Failure to Consistently Provide Evening Snacks to Residents
Penalty
Summary
The facility failed to consistently provide evening snacks to residents who requested them, as observed and confirmed through resident and staff interviews. Six cognitively intact residents, some with diagnoses including type 2 diabetes and malnutrition, reported that evening snacks were either rarely offered or not available at all, particularly during evening shifts and weekends. Residents stated that when they requested snacks, staff often informed them that the nourishment rooms were empty or that they did not have access to additional snacks from the kitchen after hours. Staff interviews corroborated these accounts, with nursing assistants indicating that nourishment rooms were frequently unstocked during evening and weekend shifts, and that dietary staff were responsible for restocking but did not always do so. Nursing staff also reported not having access to the kitchen after hours to obtain snacks for residents. The dietary manager was unaware of the issue and had not been informed that nourishment rooms were not being stocked as required during all shifts. Observations confirmed that nourishment rooms were stocked at least once, but this was not done consistently, and the dietary manager only became aware of the deficiency after being interviewed. The administrator expected snacks to always be available and was not aware of the ongoing issue. Despite an adequate supply of snacks being ordered, the process for ensuring their consistent availability to residents was not followed, resulting in residents not receiving evening snacks upon request.