Failure to Provide Sufficient Fluids to Maintain Hydration
Penalty
Summary
Surveyors observed that several residents did not have access to fresh water or fluids at their bedside during a walkthrough. Specifically, residents in multiple rooms either had empty water cups, only a small amount of warm water, or no water at all. One resident was seen finishing a meal without any drink provided, and staff confirmed that the resident had no drink with the meal. Another resident requested ice and stated that fresh water or ice had not been provided since the previous night, with her cup remaining empty. Additional residents also reported infrequent water delivery, indicating they often had to wait until meal times for fluids. Staff interviews revealed inconsistencies in the routine for passing water and ice. A nurse aide stated that water and ice are usually passed every shift, with meals, and as needed, but admitted she had not had time to do so on the day of the survey. The administrator and another nurse aide confirmed that residents needed fresh water and/or ice at the time of the observation. These findings demonstrate a failure to consistently offer sufficient fluid intake to maintain proper hydration and health for residents.