F0677

D

Failure to Provide Timely Feeding Assistance to Dependent Resident

Dayton, Ohio Survey Completed on 01-27-2026

Penalty

No penalty information released

Summary

The deficiency involves the facility’s failure to provide timely assistance with eating to a dependent resident who required supervision and assistance during meals. The resident had diagnoses including COPD, unspecified dementia, anxiety disorder, hypertension, overactive bladder, and spinal stenosis. The most recent MDS showed moderately impaired cognition and a need for supervision at meals, and the care plan documented that the resident required assistance with meals as needed. Physician orders specified a pureed diet with thin/regular liquids, upright positioning during meals, and total supervision during meals because the resident needed assistance with feeding. A quarterly nutrition assessment further documented that the resident required supervision at meals and was fully dependent at times.

On the morning of the survey observation, the resident was observed sitting in a chair with eyes closed and a breakfast tray in front of him with the lid still on at 8:35 A.M., and again at 8:42 A.M. with the tray still unopened. At 8:51 A.M., a CNA entered the room to feed the resident and reported that another CNA had delivered the tray earlier. At 8:54 A.M., the second CNA confirmed she had placed the tray in the room around 8:35 A.M. and explained that staff typically place trays in rooms for residents needing assistance, then continue delivering other trays before returning to assist with eating. The Dietary Supervisor and Corporate Compliance staff confirmed that CNAs or other staff should not deliver trays to residents who need assistance with eating until they are ready to assist, and the Dietician confirmed the resident needed assistance and supervision at all times when eating. This sequence of actions resulted in a delay in feeding assistance for the dependent resident.