Failure to Provide Adequate Hydration and Nutrition
Penalty
Summary
The facility failed to ensure that residents maintained acceptable levels of hydration and nutrition. During a complaint survey, it was observed that four residents did not have fresh ice water at their bedside, despite the facility's stated practice of providing three ice water passes per day and two additional drink passes by activities staff. An observation conducted with the DON confirmed that these residents lacked ice water at their bedside during the afternoon, and the DON acknowledged that the residents should have had access to ice water at that time. Additionally, a review of records for a dependent resident revealed that documentation of feeding assistance was missing for numerous meals over a period of approximately two months. The resident, who required assistance with meals, experienced a significant weight loss of 26.2 pounds, equating to a 15.78% decrease in body weight over 53 days. The DON confirmed that the meals were not documented as dependent, despite the resident's need for assistance.