Failure to Provide Timely and Suitable Breakfast to Resident
Penalty
Summary
A deficiency occurred when a resident with diagnoses including Type 2 Diabetes and Anemia did not receive breakfast as required. The resident, who was cognitively intact according to a recent BIMS assessment, had physician orders in place to monitor meal consumption and to receive a no added salt, large portion diet. On the morning in question, documentation on the Medication Administration Record for meal monitoring was left blank for breakfast and both snacks. The resident reported to the nursing supervisor that she did not receive her breakfast, and the supervisor confirmed this, noting that staff may have been confused by a dinner tray left on the resident's table from the previous night. Subsequently, staff brought the resident a cold cereal and milk meal around noon, which the resident refused, stating she did not want cereal for breakfast and that it was too late with lunch approaching. The failure to provide a timely and suitable breakfast, as well as the lack of proper documentation and response to the resident's dietary needs and preferences, led to the deficiency cited under state regulations regarding the responsibility of the licensee and facility management.