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F0801
D

Lack of Qualified Director of Food and Nutrition Services

Rexburg, Idaho Survey Completed on 01-09-2026

Penalty

No penalty information released
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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

The deficiency involves the facility’s failure to employ a qualified Director of Food and Nutrition Services as required. During an initial kitchen tour, the Dietary Supervisor reported that he was not a Certified Dietary Manager or a qualified Director of Food and Nutrition Services, although he was enrolled in a Certified Dietary Manager course. At the same time, the Assistant Dietary Supervisor stated she was also not a Certified Dietary Manager or qualified Director of Food and Nutrition Services; she had previously taken a Certified Dietary Manager course in 2023 but did not attend the required three-day in-person training needed to complete the course and therefore had to retake it. Later, the Administrator confirmed that both the Dietary Supervisor and Assistant Dietary Supervisor were not qualified Directors of Food and Nutrition Services and were only enrolled in an online Certified Dietary Manager course, with anticipated certification at a later date. This lack of a qualified Director of Food and Nutrition Services had the potential to affect all residents receiving meals prepared in the facility’s kitchen. No specific residents, medical histories, or clinical conditions were described in the report; the deficiency was identified through staff interviews and review of qualifications against regulatory requirements for food and nutrition services leadership.

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