no Use By date. A container of finely chopped herbs with a use by date of June 12, 2025. The Director Dining Services Employee E3 confirmed at 10:21 a.m. that the herbs and hard-boiled egg should have been discarded, and the other items were labeled incorrectly. 28 Pa. Code: 201.14(a) Responsibility of licensee. 28 Pa. Code 201.18(b)(3) Management 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: 396009 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 396009 B. Wing A. Building (X3) DATE SURVEY COMPLETED 07/02/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Norriton Square Nursing and Rehabilitation Center 1700 Pine Street Norristown, PA 19401 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)