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F0565
E

Failure to Post and Provide Dietary Menus to Residents

Excelsior, Minnesota Survey Completed on 06-16-2025

Penalty

No penalty information released
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The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

The facility failed to honor residents' rights to organize and participate in resident/family groups by not acting promptly or providing resolution for concerns related to the posting of dietary menus. Resident council meeting minutes from several months documented repeated complaints from residents that menus were not posted or provided, and that kitchen staff were unable to inform them of upcoming meals. Despite these concerns being raised multiple times and documented in both resident council and QAPI committee minutes, there was no evidence of consistent improvement or effective action taken to resolve the issue. Observations on-site confirmed that menus were not posted in resident areas as required by facility policy. Interviews with facility staff, including the activity director, dietary manager, and administrator, confirmed awareness of the ongoing issue but revealed a lack of follow-through and monitoring to ensure the deficiency was corrected. The dietary manager acknowledged not posting or distributing menus despite having them available, and the administrator was unable to provide documentation of audits or follow-up to verify resolution. The facility's own policy required menus to be written in advance and posted in at least two resident areas, but this was not being followed at the time of the survey.

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