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State Garden, Inc. Announces Voluntary Recall Of Certain Salad Mixes Due To Possible Health Risk

FOR IMMEDIATE RELEASE –  State Garden, Chelsea, MA – is conducting a voluntary recall of all Salad products produced in our plant on January 4, 2011 which correspond to trace back codes 45693 and 45703 due to a risk of contamination with Listeria monocytogenes. Listeria monocytogenes is an organism that can cause serious and sometimes fatal infections in young children, frail or elderly people, and others with weakened immune systems. Although healthy persons may suffer only short-term symptoms such as high fever, severe headaches, stiffness, nausea, abdominal pain and diarrhea, Listeria infections can cause miscarriages and stillbirths in pregnant women.

Please know that NO Listeria illnesses have been linked to any State Garden product.

Salad Products and Blends under this recall were distributed to retail stores on the East Coast under various sizes and packaged under the brand names: Gold Quality, Hannaford, Natures Place, Natures Promise, Roche Bros, Northeast Fresh, Noreast Fresh, Olivia’s Organics, Signature, Wegmans. See attached list for the specific salad product, size, package type and UPC codes.

Download Recall List

LABEL LABEL DESCRIPTION SIZE PACKAGE TYPE RETAIL OUTLET UPC CODE

  • GOLD QUALITY BABY ARUGULA 7 OUNCE CLAMSHELL AP 7 54807 76061 1
  • GOLD QUALITY BABY ROMAINE 7 OUNCE CLAMSHELL AP 7 54807 76062 8
  • GOLD QUALITY BABY SPINACH 7 OUNCE CLAMSHELL AP 7 54807 76063 5
  • GOLD QUALITY SPRING MIX 7 OUNCE CLAMSHELL AP 7 54807 76064 2
  • GOLD QUALITY SWEET BABY LETTUCE 7 OUNCE CLAMSHELL AP 7 54807 76068 0
  • GOLD QUALITY 50/50 SALAD MIX 7 OUNCE CLAMSHELL AP 7 54807 76069 7
  • GOLD QUALITY MICROWAVEABLE SPINACH 9 OUNCE BAG AP 7 54807 76067 3
  • HANNAFORD/SWEETBAY BABY ROMAINE 5 OUNCE CLAMSHELL HANNAFORD/SWEETBAY 0 41268 16618 3
  • HANNAFORD/SWEETBAY SPRING MIX 5 OUNCE CLAMSHELL HANNAFORD/SWEETBAY 0 41268 16619 0
  • HANNAFORD/SWEETBAY BABY SPINACH 5 OUNCE CLAMSHELL HANNAFORD/SWEETBAY 0 41268 16620 6
  • HANNAFORD/SWEETBAY ORGANIC SPRING MIX 5 OUNCE CLAMSHELL HANNAFORD/SWEETBAY 7 25439 94149 5
  • NATURE’S PLACE ORGANIC BABY ARUGULA 5 OUNCE CLAMSHELL HANNAFORD/SWEETBAY 7 25439 94145 7
  • NATURE’S PLACE ORGANIC HERB SALAD 5 OUNCE CLAMSHELL HANNAFORD/SWEETBAY 7 25439 94146 4
  • NATURE’S PLACE ORGANIC BABY SPINACH 5 OUNCE CLAMSHELL HANNAFORD/SWEETBAY 7 25439 94148 8
  • NATURE’S PLACE BABY SPINACH & SPRING MIX 5 OUNCE CLAMSHELL HANNAFORD/SWEETBAY 7 25439 95158 6
  • NATURE’S PLACE ORGANIC BABY SPINACH & SPRING MIX 5 OUNCE CLAMSHELL HANNAFORD/SWEETBAY 7 25439 95158 6
  • NATURE’S PROMISE ORGANIC CAESAR SALAD KIT 10.75 OUNCE CLAMSHELL STOP & SHOP/GIANT 6 88267 12357 3
  • NATURE’S PROMISE ORGANIC BABY SPINACH 16 OUNCE CLAMSHELL STOP & SHOP/GIANT 6 88267 08895 7
  • NATURE’S PROMISE ORGANIC SPRING MIX 16 OUNCE CLAMSHELL STOP & SHOP/GIANT 6 88267 08896 4
  • NATURE’S PROMISE ORGANIC BABY ROMAINE 16 OUNCE CLAMSHELL STOP & SHOP/GIANT 6 88267 09615 0
  • NATURE’S PROMISE ORGANIC SPRING MIX WITH BALSAMIC VINAIGRETTE DRESSING AND FORK 3 OUNCE CLAMSHELL STOP & SHOP/GIANT 6 88267 12354 2
  • NATURE’S PROMISE BABY SPINACH WITH RANCH DRESSING AND FORK 3.5 OUNCE CLAMSHELL STOP & SHOP/GIANT 6 88267 12355 9
  • NATURE’S PROMISE ORGANIC CAESAR SALAD WITH CAESAR SUPREME DRESSING AND FORK 5.5 OUNCE CLAMSHELL STOP & SHOP/GIANT 6 88267 12356 6
  • NATURE’S PROMISE ORGANIC BABY SPINACH 7 OUNCE CLAMSHELL STOP & SHOP/GIANT 6 88267 03906 5
  • NATURE’S PROMISE ORGANIC BABY ROMAINE 7 OUNCE CLAMSHELL STOP & SHOP/GIANT 6 88267 03907 2
  • NATURE’S PROMISE ORGANIC BABY ROMAINE 7 OUNCE CLAMSHELL STOP & SHOP/GIANT 6 88267 03907 2
  • NATURE’S PROMISE ORGANIC SPRING MIX 7 OUNCE CLAMSHELL STOP & SHOP/GIANT 6 88267 03908 9
  • NATURE’S PROMISE ORGANIC BABY ARUGULA 7 OUNCE CLAMSHELL STOP & SHOP/GIANT 6 88267 04943 9
  • NATURE’S PROMISE ORGANIC SWEET BABY LETTUCE 7 OUNCE CLAMSHELL STOP & SHOP/GIANT 6 88267 08640 3
  • NATURE’S PROMISE ORGANIC BABY SPINACH & SPRING MIX 7 OUNCE CLAMSHELL STOP & SHOP/GIANT 6 88267 08641 0
  • NATURE’S PROMISE ORGANIC TANGY SPINACH 7 OUNCE CLAMSHELL STOP & SHOP/GIANT 6 88267 08642 7
  • NATURE’S PROMISE ORGANIC SPRING MIX WITH HERBS 7 OUNCE CLAMSHELL STOP & SHOP/GIANT 6 88267 10423 7
  • NOREAST MICROWAVE ORGANIC SPINACH 9 OUNCE BAG VARIOUS 7 89707 00230 1
  • NORTHEAST FRESH SPINACH 10 POUNDS CLAMSHELL VARIOUS 7 89707 00181 6
  • NORTHEAST FRESH SPINACH BULK 10 LBS 10 POUNDS BAG WHOLESALE/FOODSERVICE N/A
  • NORTHEAST FRESH SPRING MIX 16 OUNCE BAG VARIOUS 7 89707 00155 7
  • NORTHEAST FRESH BABY SPINACH 24 OUNCE BAG VARIOUS 7 89707 65211 7
  • NORTHEAST FRESH BABY ARUGULA 1X3# NE 3 POUND BAG WHOLESALE/FOODSERVICE N/A
  • NORTHEAST FRESH BABY SPINACH 1X4LB NE 4 POUND BAG WHOLESALE/FOODSERVICE N/A
  • NORTHEAST FRESH BABY SPINACH 1X4LB NE 4 POUND BAG WHOLESALE/FOODSERVICE N/A
  • NORTHEAST FRESH SPRING MIX 7 OUNCE CLAMSHELL VARIOUS 7 89707 00151 9
  • NORTHEAST FRESH BABY ROMAINE 7 OUNCE CLAMSHELL VARIOUS 7 89707 00157 1
  • NORTHEAST FRESH SWEET BABY LETTUCE 7 OUNCE CLAMSHELL VARIOUS 7 89707 00158 8
  • NORTHEAST FRESH BABY SPINACH 7 OUNCE CLAMSHELL VARIOUS 7 89707 00159 5
  • NORTHEAST FRESH BABY SPINACH 7 OUNCE CLAMSHELL VARIOUS 7 89707 00159 5
  • NORTHEAST FRESH 50/50 BLEND BABY SPINACH/SPRING MIX 7 OUNCE CLAMSHELL VARIOUS 7 89707 00161 8
  • OLIVIA’S ORGANICS ORGANIC CAESAR SALAD WITH CAESAR SUPREME DRESSING AND CROUTONS 10.75 OUNCE CLAMSHELL VARIOUS 7 89707 72104 2
  • OLIVIA’S ORGANICS ORGANIC SPRING MIX 11 OUNCE CLAMSHELL VARIOUS 0 89707 72021 3
  • OLIVIA’S ORGANICS ORGANIC BABY SPINACH 11 OUNCE CLAMSHELL VARIOUS 0 89707 72022 0
  • OLIVIA’S ORGANICS ORGANIC BABY ROMAINE 11 OUNCE CLAMSHELL VARIOUS 0 89707 72023 7
  • OLIVIA’S ORGANICS ORGANIC 50/50 BLEND BABY SPINACH/SPRING MIX 11 OUNCE CLAMSHELL VARIOUS 7 89707 72025 0
  • OLIVIA’S ORGANICS ORGANIC SPRING MIX 16 OUNCE CLAMSHELL VARIOUS 0 89707 72011 4
  • OLIVIA’S ORGANICS ORGANIC BABY SPINACH 16 OUNCE CLAMSHELL VARIOUS 0 89707 72012 1
  • OLIVIA’S ORGANICS ORGANIC BABY ROMAINE 16 OUNCE CLAMSHELL VARIOUS 0 89707 72014 5
  • OLIVIA’S ORGANICS ORGANIC BABY ROMAINE 16 OUNCE CLAMSHELL VARIOUS 0 89707 72014 5
  • OLIVIA’S ORGANICS SPRING MIX WITH BALSAMIC VINAIGRETTE DRESSING AND FORK 3 OUNCE CLAMSHELL VARIOUS 7 89707 72101 1
  • OLIVIA’S ORGANICS ORGANIC MXDGRNS 1X3LB 3 POUND WHOLESALE/FOODSERVICE WHOLESALE/FOODSERVICE N/A
  • OLIVIA’S ORGANICS BABY SPINACH WITH RANCH DRESSING AND FORK 3.5 OUNCE VARIOUS VARIOUS 7 89707 72102 8
  • OLIVIA’S ORGANICS ORGANIC BABY SPINACH 4 POUND WHOLESALE/FOODSERVICE WHOLESALE/FOODSERVICE N/A
  • OLIVIA’S ORGANICS ORGANIC SPRING MIX 5 OUNCE VARIOUS VARIOUS 0 89707 72001 5
  • OLIVIA’S ORGANICS ORGANIC BABY SPINACH 5 OUNCE VARIOUS VARIOUS 0 89707 72002 2
  • OLIVIA’S ORGANICS ORGANIC HERB SALAD 5 OUNCE VARIOUS VARIOUS 0 89707 72003 9
  • OLIVIA’S ORGANICS ORGANIC BABY ROMAINE 5 OUNCE VARIOUS VARIOUS 0 89707 72004 6
  • OLIVIA’S ORGANICS ORGANIC BABY ROMAINE 5 OUNCE VARIOUS VARIOUS 0 89707 72004 6
  • OLIVIA’S ORGANICS BABY ARUGULA 5 OUNCE VARIOUS VARIOUS 0 89707 72005 3
  • OLIVIA’S ORGANICS 50/50 BLEND BABY SPINACH/SPRING MIX 5 OUNCE VARIOUS VARIOUS 0 89707 72009 1
  • OLIVIA’S ORGANICS ORGANIC CAESAR SALAD WITH CAESAR SUPREME DRESSING AND FORK 5.5 OUNCE VARIOUS VARIOUS 7 89707 72103 5
  • OLIVIA’S ORGANICS CRISPY HEARTS OF ROMAINE CRUNCH 6 OUNCE VARIOUS VARIOUS 0 89707 72045 9
  • ROCHE BROS BABY ARUGULA 7 OUNCE ROCHE BROS ROCHE BROS 0 39639 96001 0
  • ROCHE BROS BABY ROMAINE 7 OUNCE ROCHE BROS ROCHE BROS 0 39639 96002 7
  • ROCHE BROS BABY SPINACH 7 OUNCE ROCHE BROS ROCHE BROS 0 39639 96003 4
  • ROCHE BROS SPRING MIX 7 OUNCE ROCHE BROS ROCHE BROS 0 39639 96004 1
  • ROCHE BROS SWEET BABY LETTUCE 7 OUNCE ROCHE BROS ROCHE BROS 0 39639 96005 8
  • ROCHE BROS 50/50 BLEND BABY SPINACH/SPRING MIX 7 OUNCE ROCHE BROS ROCHE BROS 0 39639 96006 5
  • SIGNATURE BABY ROMAINE 7 OUNCE SHAW’S SHAW’S 0 45674 01054 2
  • SIGNATURE BABY SPINACH 7 OUNCE SHAW’S SHAW’S 0 45674 01055 9
  • SIGNATURE SPRING MIX 7 OUNCE SHAW’S SHAW’S 0 45674 01056 6
  • SIGNATURE TANGY SPINACH BLEND 7 OUNCE SHAW’S SHAW’S 0 45674 51710 2
  • SIGNATURE SWEET BABY LETTUCE 7 OUNCE SHAW’S SHAW’S 0 45674 52809 2
  • SIGNATURE 50/50 BLEND BABY SPINACH/SPRING MIX 7 OUNCE SHAW’S SHAW’S 0 45674 52810 8
  • WEGMANS SPINACH 10 OUNCE WEGMANS WEGMANS 0 77890 92641 3
  • WEGMANS ORGANIC SPINACH & FIELD MIX 11 OUNCE WEGMANS WEGMANS 0 77890 16411 2
  • WEGMANS SPINACH & FIELD MIX 11 OUNCE WEGMANS WEGMANS 0 77890 16411 2
  • WEGMANS ORGANIC BABY SPINACH 11 OUNCE WEGMANS WEGMANS 0 77890 74084 2
  • WEGMANS ORGANIC SPRING MIX 16 OUNCE WEGMANS WEGMANS 0 77890 73787 3
  • WEGMANS ORGANIC ASIAN SALAD 5 OUNCE WEGMANS WEGMANS 0 77890 12212 9
  • WEGMANS ORGANIC SWEET BABY LETTUCE 5 OUNCE WEGMANS WEGMANS 0 77890 12214 3
  • WEGMANS FRESH BABY SPINACH 5 OUNCE WEGMANS WEGMANS 0 77890 12456 7
  • WEGMANS FRESH BABY ROMAINE 5 OUNCE WEGMANS WEGMANS 0 77890 13275 3
  • WEGMANS ORGANIC SPINACH & FIELD MIX 5 OUNCE WEGMANS WEGMANS 0 77890 16437 2
  • WEGMANS ORGANIC SPINACH, ARUGULA & RADICCHIO BLEND 5 OUNCE WEGMANS WEGMANS 0 77890 16438 9
  • WEGMANS ORGANIC BABY SPINACH 5 OUNCE WEGMANS WEGMANS 0 77890 34959 5
  • WEGMANS ORGANIC SPRING MIX 5 OUNCE WEGMANS WEGMANS 0 77890 34965 6
  • WEGMANS ORGANIC BABY ROMAINE 5 OUNCE WEGMANS WEGMANS 0 77890 34968 7
  • WEGMANS ORGANIC BABY ARUGULA 5 OUNCE WEGMANS WEGMANS 0 77890 34977 9
  • WEGMANS FRESH SPRING MIX 5 OUNCE WEGMANS WEGMANS 0 77890 66863 4
  • WEGMANS ORGANIC SPRING MIX WITH HERBS 5 OUNCE WEGMANS WEGMANS 0 77890 94442 4

The trace back code numbers (45693 and 45703) are typically located in the upper right hand corner of labels and bags. The “best if used by” date will be no later than January 15, 2011 for either trace back code. These are the only trace back codes affected. A complete list of all items subject to recall is attached to this announcement.

We were notified by the Rhode Island Department of Health that a sample of Northeast Spring Mix Salad at a retail store in Rhode Island tested positive for Listeria monocytogenes.

Consumers who have purchased this product should not consume it and return it to the place of purchase for a full refund. Consumers with questions can contact the company at 1-888-841-6191 Monday through Friday from 8:00 am to 4:30 pm (EST)

We are taking this action as a precautionary measure and are working with the FDA and Massachusetts Department of Health.

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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