Failure to Post Menus Two Weeks in Advance
Penalty
Summary
The facility failed to comply with the regulation requiring menus to be planned and posted at least two weeks in advance. During a tour of the facility, it was observed that the menus posted on the nursing units only included lunch and dinner meals for January 3 and 4, 2025, rather than the required two-week advance posting. In an interview, the Registered Dietician admitted that menus were neither given to residents nor posted two weeks in advance. The Nursing Home Administrator confirmed this deficiency, acknowledging that the facility did not meet the regulatory requirement for menu posting and distribution.
Plan Of Correction
Dietary Director was posting menus in a common area daily; the NHA re-educated the director on posting menus two weeks in advance. Dietary Director will distribute two weeks' worth of menus at least weekly to residents and have them posted as well. NHA/Designee will conduct audits to ensure two weeks' worth of menus are posted and available for residents. Audit will be conducted weekly at 4 weeks, then monthly x 2. All results will be reported to the QAPI Committee.