Failure to Serve Palatable, Hot Breakfast Meals
Penalty
Summary
Surveyors found that the facility failed to provide food at an appetizing temperature for four residents who received cold food. On the morning of 12/04/25, a surveyor-verified, calibrated digital metal stem thermometer showed that a sample breakfast tray had a pancake at 80.6°F and sausage at 80.0°F, and both items tasted cold and unappetizing. One resident, who was alert and oriented, reported that the food was sometimes burnt and cold. Another alert and oriented resident stated that the breakfast sausage and eggs were always cold and reported being told that if he wanted hotter food, he should eat in the dining room; he later stated that his sausage was burnt and cold and his pancake was not very warm that morning. A third alert and oriented resident, who usually eats in her room, stated that her food, especially breakfast, was not always hot. A fourth alert and oriented resident, who also usually eats in her room, stated that sometimes the food was barely warm and that the sausage and pancake that day were not good. The Dietary Manager acknowledged that food served in the dining room or in resident rooms should be hot, not 80°F, and was unsure whether there was a policy for cold food. These observations and interviews demonstrated that multiple residents consistently received breakfast items, particularly sausage and pancakes, at temperatures that were not hot or appetizing, both in the dining room and in resident rooms, and that the measured temperatures of sampled food items were significantly below typical hot-holding or serving temperatures.
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