Close to Home VI Inc

Based on observations, staff interviews, and review of facility policy, the facility failed to ensure dietary staff were knowledgeable on kitchen sanitation. The facility also failed to ensure appropriate test strips were available to check sanitation levels of the three sink. This had the potential to affect all 27 residents residing in the facility who receive food/meals from the kitchen. The facility census was 27.

Findings include:

Observation of three sink sanitation on 02/02/26 at 9:17 A.M. revealed the sanitizer being used was Smartpower (lactic acid and dodecylbenzenesulfonic acid based). Observation of sanitizer test strips available in the kitchen revealed none were compatible with checking lactic acid and dodecylbenzenesulfonic acid levels.

Observation of Cook #120 checking dishwasher sanitation levels on 02/02/26 at 9:33 A.M. revealed she placed the test strip directly on a dish rack and ran it through the dishwasher cycle. Cook #120 opened the dishwasher door and the strip was unable to be found.

During interview on 0202/26 at 9:35 A.M. Cook #120 was unable to locate any documentation of the dishwasher and three sink sanitation levels being regularly checked. Cook #120 was unsure how to check dishwasher and three sink sanitation levels.

Interview and observation with the Administrator and Regional Nurse (RN) #150 on 02/02/26 confirmed there was no documentation of dishwasher and three sink sanitation levels being checked regularly. The Administrator and RN #150 confirmed there were no test strips available to test sanitizer being used in the three sink sanitation.

Review of the facility's policy titled Cleaning Dishes Manual Dishwashing revealed the third sink is for sanitizing. Staff are to measure appropriate amount of sanitizing chemical into an appropriate amount of water following the manufacturer's guidelines. Sanitizing solution in the sink will be tested the manufacturer's suggested test strips.

This violation represents non-compliance investigated under Complaint Number OH00169560.

Based on observation, review of the menus and staff interview, the facility failed to ensure the established dietitian published and/or approved meals were served. This had the potential to affected all residents. The facility census was eight.

Findings include:

Review of the facility menus revealed a winter menu for weeks one through four. The breakfast for 02/12/24 was scrambled eggs, bacon, toast, peaches and orange juice. Further review revealed lunch was open-faced roast beef sandwich, mashed potatoes, carrots and cobbler.

Observation on 02/12/25 at 8:17 A.M. revealed individually frozen blueberry pancakes and syrup on the counter. Resident Care Aid (RCA) #11 stated someone had requested pancakes earlier and further added the menu was not followed because they only had three residents who ate breakfast.

Observation on 02/12/25 at 12:12 P.M. revealed the lunch meal consisted of barbecued chicken, scalloped potatoes, a roll and spiced cake for dessert, and not the meal identified on the menu of open-faced roast beef sandwich, mashed potatoes, carrots and cobbler. Concurrent interview with Regional Administrator (RA) #12 verified the meal served was not what was on the menu and he further stated he recently became aware the facility had not been consistently following the planned menus. RA #12 explained the menus were based on the dietary guidelines published by a dietician and he was unsure why the facility deterred from the approved menus. RA #12 acknowledged the facility did not have a dietician on staff for substitution approvals.

Interview on 02/12/25 at 3:24 P.M. with Licensed Practical Nurse (LPN) #14 revealed she was responsible for the kitchen. LPN #14 stated they did not always have the food listed on the menu to serve. LPN #14 confirmed she was not a dietician, but she did her best to substitute meat for meat, vegetable for vegetable and a dessert for dessert.

Based on observation, review of the menus and staff interview, the facility failed to ensure an accurate record, including substitutions, of meals served was maintained. This had the potential to affect all residents residing in the facility. The facility census was eight.

Findings include:

Review of the facility menus revealed a winter menu for weeks one through four. The breakfast for 02/12/24 was scrambled eggs, bacon, toast, peaches and orange juice. Further review revealed lunch was open-faced roast beef sandwich, mashed potatoes, carrots and cobbler. No substitutions were noted on the menus.

Observation on 02/12/25 at 8:17 A.M. revealed individually frozen blueberry pancakes and syrup on the counter. Resident Care Aid (RCA) #11 stated someone had requested pancakes earlier and further added the menu was not followed because they only had three residents who ate breakfast.

Observation on 02/12/25 at 12:12 P.M. revealed the lunch meal consisted of barbecued chicken, scalloped potatoes, a roll and spiced cake for dessert, and not the meal identified on the menu of open-faced roast beef sandwich, mashed potatoes, carrots and cobbler. Concurrent interview with Regional Administrator (RA) #12 verified the meal served was not what was on the menu and he recently became aware the facility had not been consistently following the menus. RA #12 was unsure why the facility deterred from the approved menus and provided substitutions.

Based on observation and staff interviews, the facility failed to monitor the dishwasher chemical sanitation to ensure dishware was adequately sanitized. This had the potential to affect all residents residing in the facility. The facility census was eight.

Findings include:

Observation on 02/12/25 at 8:17 A.M. of the kitchen revealed no evidence of dishwasher temperature or sanitation logs. Concurrent interview with Licensed Practical Nurse (LPN) #10 and Resident Care Aid (RCA) #11 revealed, in addition to resident care, they were responsible for cooking, cleaning and maintaining the kitchen. Neither staff member was able to determine if the dishwasher sanitized the dishes using hot water or chemicals, nor were they aware if a dishwasher log was maintained. During the interview, LPN #10 called the Administrator, who verified the dishwasher utilized chemical sanitation.

Interview on 02/12/25 at 3:51 P.M. with Owner #13 confirmed the facility had a chemical dishwasher and further verified the facility had no evidence the dishwasher was monitored to ensure adequate sanitation of dishes.