Failure to Serve Meals According to Scheduled Times
Penalty
Summary
The facility failed to serve meals to residents according to the established meal schedule, resulting in late meal service for all 128 residents receiving oral diets. Observations showed that on 7/10/25, the last lunch tray was served at 1:13 PM on 1 South, despite the scheduled lunch period for that unit being between 12:25 and 12:35 PM. Facility documentation indicated that meals were to be served within specific timeframes for breakfast, lunch, and dinner, but resident interviews revealed that meals were often served late, with some residents reporting dinner being served as late as 7:00 PM. The Corporate Food Service Manager acknowledged recent awareness of these concerns, and resident council meeting minutes documented complaints about delays in food service by CNAs. One resident was noted to be NPO per physician orders, but the deficiency applied to all other residents on oral diets.