Failure to Provide Palatable Coffee to Residents
Penalty
Summary
The facility failed to provide palatable coffee to meet the needs and preferences of residents, as evidenced by observations, interviews, and record review. During a meal observation, the surveyor noted that the coffee served was bitter and did not taste good. Two residents reported that the coffee tasted bad, was too strong, and had been unsatisfactory for a couple of months. Both residents stated they had informed staff about their dissatisfaction with the coffee. The issue was also acknowledged by the Dietitian Consultant and the Dietary Manager, who were aware of resident complaints and noted that a new coffee machine had been installed within the past year, although the coffee brand remained unchanged. Record review showed no documentation of coffee-related grievances or discussion in resident council meetings over the past three months. Additionally, the facility did not have a policy addressing resident satisfaction with food or beverages. The deficiency was limited to the palatability of coffee, with no negative nutritional outcomes reported, but it resulted in residents being unable to enjoy their beverage of choice.