Failure to Serve Meals at Scheduled Times on Two Nursing Units
Penalty
Summary
The facility failed to serve meals at regularly scheduled times in accordance with resident needs and preferences on two of four nursing units, specifically the Homestead and B-wing units. Review of the facility's meal schedule indicated that lunch was scheduled for 12:00 p.m. on both units. However, observations on December 11, 2025, revealed that residents were seated in the dining rooms at the scheduled time, but meals had not been served. On the B-wing unit, residents reported that meals were often late, and the lunch meal did not arrive until 12:52 p.m., with service beginning at 12:58 p.m. On the Homestead unit, an LPN confirmed that lunch typically arrived between 12:00 p.m. and 1:00 p.m., and on this occasion, the meal arrived at 12:57 p.m. with service starting at 1:05 p.m., over an hour after the scheduled time. These findings were based on facility documentation, staff and resident interviews, and direct observation.