Lack of Full-Time Certified Dietary Manager in Food and Nutrition Services
Penalty
Summary
The facility failed to employ a full-time certified dietary manager (CDM) or certified food service manager (CFSM) to oversee the food and nutrition service, as required. During an initial kitchen tour, it was observed that only two staff members were present, and both confirmed that there was no dietary manager or supervisor on site. Staff reported working independently without direct supervision or guidance from a qualified manager. Interviews with the CDM and facility administration revealed inconsistencies regarding the CDM's presence and role. The CDM stated he was responsible for three buildings and had not been present at the facility for the previous week, as he was assisting at other locations. He acknowledged that he had not had time to train or work closely with the dietary staff at this facility. The administrator initially claimed the CDM was full-time and present for 40 hours the previous week but later admitted uncertainty about the CDM's actual schedule after being informed of conflicting information from the CDM. Review of the job description for the dietary manager confirmed that the position was intended to be full-time and responsible for managing the dining services program, including staff supervision, training, and compliance with federal and state requirements. However, the CDM's own account and staff interviews indicated that these responsibilities were not being fulfilled due to the CDM's absence and divided attention across multiple facilities. This lack of consistent, qualified oversight had the potential to affect all residents receiving food and nutrition services.