Failure to Serve Meals According to Scheduled Times Due to Staffing Issues
Penalty
Summary
The facility failed to serve meals in a timely manner according to its established dining schedule, as evidenced by observations, staff and resident interviews, and review of the facility's meal schedule. The posted dining times were breakfast at 8:00 AM, lunch at 12:00 PM, and dinner at 5:00 PM. However, multiple residents reported and were observed receiving their meals significantly later than scheduled. For example, one resident stated she often received her lunch as late as 2:30 PM, and another reported not receiving lunch until 1:30 PM. Observations confirmed that lunch trays were delivered to several residents between 1:25 PM and 1:29 PM, and a breakfast tray was delivered at 8:53 AM, all later than the scheduled times. Staff interviews revealed that the kitchen experienced high turnover and staffing issues, which contributed to delays in meal service. The Dining Services Manager acknowledged that the goal was to serve breakfast and lunch trays at 7:30 AM and 12:30 PM, respectively, but staffing challenges hindered timely delivery. The manager also reported receiving several grievances from residents regarding late meal service. The Administrator confirmed that the kitchen faced barriers such as performance issues, which affected the ability to serve meals on time.