F0809

D

Failure to Offer PM Snacks According to Resident Needs and Preferences

Washington, District Of Columbia Survey Completed on 02-13-2026

Penalty

No penalty information released

Summary

Facility staff failed to ensure residents received PM snacks in accordance with the facility’s policy and residents’ needs, preferences, and requests. A policy titled “Offering/Serving Bedtime Snacks” dated 08/15/25 directed nursing staff to offer bedtime snacks to residents daily based on their needs and preferences. During a Resident Council meeting on 01/14/26 with multiple residents from different units, residents reported that they were not provided with PM snacks. One resident stated that PM snacks were prepared only for specific residents, with individual names placed on the snacks, and that he could only receive a PM snack if the resident to whom it was assigned refused it. Observations of the kitchens on Unit 1 South and 3 South on 01/15/26 showed multiple sandwiches labeled with residents’ names, supporting the report that snacks were pre-assigned rather than offered to all residents. In a face-to-face interview on 01/15/26, the Administrator and Executive Director stated they were not aware that residents were not being offered PM snacks.

These findings demonstrate that, despite having a written policy requiring daily offering of bedtime snacks according to resident needs and preferences, the facility did not consistently offer PM snacks to all residents and instead limited snack availability to certain residents whose names were on pre-prepared items.