Failure to Provide Night-Shift Hydration
Penalty
Summary
Surveyors identified a deficiency in the facility’s provision of fluids during the night shift, based on resident interviews, record review, and facility documents. One cognitively intact resident (R6) reported on the morning of 2/23/2026 that she does not always have water at her bedside and that from approximately 6–7 p.m. until breakfast she has nothing to drink. Another cognitively intact resident (R9) reported on 2/24/2026 that water is not passed on the night shift. Resident council minutes from 2/2026 documented that water was not being passed on the night shift. The Director of Nursing (V1) stated on 2/25/2026 that she would expect staff to be passing water and fluids on the night shift. The facility’s 2023 hydration policy states that the facility will offer each resident sufficient fluid, including water and other liquids, consistent with resident needs and preferences to maintain proper hydration and health, and that interventions will be individualized and include offering a variety of fluids during and between meals. These findings show that, despite the facility’s written hydration policy and the DON’s stated expectations, residents reported not receiving water or fluids during the night shift, and resident council documentation corroborated that water was not being passed at night.
