Health inspection·November 16, 2023

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 maintain a sanitary kitchen in accordance with professional standards for food safety when: Residents Affected - Many 1. In the kitchen entrance, there was no available hair restraints (such as hair nets and beard restraints) for kitchen staff and visitors to use. 2. Three kitchen staff, who had beards, were not wearing beard restraints while working inside the kitchen. These failures had the potential to cause foodborne illnesses to 8 medically compromised residents who receive food served by the kitchen. Findings: During a concurrent observation and interview, on November 13, 2023, at 8:29 AM, with the Kitchen Manager (Manager 1), the kitchen entrance was inspected. There was no available hair nets and beard restraints for staff and visitors to use upon entering the kitchen. The Manager 1 acknowledged the findings, and stated hair nets and beard restraints should be easily accessible near the kitchen entrance door. During a concurrent observation and interview, on November 13, 2023, at 9:20 AM, with the Associate Chef (Chef 1), in the kitchen, by the food preparation area, Chef 1 was observed to have a beard. He was not wearing a beard restraint. He stated that he doesn't need to wear a beard restraint since his beard was short. Chef 1 stated he was responsible for overseeing the food preparation for the café and tray line (a system of food preparation in which trays move along an assembly line). During a concurrent observation and interview, on November 13, 2023, at 9:56 AM, with the Kitchen Storekeeper (SK 1), in the kitchen, by the storage area, SK 1 was observed to have a beard and was not wearing a beard restraint. SK 1 stated the facility policy requires the kitchen staff to wear a beard restraint to conceal their facial hair. He stated that although he used to keep his beard trimmed, it has currently grown longer, resulting in a violation of the policy. During a concurrent observation and interview, on November 13, 2023, at 10:02 AM, with the Chef (Chef 2), in the kitchen, by the food preparation area, Chef 2 was observed to have a beard. He was not wearing a beard restraint. Chef 2 stated his beard was less than a quarter inch long, so he didn't need to wear a beard restraint. However, when asked how he determined the length of his beard, he admitted that he didn't know. Chef 2 stated his responsibilities included creating menus, managing the (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: 555642 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 555642 B. Wing A. Building (X3) DATE SURVEY COMPLETED 11/16/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Redlands Comm Hosp D/P Snf 350 Terracina Blvd Redlands, CA 92373 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)