Failure to Provide Eating Assistance as Care Planned
Penalty
Summary
A resident with diagnoses of dysphagia and dementia, admitted in February 2025, was care planned to require supervision or touch assistance with eating due to an ADL self-care performance deficit. On observation, the resident was left alone in bed with a food tray and was unable to answer questions, with no staff present in the room. Staff later entered the room, asked if the resident was finished eating, and removed the tray despite approximately 90 percent of the food remaining. The staff member assigned to the resident confirmed knowledge of the care plan requiring one-person assistance and supervision for eating but could not recall if she had provided this assistance during the meal. The DNS confirmed that the staff working with the resident at the time did not know the resident and acknowledged the resident required assistance to eat.