Failure to Consistently Offer Bedtime Snacks to Residents
Penalty
Summary
The facility failed to consistently offer bedtime snacks to residents, as evidenced by interviews and record reviews. During a confidential Resident Council meeting, nine out of ten residents reported that snacks were not offered at bedtime and expressed a desire for them. Residents stated that snacks were not provided every night, and when they were, the variety was limited, with most options being peanut butter sandwiches. Several residents agreed that the previous kitchen staff were more consistent in offering snacks. Resident Council meeting minutes from previous months also documented ongoing concerns about not receiving snacks at night. An interview with a dietary cook revealed that dietary staff deliver a tray of snacks to each unit daily, typically around dinner time, and that nursing staff are responsible for offering these snacks to residents at night. The cook noted that sometimes the snack trays are returned with most items untouched, suggesting that snacks may not have been offered. Facility policy requires that residents be offered and served a nourishing snack at bedtime daily, with dietary staff delivering snacks to the nurses' stations and nursing staff responsible for serving them to residents.
Plan Of Correction
F809 - Frequency of Meals/Snacks at Bedtime Element #1: The Administrator attended Resident Council on 06.04.2025 to discuss the plan for HS Snack delivery, and Food Committee was held with residents immediately afterward. Element #2: The Dietary Manager will conduct a full-house audit to ensure that all residents are offered an HS snack whether based on physician order or resident preference. Element #3: The Administrator reviewed the policy on Offering / Serving Bedtime Snacks, and revised as necessary. Community staff will be provided re-education on the policy and procedure. Element #4: The Dining Services Manager and/or designee will audit the delivery and documentation of snacks on night shift three times per week for 12 weeks. Results of the audits will be brought to the QAPI Committee monthly for review. Any changes to the auditing process will be determined by the QAPI Committee. The Administrator is responsible to attain and maintain compliance. Compliance Date: 6/20/2025