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F0809
E

Delayed Meal Service for Residents Receiving Room Trays

Dwight, Illinois Survey Completed on 04-18-2025

Penalty

No penalty information released
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The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

The facility failed to provide meal service to residents in accordance with the posted meal times, affecting six residents who received meal trays in their rooms. Observations and interviews revealed that these residents consistently received their meals significantly later than the scheduled times, with breakfast trays arriving around 9:00 AM instead of 7:30 AM, lunch around 1:00 PM instead of 11:30 AM, and supper around 6:00 PM instead of 4:30 PM. Residents reported that this delay was a routine occurrence, and staff confirmed that meal trays for residents eating in their rooms were often served late due to insufficient kitchen staffing. The Dietary Manager explained that the kitchen prioritized serving residents in the dining room before preparing and delivering trays to those eating in their rooms, resulting in further delays. The posted meal service times were clearly displayed throughout the facility, but the actual delivery of meals to residents in their rooms did not align with these times. Staff interviews confirmed that the process for identifying and serving residents who required room trays contributed to the late meal service.

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