Failure to Serve Food at Palatable and Safe Temperatures
Penalty
Summary
The facility failed to ensure that food was served at palatable and safe temperatures for multiple residents. Observations, interviews, and record reviews revealed that several cognitively intact residents reported receiving food that was cold or not at an appropriate temperature. Specific examples included residents stating that their meals, such as eggs and sandwiches, were served cold, and that the quality of meals was inconsistent. Resident council meeting minutes and interviews further confirmed that concerns about food temperature were widespread among residents. During a test tray observation, the Regional Culinary Manager measured food temperatures and found that a tenderloin sandwich was below the proper holding temperature, while pears were above the proper holding temperature. Residents had filed grievances regarding the food temperature, but reported that the issue persisted. The deficiency was identified for several residents with various medical conditions, including cellulitis, liver transplant, major depressive disorder, acute respiratory failure, diabetes mellitus, and stroke, all of whom were cognitively intact and able to communicate their concerns.