Failure to Provide Ordered Nutritional Snacks
Penalty
No penalty information released
The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.
Summary
A deficiency occurred when the facility failed to follow physician orders for a resident with diagnoses of malnutrition and abnormal weight loss, who also had severe cognitive impairment as indicated by a BIMS score of 3. The physician had ordered that the resident receive snacks at 10:00 a.m. and 2:00 p.m. Observations on multiple days revealed that the resident did not receive the ordered snacks at the specified times. Staff interviews confirmed that the nurse aide responsible did not provide the snacks as required, and the nurse manager corroborated that the resident missed both morning and afternoon snacks. Documentation and direct observation supported that the physician's orders were not followed for this resident.