Trinity Mission Health And Rehab Of Hillsville, 222 Fulcher Street, Hillsville, VA 24343 - Nursing Home Food Service inspection findings and violations



Business Info

Restaurant: Trinity Mission Health and Rehab of Hillsville
Address: 222 Fulcher Street, Hillsville, VA 24343
Type: Nursing Home Food Service
Total inspections: 5
Last inspection: 12/10/2015

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Inspection findings

Inspection date

Type

No violation noted during this evaluation.12/10/2015Routine
* Clean, organized, well maintained facility. PIC keeps temperature logs on each cold holding unit daily.
No violation noted during this evaluation.
08/07/2015Routine
Notes:
* No kitchen deficiencies noted. Facility was cleaning up after lunch and all of the hot held food items were used during service. PIC has staff keep a temperature log for hot held items on the steam table and checks each item twice during services. PIC keeps another temperature log each day for the cold hold units in facility and has CA's in place for any issues. Any leftovers are cooled in refrigeration and reheated to 165 the next day in the microwave or on the stove top. Per PIC, there aren't many leftovers after each service, most food items are made fresh every day and used within that service.
* Va. is updating its FDA Food Code regulations this year. This will require that a certified food safety manager be on staff during hours of food service operation. This certification can be obtained through several companies such as ServSafe.

No violation noted during this evaluation.
01/29/2015Routine
This inspection was at the request of the District Health Director in response to an outbreak of respiratory illness at this facility. Inspection focus was on employee health, and the prevention of spread of infection via employees, food, or kitchen equipment handling.
Kitchen was found to be operating smoothly, with ingrained handwashing procedures that are thorough, and well-trained staff who are cautious about glove use, handwashing, and hair restraints. Warewashing employee is cautious to wash her hands after touching dirty dishes and before handling clean dishes. Equipment and utensils that move from the kitchen to back out on the floor have to re-enter kitchen via the warewashing area on the dirty equipment side, and cannot be re-used until they have been emptied, cleaned and sanitized. Everything off of trays is either processed through the warewasher or thrown away. No single service items (salt/pepper packets for example) are recycled for use at another meal---if some single-service item has gone into a resident’s room, it is thrown away when it comes back to the kitchen. The food carts are emptied, cleaned, and sanitized right down to the wheels. Any employee who leaves the kitchen must dispose of hairnet and gloves and get new ones, and wash their hands, when they come back to the kitchen. Delivery of food to rooms requires that carts do not enter resident rooms. Employees are aware of the posted health policy and restrictions on working when ill. Employees did not touch themselves, their pockets, use cell phones, eat or drink, or mess with their hair while working in the kitchen. No employees were seen to have any respiratory symptoms.
Kitchen Deficiencies noted---The kitchen had two refrigeration units running a few degrees high, and one paper towel dispenser that was not functional ---all staff were using one handsink in the kitchen. One air intake filter, near the floor in the kitchen, was noted to have accumulations of dust on the vent blades.
It was noted that two employees were out sick at the time of inspection. One reportedly has the respiratory illness associated with the outbreak at this facility. Her onset of illness occurred after almost 2 weeks of facility outbreak. Notices of current outbreak are posted on doors to warn visitors of the risk.
Patients are currently eating in their rooms to limit spread of infection.
EHS discussed with maintenance the cleaning schedule for air handling vents, fresh air intake filters, and cleaning/sanitizing of hand-contact surfaces throughout the facility. Management allowed EHS to walk down the residents’ hall and observe employees and residents. While the facility policy is to not allow any carts to enter the rooms, there was a cart with entertainment items that had been pushed into a room while the employee shared items with a resident. This cart carries small radios, CD’s/DVD’s, and board games. EHS suggested this is a possible source of shared contact between residents and that the cart and its contents should be sanitized before moving from one patient to another. Management agreed. All other carts (pharmacy, linen, soiled laundry, food) do not enter rooms and are periodically sanitized. Staff carrying supplies to residents wash and/or sanitize their hands between rooms and patients. A shared shower facility is cleaned between patients and gets a thorough sanitizing once a week.

  • Critical: Food - Potentially Hazardous Food - Cold Holding* (corrected on site)
    Observation: Coleslaw and sliced tomato cold holding at improper temperatures. 46F.
    Correction: Relocate food to a refrigeration unit that is capable of maintaining food storage at 41°F or below. Coleslaw was moved to another refigeration unit and tomato was disposed. Maintenance was called to repair/adjust cooler.
06/10/2014Routine
PIC going to use three compartment sink until dishwasher sanitizer is corrected.
  • Warewashing Machines, Sanitizer Level Indicator
    Observation: Observed that mechanical warewashing unit does not have capacity to automatically dispense detergents and sanitizers. The mechanical warewashing unit has a warning divice but it is not working.
    Correction: Warewashing machines must have the capacity to automatically dispense detergents and sanitizers.
  • Critical: Warewashing - Manual & Mechanical Warewashing Equipment, Chemical Sanitization - Temperature, pH, Concentration & Hardness* (corrected on site)
    Observation: Chlorine sanitizing solution used was not at an acceptable concentration.
    Correction: Adjust the chlorine sanitizing solution to a level of at least 50 parts per million when the pH is at 10 or less and the water temperature is 100°F.
  • Handwashing Signage/Handwashing Facilities (corrected on site)
    Observation: A sign or poster that notifies food employees to wash their hands is not provided at all lavatories used by food employees
    Correction: Provide a sign or poster that notifies food employees to wash their hands at all handwashing lavatories used by food employees.
10/01/2013Routine

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