Failure to Provide Drinking Water to Residents
Penalty
Summary
The facility failed to ensure that residents received drinking water consistent with their needs and preferences, resulting in three out of five observed residents not having water or beverages available to them. One resident with severe cognitive impairment and multiple diagnoses, including Alzheimer's disease and dysphasia, was observed in bed without water in reach. An LPN confirmed the absence of water and provided it only after the resident requested cold water. Another resident, admitted for surgical aftercare and with significant physical and cognitive impairments, was also found in bed without water accessible. A CNA verified the lack of water, found an empty cup across the room, and provided ice water only after the resident expressed a preference for it. The resident's assigned CNA stated that water is typically passed once a day unless requested. A third resident, with a complex medical history including cerebral infarction, COPD, diabetes, and legal blindness, was observed sitting in a recliner without water or fluids at bedside. The overbed table was dirty and cluttered with food remnants. A CNA confirmed the absence of water or fluids in reach after being prompted by the surveyor. The facility did not have an ice water policy in place at the time of the survey. These observations and staff interviews demonstrate a failure to provide adequate hydration opportunities for residents as required.