Failure to Provide Resident-Preferred Food and Beverages Due to Supply Shortages
Penalty
Summary
The facility failed to honor resident food and drink preferences by not providing requested and acceptable food and beverages to several residents. During the survey, it was observed that breakfast trays delivered to residents did not include hot beverages, specifically coffee, despite residents' preferences. Multiple residents reported not receiving coffee with their breakfast, and staff confirmed that there were not enough hot beverage cups available to serve all residents. Additionally, omelets served to residents were burned, and when a resident requested a replacement, staff stated that all omelets were burned and no new plate would be provided. One resident did not receive breakfast in a timely manner due to a broken bed, resulting in a cold meal, and another resident had their tray removed before finishing their prescribed dietary supplements. Further investigation revealed that the kitchen had a significant shortage of hot beverage cups, with only about 20 available for a census of 120 residents. Staff and dietary aides confirmed the lack of adequate supplies and that requests for additional cups had been made but not fulfilled. The administrator acknowledged the shortage and stated that an order had been placed, but no documentation was provided to verify this. These actions and inactions resulted in residents not receiving food and beverages according to their preferences and needs, as required by regulations.