F0550

E

Failure to Serve Roommates and Tablemates Simultaneously During Meals

Pineville, Louisiana Survey Completed on 02-24-2026

Penalty

No penalty information released

Summary

The deficiency involves the facility’s failure to ensure residents were treated with respect and dignity during meal service, including not serving residents seated at the same table simultaneously. During a dining room observation, three residents were seated together at one table, but only one resident received her meal tray while staff then proceeded to serve residents at other tables. More than 15 minutes later, the remaining residents at that table still had not received their meal trays. The weekend RN supervisor confirmed that residents seated at the same table should be served their meal trays at the same time, but this did not occur.

The deficiency also includes the facility’s failure to serve meal trays at the same time to roommates who both received meals in their room. One resident, admitted with diagnoses including Type 2 diabetes without complications, bipolar disorder, hypertension, hyperlipidemia, mild cognitive impairment, and muscle weakness, had an intact cognition (BIMS score of 15) and was independent or required set-up assistance with ADLs. This resident reported that his roommate routinely received breakfast about an hour before he did, and at the time of interview he had not yet received his breakfast tray. Staff interviews revealed that two meal carts were used on the hallway, with the first cart arriving earlier and the second cart arriving after dining room residents were served. Observations confirmed that the resident still had not received his breakfast tray later that morning, while his roommate had received his tray with the first cart. The dietary manager confirmed that roommates who eat in their room should receive their trays at the same time and acknowledged this did not occur for this resident.