Failure to Provide Drinking Water Consistent with Resident Needs
Penalty
Summary
The facility failed to provide drinking water consistent with resident needs and preferences on the 8 North nursing unit. Observations revealed that multiple residents, including those with memory impairment and dementia, did not have access to drinking cups or beverages in their rooms. Some residents had only empty or outdated cups, and in several cases, no cups or beverages were present at all. Staff interviews confirmed that nurse aides relied on residents to request water, and did not routinely provide fresh water, particularly for those unable to verbalize their needs due to cognitive impairment. Additionally, staff were unaware that individuals with dementia may not recognize thirst or be able to request fluids. Further observations later in the day confirmed that water was still not made available to residents. The facility's policy required that residents be offered sufficient fluid intake to maintain hydration, but this was not followed. The deficiency was acknowledged by the Nursing Home Administrator, who confirmed the lack of available drinking water consistent with resident needs and preferences on the unit.