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F0809
E

Delayed Meal Service Resulting in Undignified Dining Experience

Butler, Pennsylvania Survey Completed on 05-14-2025

Penalty

No penalty information released
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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 timely lunch meal service to residents across all five nursing units, resulting in an undignified dining experience. Facility policy required meals to be served in a timely manner, but review of the Meal Delivery Log showed a delay of approximately 50 minutes between the arrival of the first and second meal delivery carts. Observations confirmed that on the day in question, the first cart arrived at 11:50 am and the second at 1:26 pm, with the last resident receiving their meal at 1:47 pm, nearly two hours after the first trays were served. Multiple residents voiced concerns about consistently late meal delivery, and the Food Service Manager confirmed the failure to deliver trays in a timely manner.

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