Ascension All Saints Hospital

Year by year

Inspections

1. Apr 20, 2026 Routine · 1 priority foundation, 1 core
   • Not serious Priority Foundation

     RTE/TCS FOOD - DATE MARKING METHODS

     Ready-to-eat and time/temperature control foods observed to be date marked for 8 days.

     Correction: Adjust method or procedures so that all ready-to-eat time/temperature control for safety food, if required, are provided with an approved method of date marking. Discard improperly date marked food or food that has past the 7 day shelf life.

     Code 3-501.17 (D)

   • Not serious Core

     FOOD LABELS - PROVIDED

     Packaged baked good observed to not be labeled.

     Correction: Packaged foods shall be labeled as required by law.

     Code 3-602.11 (A)

2. Apr 15, 2025 Routine · 1 priority, 2 priority foundation, 3 core
   • Serious Priority Corrected on site

     TCS FOOD - HOT HOLDING

     Cooked noodles in alto sham were hot held at 121°F.

     Correction: Maintain time/temperature control for safety food at or above 135°F. Discard unsafe food items. Action Taken: Noodles were reheated to 165°F.

     Code 3-501.16 (A) (1)

   • Not serious Priority Foundation Corrected on site

     THAWING

     A bag of guacamole was being improperly thawed in sink with no water.

     Correction: Adjust procedures or methods to properly thaw foods. Action Taken: The bag was placed in a cooler to continue proper thawing.

     Code 3-501.13 (A) - (D)

   • Not serious Priority Foundation

     FOOD CONTACT SURFACES - SOILED

     1. The underneath of the deli slicer was visibly soiled with food debris. 2. The knives in the knife holder on wall by the prep sinks were visibly soiled with food debris.

     Correction: Maintain food contact surfaces in a clean condition.

     Code 4-601.11 (A)

   • Not serious Core

     FOOD PROPERLY LABELED - STANDARDS OF IDENTITY

     Unlabeled bakery items were available for customers to take on the grab and go table in the cafeteria.

     Correction: Keep the unlabeled bakery items behind the service counter and them out to customers as prompted.

     Code 3-601.11

   • Not serious Core

     EQUIPMENT AND UTENSILS - CUTTING SURFACES

     The cutting board on the prep cooler in the cafeteria was observed to have excessive scratching and scoring.

     Correction: Resurface or discard cutting boards or blocks with excessive scratching or scoring.

     Code 4-501.12

   • Not serious Core

     CLEANING, FREQUENCY AND RESTRICTIONS

     The floor under the buffet line and the single service utensil counter in the buffet line was observed to be soiled with dust and debris.

     Correction: Clean the physical facilities at a frequency necessary to keep them clean.

     Code 6-501.12

3. Jan 16, 2024 Routine · 1 priority, 1 priority foundation, 9 core, 2 repeat
   • Serious Priority

     PLUMBING - BACKFLOW PREVENTION DEVICE - WHEN REQUIRED

     Plumbing system not provided with an air gap or backflow prevention at hose attachment at the mop sink.

     Correction: Provide air gap or backflow prevention device. Plumbing systems shall be provided with backflow prevention at each point of use in the food establishment.

     Code 5-203.14

   • Not serious Priority Foundation Repeat

     USING A HANDWASHING SINK - ACCESSIBLE AND MAINTAINED

     Handwashing sink at cafeteria line has a metal container in the sink and is unavailable for proper handwashing.

     Correction: Keep handwashing sink in working condition at all times to allow for frequent handwashing.

     Code 5-205.11 (A) and (C)

   • Not serious Core Corrected on site

     CERTIFIED FOOD MANAGER - POSTING OF CERTIFICATE

     There is no approved or current food protection manager’s certificate posted in the food establishment.

     Correction: Post current food protection manager certification in conspicuous view within the food establishment. Action Taken: Old CFPM was removed and replaced with current CFPM.

     Code 12-201.11 (B)

   • Not serious Core Corrected on site

     EQUIPMENT AND UTENSILS - WOOD, USE LIMITATION

     Two bamboo style wooden bowls observed on clean shelving racks and is not an approved food contact material. .

     Correction: Remove wood used for food contact surfaces unless otherwise approved for use. Action Taken: Bowls were removed by CFPM.

     Code 4-101.17

   • Not serious Core

     UTENSILS, EQUIPMENT AND SINGLE USE ARTICLES, LINENS - STORING PROHIBITIONS - CLEAN DRY LOCATION

     The basement warewashing 3 compartment sink sanitizer compartment is adjacent to the handwashing sink and does not have an appropriate size gap or barrier between to prevent splash and/or contamination.

     Correction: Clean equipment and utensils, laundered linens, single-use and single service articles shall be stored in a clean dry location, not exposed to contamination and off the floor.

     Code 4-903.11 (A)

   • Not serious Core Repeat

     PLUMBING - SYSTEM MAINTAINED IN GOOD REPAIR

     1. The two compartment prep sink is actively leaking when not in use is not maintained in good repair.

     Correction: The plumbing system shall be maintained in good repair. Repair or replace defective or leaking plumbing.

     Code 5-205.15 (B)

   • Not serious Core

     SURFACE CHARACTERISTICS - INDOOR AREAS

     1. The wall corner adjacent to handwashing sink near patient prep line has chipped or missing tiles.

     Correction: Repair area or replace with approved materials. Walls, floors and ceilings shall be smooth, durable and easily cleanable. If located in areas subject to moisture they shall also be non-absorbent.

     Code 6-101.11

   • Not serious Core

     WALL AND CEILING COVERINGS AND COATINGS

     The ceiling tiles at cafeteria food prep line and above the hood vent are acoustical tiles.

     Correction: Provide wall and ceiling coverings that are smooth, easily cleanable and nonabsorbent.

     Code 6-201.16

   • Not serious Core

     INSECTS AND RODENTS - OUTER OPENINGS - SOLID, SELF-CLOSING AND TIGHT FITTING DOORS

     The exterior dock door in the garbage/carboard collection room has a visible gap and is not self-closing or tight-fitting.

     Correction: Install new dock brush. Provide a self-closing and tight fitting door to prevent the entrance of insects or rodents.

     Code 6-202.15 (A) (3)

   • Not serious Core

     HANDWASHING SIGNAGE

     No handwashing signage provided at men's toliet room handwashing sink.

     Correction: Provide handwashing signage at all handwashing sinks used by food employees.

     Code 6-301.14

   • Not serious Core

     DRYING MOPS

     Observed a not in use mop to be stored in soiled water in basement warewashing area.

     Correction: Store mops to allow them to air dry without soiling walls, equipment and supplies.

     Code 6-501.16

4. May 30, 2023 Follow Up · No items found

   No violations cited.