Undignified Dining Experience for Dependent Resident
Penalty
Summary
A resident who was functionally quadriplegic and dependent on staff for all self-care and mobility, including eating, was not provided a dignified dining experience when staff left his lunch tray at his bedside and did not return to feed him for an extended period. The resident had diagnoses including Guillain-Barre syndrome, dysphagia, urinary retention, diabetes mellitus, hyperlipidemia, and hypertension, and his care plan and functional assessment documented that he was dependent on staff for eating. During an observation at 11:55 A.M., the resident’s lunch tray was seen untouched on his bedside table, and the resident stated that staff come to feed him only after all meal trays have been delivered, reporting that he may wait from eight to 30 minutes while the tray sits in front of him, saying, “I have to sit and look at it.” A follow-up observation at 12:10 P.M. showed the tray remained untouched and no staff had come to feed him. In an interview at 1:00 P.M., the DON confirmed that leaving the meal tray in front of a resident who could not feed himself constituted an undignified meal experience. This deficiency was cited for one resident under Complaint Number 2740077.
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