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F0800
D

Resident Meal Preferences Not Honored

Dayton, Ohio Survey Completed on 05-21-2025

Penalty

Fine: $61,335
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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

A deficiency occurred when a cognitively intact resident with multiple diagnoses, including a left humerus fracture, PTSD, depression, and glaucoma, did not receive her ordered meal. The resident had ordered a hot dog, mashed potatoes, and fruit for lunch, but instead received mashed potatoes, fruit, and a peanut butter sandwich. The resident confirmed that she often did not receive what was listed on the menu and would instead be given a peanut butter and jelly sandwich. Observation during lunch service confirmed the resident received a peanut butter sandwich instead of the hot dog she had ordered. The Director of Nutritional Services verified that the kitchen did not have hot dogs available and that staff did not discuss alternative menu options with the resident. Instead, staff assumed the resident would want a peanut butter sandwich without confirming her preference. Facility policy stated that residents' rights to make personal dietary choices would be supported, but this was not followed in this instance.

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