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F0802
F

Insufficient Dietary Staffing Delays Breakfast Service

Lillington, North Carolina Survey Completed on 05-23-2025

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 provide sufficient dietary staff to serve breakfast on time for all seven halls on the morning of 5/22/2025. Breakfast was scheduled to be served between 7:00 AM and 8:00 AM, but observations showed that breakfast carts did not arrive on the halls until between 9:00 AM and 9:40 AM. The delay occurred because the scheduled cook did not report to work, and the facility had to call in a replacement from a sister facility, who arrived at 7:30 AM. The replacement cook was not regularly assigned to the dietary department and had to travel two hours to reach the facility, further contributing to the delay in meal preparation and service. Interviews with the Dietary Manager and Administrator confirmed that only three dietary staff were scheduled for the morning, and the absence of the cook led to the need for last-minute coverage. The Administrator also noted ongoing concerns with staff turnover and the need to re-educate new dietary staff, which has prevented consistent improvement in resident satisfaction with dietary services. No specific residents were identified as being directly affected in the report, but the deficiency impacted all resident halls scheduled for breakfast service.

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