Failure to Provide Adequate Dietary Oversight Results in Meal Service Deficiencies
Penalty
Summary
The facility failed to provide sufficient support personnel in the food and nutrition service, specifically by not having a Dietary Manager available to oversee daily operations. As a result, residents did not consistently receive meals according to their preferences, requests, or the facility's menu. Multiple residents reported not receiving requested meal substitutions, such as cheeseburgers or salads, and instead were served items not matching their preferences or the posted menu. Residents also reported that food was often served lukewarm or cold, and some meal components, such as milk for cereal or yogurt, were missing due to inventory issues. Observations revealed that meal trays were sometimes left uncovered or covered only with plastic wrap, and not all trays had meal tickets, particularly for newly admitted residents. Staff reported challenges in maintaining inventory, preparing meal tickets, and ensuring timely and accurate meal service in the absence of a Dietary Manager. The lack of oversight led to inconsistencies in meal preparation, serving times, and food temperatures. Additionally, dry food storage practices were not consistently sanitary, with scoops left inside or on top of bulk bins and bin lids left open, contrary to facility policy. Interviews with dietary staff and the Dietary Regional Consultant confirmed that the absence of a Dietary Manager resulted in increased workload, overlooked tasks, and difficulty maintaining proper kitchen operations. Staff expressed being overwhelmed and unable to keep up with inventory, cleaning, and ensuring all supplies were available. The facility's own policies and job descriptions for the Dietary Manager outlined responsibilities that were not being met, including ensuring food quality, safety, proper storage, and compliance with resident preferences and dietary needs.