Failure to Provide Physician-Ordered Adaptive Eating Devices
Penalty
No penalty information released
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 resident with physician orders for a no added salt, low concentrated sugar diet with pureed texture and honey thick liquid consistency, and specific aspiration precautions, was not provided with the required adaptive eating device. The resident's orders specified the use of a cup with a lid and no straws due to aspiration risk. During observation, a nurse aide set up the resident's lunch tray and provided a beverage with a straw, despite the tray ticket and physician orders indicating no straws should be used. The nurse aide only removed the straw and obtained the correct lidded cup after noticing the error. The Director of Nursing confirmed that the resident was not to use straws due to aspiration precautions.