Failure to Provide Milk with Meals as Indicated on Meal Slips and Menu
Penalty
Summary
The facility failed to provide drinks, specifically milk, with meals as indicated on residents' meal slips and the facility menu for multiple residents. On two consecutive days, twelve residents in the main dining room on Unit 2 did not receive milk with their lunch, despite it being listed on their meal slips and the menu. Residents confirmed that milk was not provided or offered, and this omission had occurred previously. The corporate registered dietician, present during one of the observations, confirmed the absence of milk and directed staff to provide it, noting that milk was available and should have been served according to the established meal plans. Additionally, a resident with multiple medical diagnoses, including diabetes and chronic kidney failure, was not provided milk as indicated on the meal ticket during two observed meals. The resident, who was cognitively intact, expressed concerns that meal items listed on the ticket were sometimes missing, specifically noting the absence of milk. Staff confirmed that milk should have been included and was available at the time. These findings were presented to facility leadership, and no further information was provided prior to the survey exit.