Bibb Medical Center Nursing Home

Inspectors wroteBased on observation, interviews, the Resident Council Meeting on 11/29/2023, a test tray on 11/29/2023, and a facility policy titled, Food Service, the facility failed to ensure food was served warm, palatable and enjoyable. This had the potential to affect 114 of 114 residents receiving meals from the kitchen.

Inspectors wroteBased on observations, interviews, the facility policy Proper Labeling of Food items , and the 2022 Food Code from the United State (U.S.) Food and Drug Administration (FDA); the facility failed to ensure: 1) food stored in the freezer was covered and sealed properly, outdated food was discarded and; 2) the temperature of blended (puree) foods was measured before serving to residents. This had the potential to affect 114 of 114 resident receiving food from kitchen. Findings Include: 1. The 2022 U.S. FDA Food Code included the following: 3-305.11 Food Storage. (A) . FOOD shall be protected from contamination by storing the FOOD: . (2) Where it is not exposed to splash, dust, or other contamination . On 11/27/2023 at 10:45 AM, during the initial kitchen tour an observation was made of food stored in the freezer. Salisbury steak was exposed to the air in an unsealed aluminum container. [...]

Inspectors wroteBased on observations, interviews, and review of a facility policy titled Hand Hygiene, Laundry/Linen Distribution, and Handling Clean Linen the facility failed to ensure: 1) staff performed hand hygiene when a Certified Nursing Assistant (CNA) delivered meal trays, picked an item off the floor, and touched a resident's food, when a Laundry Aid (LA) delivered clean linen to eight different resident's rooms on the 200 hall, and before a Laundry Assistant (LAS) handled clean linen; 2) a LAS did not hold clean linens against her personal clothing; and 3) clean linen was covered while being transported on the 200 hall. These failure had the potential to affect Resident Identifier (RI) #53, RI #25, residents on the 200 hall, and all residents in the facility who received linen from the laundry room.

Inspectors wroteBased on observations, interviews, resident record review, and review of the facility policy Promoting/Maintaining Resident Dignity During Mealtimes, the facility failed to ensure Resident Identifier (RI) #38's lunch meal was not served on Styrofoam on 11/27/2023 and the staff delivering laundry gained permission to enter residents' rooms before entering on 11/27/2023. This had the potential to affect RI #38, one of 10 sampled residents observed at mealtime and residents residing on the 200 hall.

Inspectors wroteBased on interviews, resident record reviews, and review of the Centers for Medicare & (and) Medicaid Services Long-Term Care Facility Resident Assessment Instrument 3.0 User's Manual Version 1.18.11, the facility failed to ensure Resident Identifier (RI) #64's annual Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 11/15/2023 was accurately coded for weight loss or gain and RI #114's quarterly MDS assessment with an ARD of 10/24/2023 was accurately coded to reflect RI #114 did not receive an anticoagulant medication during the assessment period. This had the potential to affect two of 29 sampled residents whose MDS assessments were reviewed.

Inspectors wroteBased on interview, document review and a facility policy titled, Continuing Education, the facility failed to ensure 27 CNA's (Certified Nursing Assistants) had the required 12 hours of CEUs ( Continuing Education Units) training per year. This deficient practice affected 27 out 29 CNA's whose training records were reviewed. Findings Include: A review of a facility policy titled, Continuing Education, with an review/revision dated of 6/2001 documented: PURPOSE: To maintain sufficient continuing competence of Nurses Aides. POLICY: All Nurses Aides will be offered twelve (12) hours of continuing education per year .PROCEDURE: .3. Each must receive .twelve(12) hours .training per year . On 8/22/19 at 11:00 a.m, the Surveyor reviewed the CEU's training records for the CNA's employed by the facility from the last twelve months between their hire date (month/date). [...]

Inspectors wroteBased on observation, interviews and review of meal tray slips, the facility failed to honor each resident's specified food preferences. This affected Resident Identifier (RI) #72 and #85, two of 15 residents observed during meals.

Inspectors wroteBased on observations, interviews and a review of residents' tray slips, the facility failed to ensure the salt or sodium restricted diets were followed. This affected two of three residents, Resident Identifier (RI) #72 and RI #62 for whom a salt restricted diet was ordered. Findings Included: The facility's Low Sodium Diet or 2300 mg Sodium (undated) included the following: Use . This diet is useful in preventing or controlling edema or hypertension. Diet Principles include: 1. Prepare all foods without salt and do not add salt at the table. Avoid all processed and prepared foods and beverages high in sodium . 1) RI #72 was re-admitted to the facility on [DATE]. RI #72 diagnoses included Essential Hypertension and Atherosclerotic Heart Disease. [...]

Inspectors wroteBased on observations, interviews and a review of facility policies titled, Steamtable temperatures, Cleaning of food carts, and Handwashing Guidelines-Dietary Employees, the facility failed to ensure: 1) the temperatures were taken of all foods on the tray line; 2) food carts used to transport residents meals were not dirty and; 3) staff washed their hands when entering the kitchen. This had the potential to affect 113 of 113 residents who received meals from the kitchen. Findings Include: 1) Review of a facility policy titled, Steamtable temperatures, with no date revealed: .POLICY: All steamtable temperature will be checked and documented prior to food service. PROCEDURES: 1. All foods held on the steamtable will be checked and all temperature will be documented by the assigned dietary personnel prior to service. [...]