Failure to Address Inadequate Meal Intake for Resident with Dementia and Dysphagia
Penalty
Summary
Resident 43, who was admitted with diagnoses including dementia and dysphagia, was found to have meal intake consistently below the established goal of 75-100% during a review of meal intake records for April 2025. The resident was assessed as having moderately impaired cognition and was dependent on staff for all activities of daily living. Despite these needs, the interdisciplinary care conference notes did not address the resident's inadequate meal intake, and the dietary assessment plan only indicated monitoring of intake without further intervention. Observations and interviews confirmed that the resident's meal intake remained below the desired goal for most meals, with only two exceptions during the reviewed period. The DON acknowledged that the majority of meal intakes did not meet the goal and that the issue was not addressed during the IDT meeting. The facility's policy required identification, implementation, monitoring, and modification of interventions to maintain nutritional status, but these steps were not documented or carried out for this resident.