Failure to Address Resident Grievances Regarding Meal Presentation
Penalty
Summary
The facility failed to promptly respond to grievances raised by residents during resident council meetings regarding the issue of soggy bread and food items when wet foods were served on the same plate. Five residents reported that when meals included wet items such as corn, their bread would become soggy and unappetizing, and they had communicated this concern to staff multiple times without resolution. Review of resident council meeting minutes over several months showed repeated requests for separate dishware or bowls for liquid foods, but the issue persisted. Direct observation of a meal confirmed that wet food was served on a flat plate, resulting in a soggy hamburger bun and onion rings. The Dietary Manager was interviewed and stated he was not aware of the residents' concerns about soggy food.