Lack of Qualified Dietitian and Food Service Deficiencies
Penalty
Summary
The facility failed to employ a qualified dietitian or other clinically qualified nutrition professional, either full-time, part-time, or on a consultant basis, for a period of approximately three weeks. Observations and interviews confirmed that there was no qualified nutrition professional present during food preparation, and staff, including the head of the department and the corporate registered dietitian, acknowledged the absence. The registered dietitian from a sister facility only visited a couple of times per week to assist, but this did not fulfill the requirement for a qualified nutrition professional to oversee the food and nutrition service. Additionally, the facility did not ensure that food was served at palatable temperatures, as residents attending council meetings reported that their food was cold. The facility also failed to consistently offer drinks, including water and other liquids, to residents in accordance with their needs and preferences to maintain hydration. Furthermore, bread products stored in the kitchen were not properly dated, labeled, or covered, creating a potential environment for food-borne illnesses.