Failure to Provide 1:1 Feeding Assistance for Resident with Dysphagia and Impaired Cognition
Penalty
Summary
The facility failed to provide required 1:1 feeding assistance to a resident with multiple sclerosis, dysphagia, and impaired cognition, as documented in their medical record and diet order. On two separate occasions, the resident was observed eating lunch unassisted, despite a meal ticket and diet order specifying the need for 1:1 feeding assistance. The resident was noted to be leaning to one side with food on their gown during one observation. Interviews with the registered dietitian and DON confirmed that the resident requires 1:1 feeding assistance and is followed by speech therapy, with staff expected to assist those needing help after passing trays. Facility policy states that residents unable to perform activities of daily living should receive necessary services to maintain nutrition and hygiene.