Failure to Provide Ordered Thickened Liquids
Penalty
39 days payment denial
The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.
Summary
The facility failed to provide thickened liquids as ordered for a resident with multiple diagnoses, including dementia, cerebral infarction, and Alzheimer's disease. The resident was admitted with a physician's order for a regular, mechanical soft texture diet with nectar consistency liquids. During a breakfast observation, an agency CNA provided the resident with two glasses of thin consistency apple juice, despite the meal ticket being highlighted for nectar thick liquids. Another CNA confirmed the resident required thickened liquids and removed the drinks, but the resident had already consumed most of one glass. The deficiency was identified through observation, medical record review, and staff interviews.