Failure to Provide Timely Eating Assistance to Dependent Resident
Penalty
Summary
The deficiency involves the facility’s failure to provide timely assistance with activities of daily living, specifically eating, to a dependent resident. On the morning of 2/26/26, the resident was observed in bed with an uncovered breakfast tray containing scrambled eggs, hot cereal, a muffin, milk, and orange juice placed on a tray table. At 8:16 a.m., the tray was present and there were no attempts by the resident to feed herself. By 8:24 a.m., the tray remained in front of her; her left hand fingers were in the scrambled eggs, and she exhibited hand tremors when raising her fingers from the plate. She was unable to communicate whether she required help to eat, and there were still no attempts made by her to feed herself. At 8:45 a.m., the tray was still in place, the hand tremors continued, the scrambled eggs had been mixed into the hot cereal bowl, and there continued to be no attempts by the resident to feed herself. CNA 1 later indicated that the resident was a new admission who required assistance with meal intake and stated she would assist the resident. At 8:49 a.m., CNA 1 was observed at the bedside attempting to feed the resident and reported that the resident did not seem like she wanted to eat, though the resident did take a sip of orange juice. CNA 1 did not reheat the food or obtain a new breakfast tray despite the elapsed time. Later that day, a family member was observed assisting the resident with her lunch meal and stated the resident was dependent for meal intake. Record review showed the resident had diagnoses including Parkinson’s disease and dementia and had been admitted on 2/25/26. A Baseline Care Plan dated 2/25/26 documented that the resident required physical assistance of one person for eating, and a Functional Abilities and Goals assessment from the same date indicated the resident was dependent for eating.
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