Failure to Serve Palatable and Safe-Temperature Meals
Penalty
Summary
The facility failed to provide food and drink that was palatable, flavorful, and served at appetizing and safe temperatures during two observed meals. Multiple residents reported that their food was cold, overcooked, or did not taste good, and several did not receive all items listed on their tray tickets. Observations during meal service confirmed that food and beverages were often served outside of recommended temperature ranges, with hot foods below 140°F and cold foods above 40°F. Specific examples included milk and juices served above safe cold temperatures, hot foods such as pancakes and eggs served below recommended hot temperatures, and missing or incorrect meal items on trays. Staff interviews corroborated resident complaints, with CNAs and LPNs stating that food was frequently served cold and that complaints were forwarded to dietary staff and food service managers. The Food Service Director acknowledged that hallway carts used to transport food did not maintain proper temperatures due to damaged doors, and that this was a known and ongoing issue. The facility's own policies and USDA guidelines for food safety were not consistently followed, resulting in repeated instances of unpalatable and improperly served meals.