Emergency Food Supply Deficiency
Penalty
Summary
The facility failed to maintain subsistence needs for residents and staff as required by their Emergency Preparedness Plan. During an observation and interview, it was found that the emergency food supply was insufficient, with only one case of beef stew available instead of the required 3.2 cases, and no meat ravioli present, contrary to the facility's emergency menu requirements. The Food Service Director acknowledged the absence of meat ravioli, stating it was unavailable during the last order attempt and planned to substitute it with meat sauce and rice. However, there was no documentation to support that the missing items were unavailable from the vendor or that attempts were made to order them. This deficiency was identified during the Emergency Preparedness Plan review in conjunction with a Life Safety Code Survey.
Plan Of Correction
Plan of Correction: Approved February 10, 2025 The following corrective action(s) will be accomplished for those residents found to have been affected by the deficient practice: - Update emergency menu to available in house items for emergency preparedness. The facility will identify other residents having the potential to be affected by the same deficient practice and the following corrective action will be taken: - Audit Emergency food stock. The following measures will be put in place and/or systemic changes will be made to ensure that the deficient practice does not recur: - Emergency food stock education to dietary department. The corrective action(s) will be monitored to ensure the deficient practice will not recur: - Audit emergency food audit x1/day for 4 weeks, then 4/month for 3 months, 100%. The date for correction and the title of the person responsible for correction of each deficiency: - Date of Correction: 3/5/2025 - Person Responsible: Director of Food Services.