LEARNING OUTCOME: To identify the level of food safety education and use of Hazard Analysis Critical Control Point (HACCP) practices of foodservice directors and employees at long-term care facilities. The Food and Drug Administration (FDA) estimates that between 6.5 to 33 million people in the U.S. become ill each year as a result of foodborne illness and that 9,000 die. The elderly in long-term care facilities are considered at high risk for foodborne disease. HACCP has been advocated as a system designed to reduce risk of outbreaks of foodborne illness. Purpose of the study was to determine level of food safety education and knowledge and application of HACCP among nursing home foodservice employees and directors. A mail survey was conducted using a random sample of 50 licensed nursing home facilities from a 19 county region of north Texas. Completed forms were received from 152 employees and 17 directors from 17 facilities. Results showed that the majority of the directors and supervisors had completed a 16-hour certificaiton course on food safety. However, the majority of foodservice employees were required to have only a food handler's card requiring 1-2 hours of training. Twelve of the directors indicated knowledge of HACCP, but only nine used any of the HACCP steps at their facility. The most often used HACCP step was to identify critical control points in food production and service. Results indicate that there is a need for increased education of foodservice employees and application of HACCP principles at long-term care facilities.
Read full abstract