Failure to Consistently Provide and Distribute Bedtime Snacks
Penalty
Summary
The facility failed to ensure that a substantial bedtime (HS) snack was consistently offered and appropriately distributed to residents, as required by federal regulations. During a Resident Council meeting, nine residents reported that HS snacks were not provided or were only available if residents went to the nurse's station themselves. This practice excluded residents who were unable to reach the nurse's station or advocate for themselves. One resident with diabetes reported never receiving an HS snack and was unaware that such snacks were available. The issue was raised during multiple Resident Council meetings, with concerns about snacks not being passed and lack of follow-up on these issues. A review of Resident Council meeting minutes from December to May revealed missing documentation for March and no evidence of follow-up or resolution of previously discussed concerns. The Administrator was unaware of the ongoing issues and had not attended council meetings or documented the postponement of the March meeting due to a COVID-19 outbreak. There was no indication that the facility addressed or resolved the concerns raised by residents regarding the distribution of HS snacks.