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J&D Produce Announces Precautionary, Voluntary Recall Of Fresh Greens

Contact:
J&D Produce
qa@littlebearproduce.com
956-381-9732 (Fax)
956-380-0353 (Phone)

FOR IMMEDIATE RELEASE – December 28, 2010 – Including packaging details; states affected; and clarifying product only packed on two dates (Nov. 30 and Dec. 6, 2010) is covered by tbis recall – Following confirmation from regulators of a positive test for salmonella on curly parsley in Quebec and cilantro in Detroit, J&D Produce Inc. is initiating a precautionary, voluntary recall of these two items and other potentially affected products packed only Nov. 30 and Dec. 6, 2010. There have been no reported illnesses.

Salmonella is an organism that can cause serious and sometimes fatal infections in young children, frail or elderly people, and others with weakened immune systems. Healthy people infected with salmonella often experience fever, diarrhea (which may be bloody), nausea, vomiting and abdominal pain. In rare circumstances, infection with salmonella can result in the organism getting into the bloodstream and producing more severe illnesses such as arterial infections (i.e., infected aneurysms), endocarditis and arthritis.

“It’s imperative to protect public health, even if that means being overzealous in expanding the scope of the products we’re calling back,” said James Bassetti, president of J&D Produce Inc. “We will work closely with regulators, health officials and our customers in bringing back the products.

To further ensure public health, additional produce commodities were recalled due to the possibility of cross contamination from having been run on the same packing lines as the curly parsley and cilantro. The Products Being Recalled, PLU/UPC Number, and Areas Where Distributed are listed below.

CURLY PARSLEY, PLU # 4899, Ontario, Washington. Massachusetts, Quebec, Pennsylvania, Michigan, Wisconsin, New Jersey, Missouri, Rhode Island, New York, Texas, Ohio, Connecticut

CILANTRO, PLU #4889, Ontario, Massachusetts, Washington, Quebec, New York, Illinois, Texas, Colorado, Michigan, New Jersey, Wisconsin, Pennsylvania, Ohio

ARUGULA. PlU #4884, Ontario, Rhode Island, Texas

BEETS, PLU # 4539, New York, Pennsylvania, Ohio, Ontario, Wisconsin, Quebec, Texas, Illinois, Rhode Island

PRECAUTIONARY, VOLUNTARY RECALL

COLLARDS, PLU # 4614, Ontario, Texas, Wisconsin, Quebec, Michigan, Ohio

CURLY MUSTARD, PLU # 4616, Quebec, Texas

DIAKON, does not contain PLU or UPC, Ontario, New York, Texas, Quebec

DILL, PLU # 4891, Ontario, Massachusetts, Quebec, New York, Pennsylvania, Illinois, Michigan, Ohio, Texas, New Jersey, Wisconsin

GOLDEN BEETS, PLU # 3273, Pennsylvania, New Jersey, Wisconsin, Texas

GREEN KOHLRABI, PLU # 4628, Ohio, Ontario, Pennsylvania, Quebec, Wisconsin

GREEN SWISS CHARD, PLU # 4586, Illinois, New Jersey, New York, Ontario, Pennsylvania, Quebec, Rhode Island, Texas

KALE, PLU # 4627, Ontario, Quebec, Texas, Wisconsin, Montreal, Michigan, Illinois, Rhode Island, New York, Ohio, Toronto

LEEK, PLU # 4629 Texas

METHlLEAF, UPC # 664781 10500 4, Ontario, Texas

MINT, PLU # 4896, New York, Pennsylvania, Illinois, Michigan

PARSLEY, PLU # 4901, Ontario, Washington, Quebec, New York, Pennsylvania, Illinois, Michigan, Missouri, Ohio, New Jersey, Connecticut

RAINBOW CHARD, UPC # 66478140610 1, Illinois, Connecticut

RED SWISS CHARD, PLU # 4587, Connecticut, New Jersey, New York, Ontario, Quebec, Rhode Island, Texas

TEXAS MUSTARD, PLU # 4618, Oklahoma, Texas

TURNIPS WITH TOPS, PLU #4810, Texas, Michigan

TURNIP TOPS, PLU # 4619, Texas

All commodities are packed in red, white, and blue waxed cartons under the Little Bear brand. The individual bunches are banded, except for Diakon, using a rubber band or a twist tie identified by a flag tag that shows a little bear with a cowboy hat, a red handkerchief and a Texas flag. See Exhibit 1 showing Little Bear flag tags and bands. All products were distributed through retail stores and wholesale terminal markets.

“We’re all seeing increased inspections by regulators and health officials here in the U.S. and Canada, and that’s positive because it helps further ensure public health,” Bassetti said. “We’ve already implemented immediate measures to make sure we minimize the likelihood of this re-occurring.” For example, upon learning of the test in Quebec, Bassetti ordered the shut down of all production lines; re-sanitized the production lines; increased manual inspections; and implemented additional product rinse steps. Bassetti said be has also brought in outside consultants to review and advise the company on additional microbiological sampling and its food safety protocols.

“We have a good track record, but we’ll bring our expectations and standards to even bigger levels,” he said.

The commodities have “pack dates’ of either Nov. 30,2010, or December 6, 2010 and from experience these types of greens are sold, purchased by the consumer and/or eaten within about fourteen days from “pack dates”; however, if any consumer has any of these items in his or her possession the commodity(s) should be destroyed or returned to the store where purchased for a full refund.

For additional information, contact J&D Produce by email at: qa@littlebearproduce.com ; or by fax: 956-381-9732; or by phone at 956-380-0353.

Source:  FDA.gov


Nursing Home Negligence

Falls in Nursing Homes

Litigators who work with cases involving long term care know how significant the issue of falls can be. Falls are the leading cause of injury and death by injury in adults over 65. Approximately half of the 1.6 million nursing home residents in the U.S. fall each year, and a report by the Office of the Inspector General found that about 10% of Medicare skilled nursing residents experience a fall resulting in significant injury; and, more than 1/3 of hospital falls result in injury. In the rehab setting, rates are often higher – for example, fall rates among stroke patients have been shown to be very high. Immobility and falls can lead to poor outcomes.

Fear of falling is defined as a geriatric syndrome. It not only occurs in older adults who have fallen, but in those with impaired mobility and is associated with decreased physical ability and depression. Care of older adults requires that clinicians be aware of the myriad of issues related to falls including knowledge of this syndrome, increased risk and interventions needed to prevent injury related to falls.

Just about every resident in a long term care setting, including assisted living and sub-acute rehab, is at risk for falling. Between medications, functional and medical issues and advancing age, older adults in most settings are prone to falling.

There are well established standards of care related to fall prevention; but, as I continue to review records related to issues like falls, I am amazed at how often these basic standards are not being practiced. The basics of a fall prevention program include assessment and ongoing reassessment of risk, ensuring a safe environment, medication review, providing therapy as needed, individualized interventions, and staff education.

Basic nursing practice includes assessment, planning (Care plan), putting interventions in place and then evaluating outcomes to determine if those interventions are appropriate and effective. Assessment includes completing fall risk assessments on admission and then as needed. Very often, the fall risk assessments completed by nurses in LTC are inaccurate. The tools utilized in long term care typically include these risk factors: history of falling, use of ambulatory aids, gait/balance issues, medications, secondary diagnoses (i.e. diabetes) and mental status. Care planning is the next step in nursing care - it is the standard of care that as the resident’s status changes, assessments and care plans must be updated, and often, are not. For example, with each fall, there should be updates, or if there is a new diagnosis, i.e. stroke, or worsening dementia, updated interventions should be put into place, with ongoing evaluation of effectiveness.

Care planning and interventions very often are generic and not individualized. For example, a toileting schedule that includes only after meals and before bedtime may not be appropriate. If a resident has issues with constipation or incontinence, this may lead to the need for more frequent toileting to prevent falls. The “make certain call bell is within reach” for residents with dementia is an example of a generic intervention. Older adults with dementia may not recognize a call bell or remember to use it. The debate about use of bed and chair alarms go on – they are a part of an individualized care plan, not a solution to preventing falls. Often, I see delays in putting interventions in place, i.e. with the resident who is incontinent NOT being put on a toileting plan immediately. The other common issue I see when reviewing records is the lack of updating care plans as the resident’s status changes – with every fall, with worsening dementia, physical decline, or new medical diagnosis (i.e. Parkinsonism).

Nurses reviewing records need to pay attention to the MDS, risk assessments, care plans and Interdisciplinary notes with attention to where the standard of care is not being met.
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