Failure to Provide Adaptive Feeding Devices and Meal Assistance
Penalty
Summary
The facility failed to provide adaptive feeding devices and appropriate meal assistance for a resident diagnosed with dementia and heart failure. Clinical record review showed physician orders for the resident to have foam handled utensils at all meals and to have food cut up, as well as a care plan intervention to provide adaptive equipment as ordered. During observation at lunchtime, the resident did not have foam handled utensils and their food was not cut up, contrary to both the physician's orders and the care plan. Another resident at the table was observed cutting up the food for the affected resident. The lunch tray ticket also indicated the need for foam handled utensils, but these were not provided. The Nursing Home Administrator confirmed that the resident should have received the adaptive utensils and meal assistance as ordered.