If I were in your situation I would point out the location of the gloves to the people touching the food and ask them to wear them. Explain your infection control concerns. If they did not wear them I would tell my manager again. Then, I would drop it and look for another job if I could not tolerate the situation. There is only so much you can do in the situation and after awhile you will just make yourself crazy by focusing on the problem.

I might add though, I have called the regulatory agency for my facility and annonymously reported some infractions. Things changed and there was no repercussions because nobody knew who called. I don't know what your options are but I could call the county health department, the state department of health and/or JCAHO if you are accredited. If you are willing to put your job on the line you can tell your manager that you will talk to the administrator of the nursing home if he does not correct the problem.

There are many situations in life that you know are not correct, healthy or fair. As many people have told me, you have to pick you battles in life. Ask yourself if this is a battle you want to fight. I often think about how poorly food was handles in the years gone by. Mass outbreaks of food related illnesses were not common. Many people mishandled their food at home and did not get sick. Many people still mishandle their food at home and do not get sick. Even though the food handling at your facility is not the best, people are not getting sick. It is a risk, not a fact. Is it worth getting so upset and jeopardizing your job over?