Failure to Employ Qualified Registered Dietitian
Penalty
Summary
The facility failed to employ a qualified registered dietitian as required by regulations. Review of the dietitian's job description outlined responsibilities such as assessing nutritional needs, developing individualized nutrition care plans, conducting nutrition-focused physical exams, and collaborating with the interdisciplinary team. However, the individual serving as the registered dietitian had not completed the mandatory LDN licensure exam and was working under the direct supervision of a regional dietitian. Interviews with facility staff confirmed that the dietitian had not obtained the required licensure. Further review of resident records showed that the unlicensed dietitian was the only staff member documenting and reviewing clinical notes related to significant weight loss for a resident. There was no evidence that a licensed dietitian reviewed or consulted on any clinical documents, nor was there a cosignature or indication of oversight by the regional dietitian. This lack of qualified oversight and documentation directly contributed to the deficiency cited.