Inconsistent Meal Service Times
Penalty
Summary
The facility failed to serve meals at consistent times in accordance with residents' needs, preferences, and posted schedules. Record review showed that dinner service on the Memory Care unit was scheduled to begin at 5:00 PM, but observation revealed that residents became agitated and restless as dinner was not served until 5:21 PM, twenty-one minutes after the posted time. An interview with a Nurse Aide confirmed that meal service is often late and has been delayed even longer in the past. Further review of thirty-three trayline meal service records indicated that eight meals were served at least thirty minutes or more past the posted dinner time. These findings demonstrate a pattern of inconsistent meal service times, potentially affecting a minimal number of residents.