Mount Alverna Village

Based on observation and staff interview, the facility failed to ensure its dryers and surrounding areas were free from excessive lint buildup. This had the potential to affect all 30 residents.

Findings Include:

Observation of the laundry area on 12/11/24 at 2:30 P.M. revealed the back panels of the dryers utilized by staff and residents were coated in a thick layer of lint. The area around the plug and outlet of the dryer and power cables going into the dryer were observed to also be coated in a thick layer of lint. The floor behind the dryer area was noted to be nearly completely covered with lint. The vents attached to dryer were unsecured to the dryer and easily dislodged from the dryer with minimal movement of the dryer.

The Assisted Living Director verified the above findings in an interview on 12/11/24 at 2:44 P.M.

Based on observation, record review and staff interview the facility failed to ensure food was served and stored in a clean and sanitary manner. This had the potential to affect all 30 residents.

Findings Include:

Observation of the kitchen area with Assistant Dietary Manager (ADM) #522 on 12/09/24 between 8:45 A.M. and 9:15 A.M. revealed the following that was observed and verified the time of discovery.

In the dry storage area the following was observed:

-An open packed of white rice with no date.

-An open bag of dinner rolls with no date.

-An open box of stuffing with no date.

-Two containers of granulated sugar that were open with no date.

-An open box of bread crumbs with no date.

-An open box of yellow cake with no date.

In the walk-in refrigerator and freezer the following was noted;

-Two bags of open salad mix that were not sealed.

-An open package of pepperoni with no date.

-An open package of cheddar cheese with no date.

-An open package of tater tots with no date.

-An open package of catfish with no date.

The fryer was noted to be extremely dirty with brown oil indicating the oil had gone bad and was not suitable for cooking food. ADM # 522 was stated I wouldn't eat out of that.

Review of the undated dietary close down checklist posted on the dietary information board revealed before kitchen staff end their shift they are to ensure All items labeled & Dated-any items not labeled with date or name is to be discarded.

Review of the undated procedure for dating food items posted on the outside of the walkin refrigerator and freezer All Opened Items Need To Be Put Into A Clear Bag Tied Off Or Container With A Lid. Placed A Label On Each Item Write The Items Name, Date It Was Opened and Expiration Date. This Must Be Followed For All Items.

Based on interview and review of personnel files, the facility failed to have evidence Residential Care Assistants (RCAs) #50, #51, #52 and #53 had first-aid training by a physician or registered nurse, an emergency medical technician, or an instructor certified by the American Red Cross or the American Heart Association. This affected four of four RCAs whose personnel files reviewed and had the potential to affect all 29 residents.

Findings include:

Review of personnel files with Human Resource Director (HR) #80 on 12/19/22 at 1:00 P.M. revealed RCA #50 hired on 06/03/22, RCA #51 hired on 09/21/22, RCA #52 hired on 04/25/22 and RCA #53 hired on 01/07/22. Each personnel file lacked evidence the RCA had first-aid training provided by a required source. Each RCA file had a sentence indicating they received first-aid training and the form was signed by the RCA. There was no evidence in the personnel files of who provided the training and what curriculum was used. Interview with HR #80 on 12/19/22 at 2:25 P.M. verified there was no evidence of who provided the training and what curriculum was used.