Failure to Assist Dependent Residents During Meals
Penalty
Summary
The facility failed to provide necessary assistance during dining for two residents who were dependent on staff for their Activities of Daily Living (ADL). Resident #1, who was assessed as needing partial assistance with eating, was observed multiple times without staff assistance during meals. On several occasions, Resident #1's meal trays were left untouched or barely consumed, indicating a lack of support from staff. Despite the resident's need for help, staff were not present to assist with eating, resulting in the resident consuming only a small portion of their meals. Similarly, Resident #275, who also required partial assistance during meals, was not adequately supported. The resident's assessment indicated a need for observation and assistance to complete meals, yet the facility did not provide the necessary support. Interviews with staff confirmed that both residents required assistance during mealtimes, but the facility failed to ensure staff were available to help, leading to deficiencies in maintaining proper nutrition and hydration for these residents.
Plan Of Correction
F677 ADL CARE PROVIDED FOR DEPENDENT RESIDENTS 1. What corrective action(s) will be accomplished for those residents found to have been affected by the practice: 1) In the allegation of Resident #1, having multiple meals where trays were not set up for the resident to eat. The resident ate minimal at all the observed meals. Nursing staff will be in-serviced to ensure ADLs are followed for mealtimes for residents that need assistance, i.e. set up, assistance or encouragement with eating. 2) In the allegation of Resident #275, needing help and encouragement during meals. Nursing staff will be in-service to ensure ADLs are followed for mealtimes for residents that need assistance, i.e. set up, assistance or encouragement with eating. 2. How you will identify other residents having potential to be affected by the same practice and what corrective action will be taken: All residents in the facility have the potential to be affected by these practices. 3. What measures will be put into place or what systematic changes you will make to ensure that the practice does not recur: The measures put into place/systemic changes made to ensure the standards are met: - In-service will be conducted with nursing staff to ensure ADLs are followed for mealtimes for residents that need assistance, i.e. set up, assistance or encouragement with eating. - In-service will be conducted with nursing staff to ensure ADLs are followed for mealtimes for residents that need assistance, i.e. set up, assistance or encouragement with eating. Random QA audits will be conducted by the Director of Nursing or a qualified Designee, weekly for one month, then biweekly for another one month and then monthly for one month or until substantial compliance has been determined. 4. How the corrective action(s) will be monitored to ensure the practice will not recur, i.e., what quality assurance program will be put into place: Random QA audit will be conducted by the Director of Nursing or a qualified Designee, weekly for one month, then biweekly for another one month and then monthly for one month or until substantial compliance has been determined. Findings of the QA audits will be reported in the Monthly QAPI meeting by the Director of Nursing or a qualified Designee for a period of three months and until substantial compliance is met. Corrective action completion date: