Health inspection·February 6, 2024

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 observation, interview, and record review, the facility failed to store, prepare, distribute and serve food in accordance with professional standards for food service safety in 1 of 1 kitchen observed. Residents Affected - Few The facility failed to ensure that all staff were wearing proper protective hair restraints in the kitchen. This failure placed residents who ate food served by the kitchen at risk of food contamination caused by fallen hair. Findings included: An observation and interview on 02/06/2024 at 11:35 AM revealed the DM was in the kitchen prep area without a hair restraint; her hair was long and went past her shoulders. The DM stated that she was in her office and heard State was at the kitchen door and got nervous and forgot to put on her hair restraint. The DM's hair was down past her shoulders, the front half was pulled back in a hair tie. The DM stated everyone was supposed to wear a hair restraint while in the kitchen. The DM did not have an answer about a possible negative outcome. During an observation and interview on 02/06/2024 at 3:35 PM, the DA was in the kitchen prep area without a hair restraint. The DA stated that he did not think he had to wear a restraint because his hair was short . The DA said he did not always wear a hair restraint. Observation of DA's hair was short, close to his scalp. The DA stated that a possible negative outcome for staff not wearing hair restraints would be that hair would get into the residents food. During an interview with the ADON on 02/06/2024 at 4:40 PM, the ADON stated that a possible negative outcome for staff in the kitchen not wearing hair restraints would be that hair could get into the resident's food and that would be gross. During an interview with the DON on 02/06/2024 at 4:40 PM, the DON stated that a possible negative outcome for staff in the kitchen not wearing hair restraints would be that if a staff member had lice or any other types of bugs in their hair that it could get into the resident's food. Record Review of Dietary Service Policy and Procedure Manual 2012 revealed the following: Sanitation and Food Handling: Page 1 of 2 455675 455675 02/06/2024 Landmark of Amarillo Rehabilitation and Nursing Ce 5601 Plum Creek Dr Amarillo, TX 79124

F 0812 .Hair nets or hats covering the hairline are worn at all times . Level of Harm - Minimal harm or potential for actual harm Record Review of 2022 Food Code/U.S. Food and Drug Administration/January 18, 2023 Version revealed the following: Residents Affected - Few Section 2-402 Hair Restraints .Food employees shall wear hair restraints such as hats, hair coverings or nets, beard restraints, and clothing that covers body hair, that are designed and worn to effectively keep their hair from contacting exposed food; clean equipment, utensils, and linens . 455675 Page 2 of 2