Reports on Ohio Nursing Homes
Reports on Ohio Nursing Home Facilities
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Reports on Ohio nursing home facilities
Sample Nursing Home Report
Survey Findings/Facility Response

Facility : Sample Nursing Home

Finding for Regulation F-0329:

Based on observation, interview and record review, the facility did not ensure that non-pharmacological interventions were attempted prior to administration of anti-anxiety medications for Residents #67, #97, #209, #229, and had no parameters for pain medication administration for Resident #125.  This affected five of eleven residents reviewed for unnecessary medications.
include:

Resident #209 was admitted to the facility on 05/10/10 with diagnoses including congestive heart failure, and anxiety. Review of the resident’s care plan initially dated 06/09/11 (no update date indicated) revealed the resident used psychotropic medications including for behavioral management.  Besides medicating and watching for side effects, the staff was to monitor target behavioral symptoms including agitation and screaming at staff during care and transfers.  Care plans written on 07/01/11, 09/22/11 and 10/12/11 revealed the resident was tearful, and was verbally abusive statement to staff during care and refusing care.  Interventions for these problems included finding alternatives that the resident would accept, identify cause for refusal and reduce or eliminate, offer diversion activity and allow resident to discuss feelings and remind resident of acceptable behavior.

Of the physician orders revealed the resident was ordered Ativan (an anti-anxiety medication) to be given for anxiety as needed.  Review of the MAR revealed that the Ativan was given to the resident 15 times in September 2011 and once in October 2011, including 2 doses given on 09/11/11 and on 09/19/11. 
Of the nursing notes and MAR revealed only one note, on 09/19/11 at 8:44 A.M., when other non-pharmacological interventions were attempted prior to administering the medication.  A note on 09/11/11 at 3:27 P.M. revealed the resident received Ativan because she "was yelling" during care because of pain in her right leg.  Other notes indicated that the resident received the anti-anxiety medication at the same time as pain medication or that the resident received the anti-anxiety medication because she became upset when approached by the nurse with medications.  Other than the note on 09/19/11, there was no documentation of other non-pharmacological measures to address her anxiety.
Director of nursing (DON) verified on 10/13/11 at 11:30 A.M. that Resident #209''s record did not contain documentation of specific behaviors or attempts at other interventions prior to the administration of the anti-anxiety medication to Resident #209.

Resident #229 was admitted to the facility on 09/02/11 with diagnoses including dementia, congestive heart failure, unspecified behavioral disturbance and depressive disorder.  Review of the resident’s care plan initially dated 09/02/11 revealed the resident used psychotropic medications including Risperdal and Haldol (anti-psychotic medications) for dementia and behavioral management.  Besides medicating and watching for side effects, the staff was to monitor target behavioral symptoms including pacing, inappropriate response to verbal communication and violence or aggression toward others.  Care plans written on 10/11/11 revealed the resident had combative behavior, including throwing her walker, verbal abuse (yelling at staff) and refusing care.  Interventions for these problems included finding alternatives that the resident would accept, identify cause for refusal and reduce or eliminate, identify trigger stimuli, leave resident alone for a few minutes and return later to continue care giving, allow resident to discuss feelings and remind resident of acceptable behavior.

Of the physician orders revealed Resident #229 was ordered Risperdal to be given daily at 9:00 P.M. beginning on 09/10/11. Haldol was ordered to be given for anxiety as needed. Review of the MAR revealed that the Haldol was given to the resident 11 times in September 2011 and 5 times in October 2011, including 2 doses given on 09/11/11 and on 10/05/11. 

Of the nursing notes and MAR revealed Resident #229 received the Haldol eight times, on 09/05/11, 09/07/11, 09/11/11, 09/13/11, 09/22/11, 09/26/11, 10/10/11 and 10/11/11, when other non-pharmacological interventions were attempted prior to administering the medication.
DON verified on 10/13/11 at 11:30 A.M. that the record did not contain documentation of specific behaviors or the attempts at other interventions prior to the administration of the medication to Resident #229 on the above dates.

Resident #97 was admitted to the facility on 09/16/08.  Her medical diagnoses included depression and anxiety disorder.  The resident had an order for Ativan 0.5 milligrams (mg) to be given every six hours as needed for anxiety. 97''s medication administration record (MAR) was reviewed for September 2011.  For the month she received Ativan 0.5 mg six times.  Review of corresponding nurses notes indicated a lack of non-pharmacological interventions prior to administering the Ativan.  The resident’s medical record did not contain behavior tracking or monitoring.

10/13/11 at 2:30 P.M. the DON confirmed that there was no documentation supporting non-pharmacological interventions prior to the administration of Ativan for Resident #97 in September 2011.

4.  Review of Resident #67''s medical chart revealed the resident was admitted to the facility on 01/02/09.  Diagnoses included senile dementia and depression.  Physician orders included a benzodiazepine medication (Ativan) 0.25 mg every six hours as needed for anxiety.
of the medication administration record (MAR) from 09/01/11 through 10/12/11 revealed Resident #67 received Ativan 0.25 mg 45 times.  Review of corresponding nurses notes indicated a lack of non-pharmacological interventions prior to administering the Ativan.  The resident’s medical record did not contain behavior tracking or monitoring.  Non-pharmacological approaches were not care planned.
on 10/13/11 at 2:45 P.M. with the DON confirmed that there was no documentation supporting non-pharmacological interventions prior to the administration of Ativan for Resident #67.

5.  Resident #125 had diagnoses including anxiety and healing traumatic fracture of the leg and spine.  The resident’s Pain Assessment dated 06/13/11 indicated the resident was "almost constantly in pain."
of the resident’s physician orders revealed the resident had orders for morphine sulfate 20 mg/ml, take 5-10 mg every 2 hours as needed for pain.  Review of the August MAR revealed the resident received 19 doses of 5 mg of morphine and one dose of 10 mg.  The October MAR revealed the resident received four doses of 5 mg of morphine, and five doses of 10 mg of morphine. 
were no parameters to determine when 5 mg or 10 mg of morphine were to be given.  There was no documentation that indicated the resident’s pain was assessed for severity.
#125 also had an order for Vicodin 5-500 mg 1-2 tablets every 4-6 hours as needed for pain.  The August 2011 MAR indicated the resident received three doses of one tablet and one dose of two tablets.  The September 2011 MAR indicated the resident received one dose of two tablets, and the October 2011 MAR indicated she received one dose of one tablet.
were no parameters to determine when one tablet or two tablets of Vicodin were to be given.  There was no documentation that indicated the resident’s pain was assessed for severity.
were no parameters to determine if morphine or Vicodin were to be used. And at which dosage.
of Resident #125 on 10/12/11 at 9:51 A.M. revealed the resident was laying in bed.  The resident was asleep.  At 2:30 P.M. the resident was observed in bed asleep.  Observation of the resident on 10/13/11 at 9:30 A.M. revealed the resident was asleep.
on 10/13/11 at 3:10 P.M. with RN #84 revealed she could not explain which medication would be given and at which dosage.

Facility Response to Finding for Regulation F-0329:

The facility has not provided this information to the Consumer Guide, however, you may request a copy of the Plan of Correction from the Facility or by contacting the Ohio Department of Health at (614) 466-7217 or Fax (614) 466-8692 or Email pri@odh.ohio.gov

Finding for Regulation F-0371:

Based on observation and interview, the facility failed to maintain the main kitchen to prevent food borne illness.  The ice machine, two hot carts, the temporary trayline, the reach-in cooler, the stove vents, piping and drip pan, lorators, flour and parchment paper containers, coffee mugs, utensil drawers and the knife holder were heavily soiled.  All 173 residents receiving a meal tray could be affected.  The facility census was 173.
include:           
10/11/11 from 10:15 A.M. until 11:00 A.M. observation in the main kitchen with Food Service Director (FSD) #252 revealed the following:

.  The automatic ice machine had black scum on the interior ceiling and drop down ice chute.

.  Two enclosed hot carts holding mashed potatoes and chicken for the lunch meal were heavily soiled with wet and dried food spills and other debris on all surfaces.

.  The temporary trayline used for food production was heavily soiled with food spills, caked-on dust and other debris on all surfaces.  A four-foot grid above the temporary trayline had grease and black caked-on and hanging dust on the surfaces.

.  The ceiling fan vents in two reach-in coolers had black dust on the surfaces.

.  The vent grids and piping above the stove had caked-on and loose hanging dust on all surfaces. 

.  Three lorators storing clean dishes had food spills and other debris on the surfaces.

.  Fifty-two clean burgundy coffee mugs were completely covered on the interior surfaces with a thick residue and black stain. 

.  Three of three drawers storing utensils had food spills, grease and other debris on the surfaces. 

.  The knife holder for 11 knives had loose and caked-on dust and other debris on the surfaces.  

.  The automatic ice machine located in the Sunshine Lane satellite kitchen had black slime on the interior and exterior surfaces of the ice/water spout.

11.  The automatic dish machine registered 170 degrees Fahrenheit (F) during the final rinse cycle instead of 180 degrees F as required by the manufacturer.  Staff were almost finished washing the breakfast dishes.
above was verified with FSD #252 at the time of discovery.

Facility Response to Finding for Regulation F-0371:

The facility has not provided this information to the Consumer Guide, however, you may request a copy of the Plan of Correction from the Facility or by contacting the Ohio Department of Health at (614) 466-7217 or Fax (614) 466-8692 or Email pri@odh.ohio.gov

Finding for Regulation F-0431:

Based on observation and interview, the facility did not ensure that multidose vials of tuberculin, a bottle of eye drops and a multidose stock medication bottle of Aspirin were dated when opened to ensure the medication remained effective.  This had the potential to affect Resident #138 and 67 residents who resident on the Sunshine Lane and Pine Tree Lane units.
include:

.  Observation of the medication room on the Pine Tree Lane unit with Licensed Practical Nurse #2 on 10/13/11 at 8:50  A.M. revealed an opened multidose vial of tuberculin was on the shelf of the refrigerator.  The vial was dated October 2012 by the manufacturer, but the opened vial had not been marked with a date indicating when the bottle was opened.  LPN #2 verified that no date was found on the opened vial. 
of the Sunshine Lane unit medication room with the unit manager Registered Nurse, (RN) #4, revealed two opened vials of tuberculin.  The dates on the vials by the manufacturer was October 2012, but these two vials had not been dated by the facility when they were opened.
with the director of nursing (DON) on 10/13/11 at 11:30 P.M. verified that tuberculin expired 30 days after the bottle was opened and that without an opened by date, the nursing staff would be unable to determine if the medication was optimally effective.

.  During observation of medication pass with RN #1 on 10/11/11 at 5:10 P.M., a bottle of Natural Tears (saline eye drops) for Resident #138 was observed without an opened by date.  This was verified with RN #1 at that time.  On 10/13/11 at 11:30 AM, the DON indicated that multidose medications expired 30 days after opening.

Facility Response to Finding for Regulation F-0431:

The facility has not provided this information to the Consumer Guide, however, you may request a copy of the Plan of Correction from the Facility or by contacting the Ohio Department of Health at (614) 466-7217 or Fax (614) 466-8692 or Email pri@odh.ohio.gov

Finding for Regulation F-0441:

Based on observation and interview, the facility failed to ensure that infection control protocol.  This affected one of ten residents (Resident #138) observed during medication pass.  The facility census was 173.
include:
observation of medication pass with Registered Nurse (RN) #1 on 10/11/11 at 5:10 P.M., RN #1 popped a tablet of potassium chloride from a medication card.  He broke the seal of the blister pack of medication and transferred the tablet in his bare hand to the medication cup for the resident.  RN #1 then retrieved a bottle of Oyster Shell Calcium from the medication drawer.  He indicated that the bottle was a stock medication, which was used for any resident on the unit who was ordered the medication.  He opened the bottle and shook a tablet into the lid of the bottle.  Two tablets slid into the lid, and RN #1 held one of the tablets back with his bare fingers while he dumped one into the medication cup.  He then returned the tablet he had touched to the bottle of stock medication.
surveyor then followed RN #1 as he entered the room of Resident #138 to administer eye drops, saline solution to lubricate the eyes.  RN #1 put on a pair of gloves and attempted to pull down the lower lid of the resident’s eye to instill the drops.  Resident #138 kept blinking his eye, making it difficult for RN #1 to open the eye with one hand to instill the drops while holding the bottle of eyedrops in the other hand.  RN #1 then used the tip of the eye drop bottle to hold open the eyelid.  After instilling some of the saline liquid into the resident’s left eye, RN #1 then used the same procedure to instill the drop into the right eye, touching the tip of the bottle to his eye lid in an attempt to open the eye enough to instill the drop. 
with RN #1 on 10/11/11 at 5:20 P.M. verified that he had touched tablets with his bare hands while preparing the medication for Resident #138.  He verified that he touched the tip of the eye drop bottle to both eyes of Resident #138, possibly contaminating the bottle of eye drops.
of the facility medication policy for eye drops did not indicate that the tip of the eye drop bottle should not touch the eye of the resident, but interview with the director of nursing on 10/13/11 at 11:30 A.M. verified that cross contamination could occur with touching the bottle to the eye, and that medications should not be touched with bare hands.

Facility Response to Finding for Regulation F-0441:

The facility has not provided this information to the Consumer Guide, however, you may request a copy of the Plan of Correction from the Facility or by contacting the Ohio Department of Health at (614) 466-7217 or Fax (614) 466-8692 or Email pri@odh.ohio.gov

Finding for Regulation F-0465:

Based on observation and interview, the facility failed to maintain the hand sinks, walls and floor in a sanitary manner.  All 173 residents receiving a meal tray could be affected.  The facility census was 173.
include:           
10/11/11 from 10:15 A.M. until 11:00 A.M. observation in the main kitchen with Food Service Director (FSD) #252 revealed the following: 

1.  Two hand sinks were heavily soiled with scum and other debris. 

.  The kitchen walls were covered with white tiles.  Hanging dust covered these tiles.      

.  The floor under the automatic dish washer and the floor/baseboard juncture were heavily soiled with black dirt and other debris. 
above was verified with FSD #252 at the time of discovery.

Facility Response to Finding for Regulation F-0465:

The facility has not provided this information to the Consumer Guide, however, you may request a copy of the Plan of Correction from the Facility or by contacting the Ohio Department of Health at (614) 466-7217 or Fax (614) 466-8692 or Email pri@odh.ohio.gov

Finding for Regulation N-0209:

The facility did not ensure that non-pharmacological interventions were attempted prior to administration of anti-anxiety medications for Residents #67, #97, #209, #229, and no parameters for pain medication administration for Resident #125. 
include:

1.  Resident #209 was admitted to the facility on 05/10/10 with diagnoses including congestive heart failure, and anxiety. Review of the resident’s care plan initially dated 06/09/11 (no update date indicated) revealed the resident used psychotropic medications including for behavioral management.  Besides medicating and watching for side effects, the staff was to monitor target behavioral symptoms including agitation and screaming at staff during care and transfers.  Care plans written on 07/01/11, 09/22/11 and 10/12/11 revealed the resident was tearful, and was verbally abusive statement to staff during care and refusing care.  Interventions for these problems included finding alternatives that the resident would accept, identify cause for refusal and reduce or eliminate, offer diversion activity and allow resident to discuss feelings and remind resident of acceptable behavior.

Of the physician orders revealed the resident was ordered Ativan (an anti-anxiety medication) to be given for anxiety as needed.  Review of the MAR revealed that the Ativan was given to the resident 15 times in September 2011 and once in October 2011, including 2 doses given on 09/11/11 and on 09/19/11. 

Of the nursing notes and MAR revealed only one note, on 09/19/11 at 8:44 A.M., when other non-pharmacological interventions were attempted prior to administering the medication.  A note on 09/11/11 at 3:27 P.M. revealed the resident received Ativan because she  "was yelling" during care because of pain in her right leg.  Other notes indicated that the resident received the anti-anxiety medication at the same time as pain medication or that the resident received the anti-anxiety medication because she became upset when approached by the nurse with medications.  Other than the note on 09/19/11, there was no documentation of other non-pharmacological measures to address her anxiety.

Director of nursing (DON) verified on 10/13/11 at 11:30 A.M. that Resident #209''s record did not contain documentation of specific behaviors or attempts at other interventions prior to the administration of the anti-anxiety medication to Resident #209.

.  Resident #229 was admitted to the facility on 09/02/11 with diagnoses including dementia, congestive heart failure, unspecified behavioral disturbance and depressive disorder.  Review of the resident’s care plan initially dated 09/02/11 revealed the resident used psychotropic medications including Risperdal and Haldol (anti-psychotic medications) for dementia and behavioral management.  Besides medicating and watching for side effects, the staff was to monitor target behavioral symptoms including pacing, inappropriate response to verbal communication and violence or aggression toward others.  Care plans written on 10/11/11 revealed the resident had combative behavior, including throwing her walker, verbal abuse (yelling at staff) and refusing care.  Interventions for these problems included finding alternatives that the resident would accept, identify cause for refusal and reduce or eliminate, identify trigger stimuli, leave resident alone for a few minutes and return later to continue care giving, allow resident to discuss feelings and remind resident of acceptable behavior.
of the physician orders revealed Resident #229 was ordered Risperdal to be given daily at 9:00 P.M. beginning on 09/10/11. Haldol was ordered to be given for anxiety as needed. Review of the MAR revealed that the Haldol was given to the resident 11 times in September 2011 and 5 times in October 2011, including 2 doses given on 09/11/11 and on 10/05/11. 
of the nursing notes and MAR revealed Resident #229 received the Haldol eight times, on 09/05/11, 09/07/11, 09/11/11, 09/13/11, 09/22/11, 09/26/11, 10/10/11 and 10/11/11, when other non-pharmacological interventions were attempted prior to administering the medication.
DON verified on 10/13/11 at 11:30 A.M. that the record did not contain documentation of specific behaviors or the attempts at other interventions prior to the administration of the medication to Resident #229 on the above dates.

.  Resident #97 was admitted to the facility on 09/16/08.  Her medical diagnoses included depression and anxiety disorder.  The resident had an order for Ativan 0.5 milligrams (mg) to be given every six hours as needed for anxiety.
#97''s medication administration record (MAR) was reviewed for September 2011.  For the month she received Ativan 0.5 mg six times.  Review of corresponding nurses notes indicated a lack of non-pharmacological interventions prior to administering the Ativan.  The resident’s medical record did not contain behavior tracking or monitoring.

On 10/13/11 at 2:30 P.M. the DON confirmed that there was no documentation supporting non-pharmacological interventions prior to the administration of Ativan for Resident #97 in September 2011.


4.  Review of Resident #67''s medical chart revealed the resident was admitted to the facility on 01/02/09.  Diagnoses included senile dementia and depression.  Physician orders included a benzodiazepine medication (Ativan) 0.25 mg every six hours as needed for anxiety.
of the medication administration record (MAR) from 09/01/11 through 10/12/11 revealed Resident #67 received Ativan 0.25 mg 45 times.  Review of corresponding nurses notes indicated a lack of non-pharmacological interventions prior to administering the Ativan.  The resident’s medical record did not contain behavior tracking or monitoring.  Non-pharmacological approaches were not care planned.

Interview on 10/13/11 at 2:45 P.M. with the DON confirmed that there was no documentation supporting non-pharmacological interventions prior to the administration of Ativan for Resident #67.

5.  Resident #125 had diagnoses including anxiety and healing traumatic fracture of the leg and spine.  The resident’s Pain Assessment dated 06/13/11 indicated the resident was "almost constantly in pain."
of the resident’s physician orders revealed the resident had orders for morphine sulfate 20 mg/ml, take 5-10 mg every 2 hours as needed for pain.  Review of the August MAR revealed the resident received 19 doses of 5 mg of morphine and one dose of 10 mg.  The October MAR revealed the resident received four doses of 5 mg of morphine, and five doses of 10 mg of morphine. 
were no parameters to determine when 5 mg or 10 mg of morphine were to be given.  There was no documentation that indicated the resident’s pain was assessed for severity.
#125 also had an order for Vicodin 5-500 mg 1-2 tablets every 4-6 hours as needed for pain.  The August 2011 MAR indicated the resident received three doses of one tablet and one dose of two tablets.  The September 2011 MAR indicated the resident received one dose of two tablets, and the October 2011 MAR indicated she received one dose of one tablet.
were no parameters to determine when one tablet or two tablets of Vicodin were to be given.  There was no documentation that indicated the resident’s pain was assessed for severity.
were no parameters to determine if morphine or Vicodin were to be used. And at which dosage.
of Resident #125 on 10/12/11 at 9:51 A.M. revealed the resident was laying in bed.  The resident was asleep.  At 2:30 P.M. the resident was observed in bed asleep.  Observation of the resident on 10/13/11 at 9:30 A.M. revealed the resident was asleep.

Interview on 10/13/11 at 3:10 P.M. with RN #84 revealed she could not explain which medication would be given and at which dosage

Facility Response to Finding for Regulation N-0209:

The facility has not provided this information to the Consumer Guide, however, you may request a copy of the Plan of Correction from the Facility or by contacting the Ohio Department of Health at (614) 466-7217 or Fax (614) 466-8692 or Email pri@odh.ohio.gov

Finding for Regulation N-0228:

The facility failed to maintain the hand sinks, walls and floor in a sanitary manner.

Findings include:            

On 10/11/11 from 10:15 A.M. until 11:00 A.M. observation in the main kitchen with Food Service Director (FSD) #252 revealed the following: 

1.  Two hand sinks were heavily soiled with scum and other debris. 

.  The kitchen walls were covered with white tiles.  Hanging dust covered these tiles.      

.  The floor under the automatic dish washer and the floor/baseboard juncture were heavily soiled with black dirt and other debris. 
Above was verified with FSD #252 at the time of discovery.

Facility Response to Finding for Regulation N-0228:

The facility has not provided this information to the Consumer Guide, however, you may request a copy of the Plan of Correction from the Facility or by contacting the Ohio Department of Health at (614) 466-7217 or Fax (614) 466-8692 or Email pri@odh.ohio.gov

Finding for Regulation N-0233 :

The facility did not ensure that multidose vials of tuberculin, a bottle of eye drops and a multidose stock medication bottle of Aspirin were dated when opened to ensure the medication remained effective.
include:

1.  Observation of the medication room on the Pine Tree Lane unit with Licensed Practical Nurse #2 on 10/13/11 at 8:50  A.M. revealed an opened multidose vial of tuberculin was on the shelf of the refrigerator.  The vial was dated October 2012 by the manufacturer, but the opened vial had not been marked with a date indicating when the bottle was opened.  LPN #2 verified that no date was found on the opened vial. 
of the Sunshine Lane unit medication room with the unit manager Registered Nurse, (RN) #4, revealed two opened vials of tuberculin.  The dates on the vials by the manufacturer was October 2012, but these two vials had not been dated by the facility when they were opened.
with the director of nursing (DON) on 10/13/11 at 11:30 P.M. verified that tuberculin expired 30 days after the bottle was opened and that without an opened by date, the nursing staff would be unable to determine if the medication was optimally effective.

.  During observation of medication pass with RN #1 on 10/11/11 at 5:10 P.M., a bottle of Natural Tears (saline eye drops) for Resident #138 was observed without an opened by date.  This was verified with RN #1 at that time.  On 10/13/11 at 11:30 AM, the DON indicated that multidose medications expired 30 days after opening.

Facility Response to Finding for Regulation N-0233:

The facility has not provided this information to the Consumer Guide, however, you may request a copy of the Plan of Correction from the Facility or by contacting the Ohio Department of Health at (614) 466-7217 or Fax (614) 466-8692 or Email pri@odh.ohio.gov

Finding for Regulation N-0249:

The facility failed to maintain the main kitchen in a manner to prevent foodborne illness. 

Findings include:            

On 10/11/11 from 10:15 A.M. until 11:00 A.M. observation in the main kitchen with Food Service Director (FSD) #252 revealed the following:

.  The automatic ice machine had black scum on the interior ceiling and drop down ice chute.

.  Two enclosed hot carts holding mashed potatoes and chicken for the lunch meal were heavily soiled with wet and dried food spills and other debris on all surfaces.

.  The temporary trayline used for food production was heavily soiled with food spills, caked-on dust and other debris on all surfaces.  A four-foot grid above the temporary trayline had grease and black caked-on and hanging dust on the surfaces.

.  The ceiling fan vents in two reach-in coolers had black dust on the surfaces.

.  The vent grids and piping above the stove had caked-on and loose hanging dust on all surfaces. 

.  Three lorators storing clean dishes had food spills and other debris on the surfaces.

.  Fifty-two clean burgundy coffee mugs were completely covered on the interior surfaces with a thick residue and black stain. 

.  Three of three drawers storing utensils had food spills, grease and other debris on the surfaces. 

.  The knife holder for 11 knives had loose and caked-on dust and other debris on the surfaces.  

.  The automatic ice machine located in the Sunshine Lane satellite kitchen had black slime on the interior and exterior surfaces of the ice/water spout.

11.  The automatic dish machine registered 170 degrees Fahrenheit (F) during the final rinse cycle instead of 180 degrees F as required by the manufacturer.  Staff were almost finished washing the breakfast dishes.

The above was verified with FSD #252 at the time of discovery.

Facility Response to Finding for Regulation N-0249:

The facility has not provided this information to the Consumer Guide, however, you may request a copy of the Plan of Correction from the Facility or by contacting the Ohio Department of Health at (614) 466-7217 or Fax (614) 466-8692 or Email pri@odh.ohio.gov
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