Unqualified Dietary Manager Performing Nutritional Assessments
Penalty
Summary
The facility failed to ensure that the dietary department was staffed with sufficient and properly trained personnel to fulfill the functions and duties of nutritional services. Specifically, the Kitchen Manager had not completed the Certified Dietary Manager (CDM) exam, despite being in the position for over a year. Although the Kitchen Manager had finished the required coursework, he had not yet scheduled or taken the certification exam and was performing resident nutritional assessments without this qualification. This deficiency was identified through interview and record review, and it was confirmed that the Kitchen Manager was responsible for key dietary functions without the necessary certification. The report references the FDA Food Code 2017, which requires that the person in charge demonstrate knowledge and proficiency through certification, highlighting that the facility did not meet these regulatory requirements for all 56 residents potentially affected.