Lack of Qualified Dietary Leadership
Penalty
Summary
The facility failed to employ a full-time qualified director of food and nutrition services in the absence of a full-time qualified dietitian. During an interview, the registered dietitian confirmed she was only employed at the facility three days a week and not on a full-time basis. At the same time, the dietary manager stated she did not possess certification as a dietary manager, food service manager, or any national certification for food service management and safety, nor did she hold a degree in food service management. Further confirmation from the Nursing Home Administrator established that the facility did not have a full-time qualified dietitian or a qualified director of food and nutrition services. The report does not mention any specific residents or their conditions in relation to this deficiency. The findings are based on staff interviews and direct confirmation from facility leadership.
Plan Of Correction
1. Facility is unable to retroactively correct past deficiency. 2. Employee #1 has been enrolled in the "ServeSafe for Managers" course. 3. Administrator will be educated on Qualified Dietary Staff Requirement. 4. Administrator/Designee will audit Employee #1's progress in "ServeSafe for Managers" course weekly x4 weeks to ensure timely completion. Results will be forwarded to QA committee. F 0801