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 safety in the facility's only kitchen. Residents Affected - Some 1. The facility failed to ensure food stored in the refrigerator, freezer, and pantry were labeled, dated, and sealed. These failures could place residents who at risk for food contamination and food-borne illness. Findings included: Observation on 02/06/24 beginning at 9:55 AM revealed the following items: Refrigerator: 1. Cooked bacon and sausage patties in a gallon sized storage bag, not labeled or dated 2. Sausage patties in opened plastic packaging, not labeled or dated, or completely sealed 3. Cooked green beans in a metal bowl, not labeled or dated, with loose fitting plastic wrap, not completely sealed 4. Tuna salad in metal bowl, not labeled or dated, with loose fitting plastic wrap, not completely sealed 5. Red sauce in white plastic bowl, not labeled or dated, with loose fitting plastic wrap, not completely sealed Page 1 of 3 675018 675018 02/06/2024 River Oaks Health and Rehabilitation Center 2416 NW 18th St Fort Worth, TX 76106

F 0812 6. Level of Harm - Minimal harm or potential for actual harm Ground meat in metal bowl, not labeled or dated, with loose fitting plastic wrap, not completely sealed 7. Residents Affected - Some Sliced meat in metal container, not labeled or dated, with loose fitting plastic wrap, not completely sealed 8. Marinara sauce in container with loose fitting plastic wrap, not completely sealed Pantry: 1. Cereal in storage bag, not labeled, dated, or sealed 2. French onion topping in package, not sealed 3. 80 ounce package of instant milk, not sealed Freezer: 1. 2, gallon sized storage bags with frozen breadsticks, not labeled or dated 2. Frozen meat in gallon sized storage bag, not labeled or dated In an interview on 02/06/24 at 10:56 AM, Dietary Manager A stated all dietary staff were responsible for ensuring all items are labeled, dated, and sealed properly. She stated the risks or not labeling, dating, or sealing items properly was the products could get old or expire. She stated she was the one responsible for ensuring all staff were trained, and all her staff had been trained on properly labeling, dating, and sealing foods. In an interview at 02/06/24 at 12:03 PM, Dietary Aide B stated everyone that worked in the kitchen were responsible for dating, labeling and sealing all food items. She stated all staff were supposed to look at the food every day to ensure all food was labeled, dated, and sealed. Dietary Aide B stated the risk of not labeling, dating, or sealing the food was contamination. 675018 Page 2 of 3 675018 02/06/2024 River Oaks Health and Rehabilitation Center 2416 NW 18th St Fort Worth, TX 76106

F 0812 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some In an interview on 02/06/24 at 12:09 PM, [NAME] C stated she was trained on how to label, date, and seal the food. She stated she was running late this morning and said she would go back and label, date, and seal later when she was done cooking. [NAME] C stated she was aware of the risk of not labeling, dating, or sealing the food which was mold and Salmonella. In an interview on 02/06/24 at 3:11 PM, Administrator D stated the risks of not labeling, dating, or sealing food was spoiled or stale food. Administrator D stated all food should be dated, labeled, and sealed. Record review of the facility's policy titled, Food Receiving and Storage, dated 2001, with a revision date of October 2017, reflected the following: Policy Statement Food shall be received and stored in a manner that complies with safe food handling practices. Policy Interpretation and Implementation 7. Dry foods that are stored in bins will be removed from original packaging, labeled and dated (use by date). Such foods will be rotated using a first in - first out system. 8. All foods stored in the refrigerator or freezer will be covered, labeled and dated (use by date). 675018 Page 3 of 3