Failure to Serve Meals at Scheduled Times
Penalty
Summary
The facility failed to provide meals and snacks at times consistent with residents’ needs, preferences, and posted schedules. On the observed date, lunch was scheduled for 11:45 a.m., but meal service did not begin until after 12:30 p.m., with the last trays being served at 1:32 p.m. Observations showed that food was served late to all areas, including the dining room and all four halls. The DON was observed instructing staff to serve food without a menu item due to the delay, acknowledging the residents were waiting. Nine residents interviewed reported that meals were consistently late and had previously filed grievances about the issue. Staff interviews revealed a lack of policy regarding meal service timing, with both the DM and DOO stating they were unaware of specific requirements. The dietitian expected trays to be served within 45 minutes of the posted mealtime but noted that more education was needed for kitchen staff. Review of the facility’s grievance log showed multiple complaints throughout the year regarding late meal service and cold food, indicating an ongoing issue with timely meal delivery.