Failure to Assist Resident with Dignified Dining
Penalty
Summary
The facility failed to provide assistance with dining in a manner that promoted dignity for a resident with dysphagia, dementia, and a need for assistance with personal care. The resident, who had neurological deficiencies and a history of weight loss, was observed during lunch with more than 75% of the meal uneaten. The resident was sitting at a table with food on her sweater and was seen biting at and licking the food on her sweater instead of using utensils or eating from her tray. The resident continued to chew and suck on her sweater for the entire observation period without being redirected by staff.
Plan Of Correction
Resident 5 was offered assistance with the remaining portion of her meal but declined. Her sweater was properly cleaned. An audit of current residents was conducted to ensure residents were provided with proper assistance during meals. DON or designee will educate nursing staff on the components of this regulation, with emphasis on ensuring residents are assist/redirected as needed during meals. DON or designee will conduct audits at meal times to ensure residents are offered assistance/redirected as needed during meals. Audit will be conducted 2x a week x 4 weeks then, 1x a week x 4 weeks then, 2x a month x 2 months then, 1x a month x 2 months. The findings of these quality monitoring's to be reported to the Quality Assurance/Performance Improvement Committee until monthly and/or until substantial compliance is met. Quality Monitoring schedule modified based on findings during QAPI.