Health inspection·June 22, 2023

F 0804 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Level of Harm - Minimal harm or potential for actual harm Based on interview and record review, the facility failed to provide palatable food at temperatures acceptable to three (Residents 1, 2, and 3) out of four residents. This failure had the potential to negatively impact health through decreased nutritional intake and weight loss. Residents Affected - Some Findings: A review was made of a facility policy titled Food: Quality and Palatability, revised 9/2017: Food will be palatable, attractive and served at a safe and appetizing temperature. In an interview on 6/15/23 at 8 am, Resident 1 stated the breakfast was cold and tasteless, and most meals that were supposed to be warm were served too cool and likewise tasteless. In an interview on 6/15/23 at 8:20 am, Resident 2 stated the food served was not tasty and was lukewarm, that nothing is ever pretty good. In an interview on 6/15/23 at 8:30 am, Resident 3 stated, the food here is terrible, it ' s always cold. During a concurrent observation and interview with Dietary Staff 1 (DS 1) on 6/15/23 at 7:30 am, it was observed that the plate warmer was not being used during tray line (tray line: the process whereby staff assemble food onto trays for resident meals.) DS 1 stated that the warmer was broken and a part was on order for it. In an interview on 6/15/23 at 8:40 am, the Dietary Manager 1 (DM 1) stated the plate warmer was an older model and its heating element needed to be replaced; as best DM 1 could recall a heating element had been replaced twice in the past and another part had been ordered. A record review was made of a resident council action form from resident meeting minutes dated 5/31/23; concern addressed by council members was please explain why the food is still cold. A record review was made of a resident council action form from resident meeting minutes dated 6/6/23; concern addressed by council members was food is still very nasty cold and not enough. Page 1 of 2 555776 555776 06/22/2023 Gridley Post Acute 246 Spruce Street Gridley, CA 95948

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 observation, interview, and record review the facility failed to maintain proper sanitation in the cold food storage. This failure had the potential for contamination of food products which could result in food-borne illness to residents. Findings: A review was made of a facility policy titled Environment, revised 9/2017, which indicated that the facility will ensure that the kitchen is maintained in a clean and sanitary manner, and will ensure that a routine cleaning schedule is in place for all cooking equipment, food storage areas, and surfaces. During a concurrent observation and interview with the Dietary Manager 2 (DM 2) on 6/21/23 at 11:35 am, potentially contaminating material was noted on shelves and floor of the walk-in refrigerator. Black powdery irregularly shaped material dotted areas of the shelf edges, and reddish-brown dried and liquid matter was smeared on shelf surfaces. What appeared to be mineral and dirty build-up was found on cart wheels and some surfaces of the metal floor. DM 2 stated that dietary staff were responsible for maintaining cleanliness and he expected them to clean the refrigerator daily and as needed. During a concurrent observation and interview on 6/21/23 at 12:30 pm, DM 2 was asked to wipe the soiled areas on shelves of the walk-in refrigerator with a newly laundered, dampened white rag; after a few swipes, there was black, gray, and pink soiling to the rag and DM 2 confirmed that it was dirty. 555776 Page 2 of 2