The information below comes from the statement of deficiencies compiled by health inspectors and provided to AHCJ by the Centers for Medicare and Medicaid Services. It does not include the steps the hospital plans to take to fix the problem, known as a plan of correction. For that information, you should contact the hospital, your state health department or CMS. Accessing the document may require you to file a Freedom of Information Request. Information on doing so is available here.

TRI COUNTY HOSPITAL - WILLISTON 125 SW 7TH ST WILLISTON, FL Sept. 12, 2012
VIOLATION: QUALIFIED DIETITIAN Tag No: A0621
Based on record review and interview, the hospital failed to have a dietitian on staff as a full-time/part-time employee or as a consultant.

Findings:

During the compliance survey of 9-12-2012, it was discovered that the consultant dietitian had quit the hospital and left without notice. Review of the menus revealed that the hospital had approved menus that were dated 8-7-2012.

In interview with the Director Clinical Services on 9-12-2012 at 10:45 AM, it was stated that the consultant dietitian had just quit and they were in the process of getting another dietitian to take the position.
VIOLATION: MAINTENANCE OF PHYSICAL PLANT Tag No: A0701
Based on record review, interview and observation, the hospital failed to adequately maintain food storage in the dry food storage and refrigerated food storage in a manner that would promote the safety and well being of the patients.

Findings:

During the kitchen tour on 9-12-2012, it was discovered that the flour, rice and sugar bins had the scoops in the storage bins with the handles touching the product. The canned storage had four #10 cans that were severely dented on the seams. There was an open Kraft Barbeque container that had the requirement by the manufacturer to refrigerate after opening on the shelf with encrusted residue around the lid. There were four cans of Sloppy Joe Mix (48 oz.) that had a date of 5-11 written on the can, a Kraft Velveeta Dinner that had a use by date of 2011. There were also dead roaches on the floor and roach "droppings" on the electrical junction boxes beside the food storage shelves. In the outside walk-in refrigerator, 4 half-gallon cartons of orange juice with a best used by date of 7-3-2012. In the outside walk-in freezer, there were two zip-loc packages of food product, not labeled or dated laying on top of the deli rolls. The dishwashing machine had a build-up of lime/calcium but was in good working order.

In interview with the Certified Dietary Manager (CDM) on 9-12-2012 at 11:00 AM, it was stated that she had just started with the hospital on 9-9-2012 and had not had the time to go through the whole kitchen and storerooms.