Health inspection·December 14, 2023

F 0656 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few In an interview with the DOR on 12/13/23 at 9:15 a.m., she stated she had started about six weeks ago. She stated Resident #59 was on her list to be screened for therapy services. She revealed the last time the resident was on therapy was for physical therapy from 08/30/23 through 10/28/23. She stated she could not locate any recent occupational therapy evaluations for Resident #59. An observation made with the DOR on 12/13/23 at 10:05 a.m. of Resident #59 revealed with some stretching from the DOR Resident #59 was able to uncurl his fingers slightly. Resident #59 informed the DOR he used to have a hand splint, but he had not seen it for several months and had no idea what had happened to it. The DOR stated his hand was contracted and he could benefit from a resting hand splint. She stated they would pick him up on therapy today (12/13/23). Record Review of Resident #59's Occupational Therapy assessment completed by the DOR on 12/13/23 reflected, .Assessment Summary Functional Limitations as Result of Contractures(s): Functional mobility, propelling Wheelchair, Skin integrity, Upper body Dressing, Lower body Dressing. Hygiene/grooming. Bathing and Gathering .Splint/Orthotic Recommendations: It is recommended the patient wear a resting hand splint, a hand roll and to further and assess and order/fabricate on left hand during daily task to manage tone, improve Passive Range of motion for adequate hygiene, develop/establish wearing schedule and adapt/modify splint device In an interview with MDS G on 12/14/23 at 9:05 a.m. she stated she was responsible of for updating the care plans for the long-term residents. She stated they meet weekly with the team and review and update any changes to the care plan. She stated they relied on therapy for any specific interventions related to contractures, but stated they should at least have passive range of motion in place for someone with hemiplegia. She stated care plans needed to accurate to reflect the residents needs and preferences. In an interview with the DON on 12/14/23 at 9:35 a.m. he stated they had all residents screened by therapy upon admission and any time there was a functional decline. He stated he had not been informed about Resident #59's need for range of motion or splinting. He stated therapy just needed to let him know what the ongoing needs were going to be. He stated the care plan should address all the resident's needs. He stated failing to have interventions in place for residents with limited range of motion could lead to worsening of a resident's contractures and decline in function. Review of the facility's undated policy titled, Comprehensive Person-Centered Resident Care Planning reflected, A comprehensive person-centered care plan is developed and implement for each resident, consistent with the resident's rights and will incorporate resident-centered goals and wishes about their care, activities, and lifestyle to include measurable short-term and long-term objectives and time frames to meet a resident's medical, nursing, and mental and psychosocial needs that are identified in the comprehensive assessment. The comprehensive care plan will describe the following .the services that are to be furnished to attain and maintain the resident's highest practicable physical, mental, and psychosocial well-being FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 676485 If continuation sheet Page 2 of 9 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 676485 B. Wing A. Building (X3) DATE SURVEY COMPLETED 12/14/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Princeton Medical Lodge 1401 W. Princeton Dr. Princeton, TX 75407 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)

F 0677 Provide care and assistance to perform activities of daily living for any resident who is unable. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview, and record review the facility failed to provide the necessary services for residents who are unable to carry out activities of daily living to maintain good grooming and personal hygiene for two (Resident #90, and Resident #92) of 25 residents reviewed for ADLs. Residents Affected - Some The facility failed to ensure: 1. Resident #90 had her fingernails cleaned and trimmed and her facial hair on her chin trimmed. 2. Resident #92 had his fingernails cleaned and trimmed. These failures could place residents who were dependent on staff for ADL care at risk for loss of dignity, risk for infections, and a decreased quality of life. Findings include: 1. Record review of Resident #90's Quarterly MDS assessment dated [DATE] reflected a [AGE] year-old female admitted to the facility on [DATE] with diagnoses included dementia (a progressive loss of intellectual functioning, especially with impairment of memory and abstract thinking, and often with personality change, resulting from organic disease of the brain), and heart failure. Resident #90 had a BIMS of 12 which indicated she was moderately cognitively impaired. She required extensive assistance with transfers, dressing, and personal hygiene. Record review of Resident #90's Comprehensive Care Plan, revised 03/13/23, reflected .Resident requires assist with ADL's related to weakness .Interventions .Provide level of support to complete dressing, toilet use, personal hygiene, and bathing needs every shift .The resident only wants showers on Saturdays, resident does not wants showers 3 times a week .Provide consistency in care to promote comfort with ADLs. Maintain consistency in timing of ADLs, caregivers, and routine as much as possible An observation and interview on 12/12/23 at 10:10 a.m. revealed Resident #90 lying in bed. The nails on both hands where approximately 0.5 centimeters in length but were jagged and uneven and had peeling nail polish and the underside had a dark brown colored residue. Resident #90 also had multiple long chin hairs, approximately 2 inches in length, covering an area approximately 1.5 x 2 inches. Resident #90 stated the staff did not have time to mess with her chin hairs. She stated she would like them shaved. She stated she needed to see the beautician to get her hair and nails done, but she stated she kept missing her when she was at the facility. She stated she was unaware the staff could trim her nails. She stated they did look bad and are very dirty. She stated she only wanted a shower on Saturdays. She stated they cleaned her up pretty good the rest of time when they changed her brief. An interview on 12/13/23 at 09:00 a.m., CNA E stated CNAs were allowed to cut the residents' nails if they were not diabetic. She stated nail care and grooming should be done on the resident's showers days. She stated she was to Resident #90 and stated she had not noticed her nails or chin hairs, but stated she would see if she would let her take care of it. She stated she only gets a shower on Saturday's which is when they would typically shave a resident. (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 676485 If continuation sheet Page 3 of 9 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 676485 B. Wing A. Building (X3) DATE SURVEY COMPLETED 12/14/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Princeton Medical Lodge 1401 W. Princeton Dr. Princeton, TX 75407 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)

F 0677 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some In an interview on 12/13/23 at 09:05 a.m. with LVN C, she stated she was not aware of Resident #90 refusing to have her nails trimmed or chin hair shaved. She stated the CNAs were responsible for nail care on any resident who was not a diabetic. She stated facial hair should be addressed during the shower. In an Interview with the DON on 12/13/23 at 11:15 a.m. he stated nail care should be completed as needed. The DON stated nurses were responsible for trimming the nails of residents who were diabetic, and CNAs could trim other residents' nails. The DON stated he expected CNAs to offer to cut and clean nails if they were long and dirty. He stated Resident #90 should have been offered by the CNAs if she wanted her facial hair trimmed at least on shower days or when staff noticed facial hair on a resident. He stated not performing those tasks could be a dignity issue and cause poor hygiene. 2. A record review of Resident #92's Quarterly MDS assessment dated [DATE] reflected Resident #92 was an [AGE] year-old male admitted to facility on 02/05/2022 with diagnoses included dementia (loss of intellectual functioning, especially with impairment of memory and abstract thinking, and often with personality change, resulting from organic disease of the brain), muscle weakness, and lack of coordination. He had a BIMS of 3 which indicated sever cognitive impairment and required limited assistance from one person for ADL's. A record review of Resident #92's Comprehensive Care Plan, revised 08/18/23, reflected Problem: [Resident #92] requires assist with ADLs. Goal: [Resident #92] is able to perform self-care to optimal level and maintains strength and endurance x 90 days. Approach Provide level of support to complete dressing, toilet use, personal hygiene, and bathing needs q shift. An observation on 12/12/23 at 10:35 a.m. revealed Resident #92 was sitting in a chair in his room, clean and groomed, and wearing daytime attire. The fingernails on both hands were approximately 0.3 centimeters in length extending from the tip of his fingers, and dirty with brown matter underneath. Resident #92 stated would like his fingernails trimmed, but he needed to go to [city name] to do so. The resident stated he ate with his hands. Interview and observation on 12/14/23 at 09:16 a.m. revealed CNA I looked at Resident #92's fingernails and stated they needed to be trimmed and they were little dirty and needed to be cleaned. She stated the nail care for nondiabetic residents was done every Sunday of the week by the CNAs. She stated the residents' fingernails needed cleaning daily by the CNAs. CNA I stated the risk to the resident was the development of infection, and he was putting his hands on his mouth. Interview/observation on 12/14/23 at 09:25 a.m. RN H stated Resident #92's fingernails looked long and needed to be cut, and they were dirty. RN H stated the CNAs could trim the residents' fingernail whenever they give them shower. She stated it was the responsible of nurses, and the ADON to observe residents' fingernails, and make sure they were cleaned and trimmed. RN H stated the risk to residents was the development of infection, through the bacteria growth underneath their fingernails. She stated Resident #92's fingernail would get taken care of today 12/14/2023. Interview on 12/14/23 at 11:07 a.m. the DON stated it was the responsibility of the CNAs to clean, and trim Resident #92's fingernails during his shower days: Tuesdays', Thursdays, and Saturdays of the week. The DON stated it was the responsibility of the charge nurses, ADON, and DON to make sure residents' fingernail care was done on their shower days. He stated the risk to the Resident #92 was the development of infection. (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 676485 If continuation sheet Page 4 of 9 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 676485 B. Wing A. Building (X3) DATE SURVEY COMPLETED 12/14/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Princeton Medical Lodge 1401 W. Princeton Dr. Princeton, TX 75407 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)

F 0677 Level of Harm - Minimal harm or potential for actual harm Review of facility's undated policy Activities of Daily Living, reflected, .The facility will provide care and services for the following activities .Hygiene .grooming .Based on each resident's comprehensive assessment, appropriate treatment and services are provided for all residents to help them maintain or improve their abilities to perform activities of daily living .If unable to carry out activities of daily living, he/she shall receive the necessary services to maintain good .grooming, and personal and oral hygiene Residents Affected - Some FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 676485 If continuation sheet Page 5 of 9 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 676485 B. Wing A. Building (X3) DATE SURVEY COMPLETED 12/14/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Princeton Medical Lodge 1401 W. Princeton Dr. Princeton, TX 75407 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)

F 0688 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview, and record review, the facility failed to ensure residents with limited range of motion received appropriate treatment and services to increase range of motion and/or prevent further decrease in range of motion for one (Resident #59) of three residents reviewed for range of motion. The facility failed to implement interventions to prevent further decline of Resident #59's contracture to his left hand. This failure could place residents at risk for decline in range of motion, decreased mobility, and worsening of contractures. Findings include: Record review of Resident #59's annual MDS assessment, dated [DATE], reflected a [AGE] year-old male with an admission date of [DATE]. Resident #59 had a BIMs of 11 which indicated he was moderately cognitively impaired. The resident had upper and lower extremity impairment on one side and had not received OT or PT services in the seven days look back period. Resident #59 had not received restorative care, splints, or braces. Active diagnoses included cerebral vascular accident (stroke), hemiplegia (paralysis), heart failure and dementia. Record review of Resident #59's comprehensive care plan initiated on [DATE], reflected, .At risk for contractures related to left sided hemiplegia .Interventions .Monitor for pain with activities of daily living and movement .Monitor for stiffness of joints .Reposition every two hours and prn . No other interventions were documented. An observation and interview with Resident #59 on [DATE] at 10:10 a.m. revealed Resident #59 up in his wheelchair. The resident's left arm was tucked closely to his body and his left hand was noted with his Index finger pointing straight out and unable to uncurl the remaining fingers which were tightly curled toward the palm of his hand. Resident #59 stated he used to have a brace but he had not seen it in months. Resident #59 stated no one was doing anything for his hand. He stated his hand felt better when he had a brace on it . In an interview with CNA E on [DATE] at 9:00 a.m. revealed she had never seen Resident #59 with a hand splint. She stated they had not been instructed to perform any passive or active range of motion on the resident's left hand and arm. In an interview with the DOR on [DATE] at 9:15 a.m., she stated she had started about six weeks ago. She stated Resident #59 was on her list to be screened for therapy services. She revealed the last time the resident was on therapy was for physical therapy from [DATE] through [DATE]. She stated she could not locate any recent occupational therapy evaluations for Resident #59. An observation made with the DOR on [DATE] at 10:05 a.m. of Resident #59 revealed with some stretching from the DOR Resident #59 was able to uncurl his fingers slightly. Resident #59 informed the DOR he used to have a hand splint, but he had not seen it for several months and had no idea what had happened to it. The DOR stated his hand was contracted and he could benefit from a resting hand splint. She stated they would pick him up on therapy today ([DATE]). (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 676485 If continuation sheet Page 6 of 9 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 676485 B. Wing A. Building (X3) DATE SURVEY COMPLETED 12/14/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Princeton Medical Lodge 1401 W. Princeton Dr. Princeton, TX 75407 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)

F 0688 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Record Review of Resident #59's Occupational Therapy assessment completed by the DOR on [DATE] reflected, .Assessment Summary Functional Limitations as Result of Contractures(s): Functional mobility, propelling Wheelchair, Skin integrity, Upper body Dressing, Lower body Dressing. Hygiene/grooming. Bathing and Gathering .Splint/Orthotic Recommendations: It is recommended the patient wear a resting hand splint, a hand roll and to further and assess and order/fabricate on left hand during daily task to manage tone, improve Passive Range of motion for adequate hygiene, develop/establish wearing schedule and adapt/modify splint device In an interview with MDS G on [DATE] at 9:05 a.m. she stated she was responsible of for updating the care plans for the long-term residents. She stated they meet weekly with the team and review and update any changes to the care plan. She stated they relied on therapy for any specific interventions related to contractures, but stated they should at least have passive range of motion in place for someone with hemiplegia. She stated care plans needed to accurate to reflect the residents needs and preferences. In an interview with the DON on [DATE] at 9:35 a.m. he stated they had all residents screened by therapy upon admission and any time there was a functional decline. He stated they did not have a restorative program , but range of motion and splinting could be carried out by the nursing staff and the CNAs once therapy determined the need. He stated he had not been informed about Resident #59's need for Range of motion or splinting. He stated therapy just needs to let him know what the ongoing needs were going to be. He stated failing to have interventions in place for residents with limited Range of motion could lead to worsening of a resident's contractures and decline in function. Review of the facility's undated policy titled, Mobility/Range of Motion, reflected, Based on the resident's comprehensive assessment, the resident will receive appropriate treatment and services to increase or maintain range of motion and prevent further decease in function. A resident with limited range of motion will receive appropriate treatment and services to increase range of motion or to prevent further decrease in range of motion .Routine range of motion exercises will be provided according to the resident's plan of care. Resident shall receive proper and assistive devices to maintain or improve range of motion FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 676485 If continuation sheet Page 7 of 9 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 676485 B. Wing A. Building (X3) DATE SURVEY COMPLETED 12/14/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Princeton Medical Lodge 1401 W. Princeton Dr. Princeton, TX 75407 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)

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 and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety for the facility's only kitchen. Residents Affected - Some 1. The facility failed to cover and date food stored in the refrigerator that should no longer be consumed. 2. The facility failed to discard food stored in the kitchen that was past use by date and should no longer be consumed. These failures could affect Residents who received their meals from the facility's only kitchen, by placing them at risk for food-borne illness if consumed, and food contamination. Findings included: 1. Observation in facility's kitchen on 12/12/2023 at 9:11 AM revealed Hamburger bun with use by date of 12/2/2023 seen on the kitchen counter. 2. Observation in facility's kitchen on 12/12/23 at 09:13 AM revealed Apple juice stored within reach-in refrigerator was unlabeled and undated. 3. Observation in facility's kitchen on 12/13/23 at 11:42 AM revealed Iced tea stored within reach-in refrigerator was unlabeled and undated. In an interview with dietary aide on 12/12/23 at 09:15 AM revealed that he worked in the facility for last two years. He reported he had received in-services regarding food storage that includes labeling and dating, hand hygiene, storage temperatures. He reported that usually diet aides were responsible for dating and labeling all drinks that will be served for meals that day . he reported that if food items are not labeled or dated it could pose the risk of exposing residents to food borne illness. He also reported that questionable food should be reported to Dietary Manager and should be thrown it out. In an interview with Dietary Manager on 12/12/23 at 09:19 AM revealed that she was not sure why the hamburger buns are on the counter. She added that hamburger buns are not on the menu today. She also reported that she will throw out the buns immediately since they have been past best by date. She also stated that the risk to residents of serving food that is past best by date was possible risk (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 676485 If continuation sheet Page 8 of 9 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 676485 B. Wing A. Building (X3) DATE SURVEY COMPLETED 12/14/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Princeton Medical Lodge 1401 W. Princeton Dr. Princeton, TX 75407 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)

F 0812 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some of food borne illness. She stated that dietary aides were responsible for labeling and dating all food items and added that they may have forgotten to date the juice since they were getting drinks ready for lunch. She also reported that per facility policy all foods should be labeled and dated especially drinks like tea and juice that was repackaged to a different container. The risk of not labeling and dating foods was serving foods that could have gone bad. She reported that she conducted in-services with the kitchen staff monthly; in-services include Hand hygiene, food storage, infection control , food borne illness, safe storage temperature. In an interview with [NAME] on 12/13/23 at 12:03 PM revealed she had been a cook in the facility for 4 months She reported she had received in-services that included hand washing, Food storage, chemical storage. She reported that risk of not labeling or dating foods or serving foods beyond-use date can lead to potential for residents being sick and possible food borne illness. She also stated that in-services are conducted by Dietary manager or Dietitian when she visited the facility. In an interview with Dietitian on 12/13/23 at 12:08 PM revealed that she was not sure why hamburger buns were left on the counter on since she did not see it on the menu for the day. She stated that any food item in the kitchen found beyond use-by date should be thrown away and not served to any resident. The risk of serving foods that are past due-by date or serving food that was not labeled or dated can cause food borne illness. She reported that she, along with Dietary Manager conducted monthly and as needed in-services with kitchen staff that included therapeutic diet, hand hygiene, food storage that includes labeling and dating, portion sizes. Record Review of facility's Food Safety in Receiving and Storage policy dated 1/1/2010 revealed that Receiving Guidelines 5. Check expiration dates and use-by dates to assure the dates are within acceptable parameters. Record Review of facility's Food Safety in Receiving and Storage policy dated 1/1/2020 revealed that General Food Storage Guidelines 3. Food that is repackaged is placed in a leak-proof, pest-proof , in-absorbent sanitary container with a tight-fitting lid. The container/lid is labeled with name of contents and dated with the date it was transferred to the container. The U.S. Public Health Service, Food Code, dated 2022, reflected the following, .3-501.17 Ready-to-Eat, Time/Temperature Control for Safety Food, Date Marking . (D) A date marking system that meets the criteria stated in (A) and (B) of this section may include .(2) Marking the date or day of preparation, with a procedure to discard the FOOD on or before the last date or day by which the FOOD must be consumed on the premises, sold, or discarded as specified under (A) of this section; (3) Marking the date or day the original container is opened in a FOOD ESTABLISHMENT, with a procedure to discard the FOOD on or before the last date or day by which the FOOD must be consumed on the premises, sold, or discarded as specified under (B) of this section. FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 676485 If continuation sheet Page 9 of 9