Failure to Provide Ordered Assistive Eating Devices
Penalty
Summary
The facility failed to provide an assistive device as ordered by the physician for a resident during the dinner meal. The resident's dietary order specified a regular diet with regular texture, standard thin liquids, and that all food should be served in bowls. The resident's tray card also clearly indicated 'FOOD IN BOWLS' in both large and bold print. However, during observation, the resident did not receive their entree or side in bowls, only the dessert was served in a bowl. This was confirmed by Nursing Assistant #9, who acknowledged that the food was not served in bowls as required by the tray ticket and dietary order. The facility's policy stated that assistive devices and utensils should be provided as identified in the individualized plan of care to maintain or improve the resident's ability to eat or drink independently.