F0807

E

Failure to Provide Bedside Hydration Consistent With Resident Needs and Facility Policy

Princeton, West Virginia Survey Completed on 02-05-2026

Penalty

No penalty information released

Summary

The deficiency involves the facility’s failure to ensure residents consistently had access to drinks at bedside in accordance with their needs, preferences, and the facility’s hydration policies. During surveyor observations, multiple residents were found without water pitchers, [NAME] cups, or any water at their bedside. One resident explicitly stated feeling very hot and repeatedly requested a drink, and an LPN confirmed that this resident had no drinks at bedside. Another resident and that resident’s roommate were also observed without any drinks at bedside, which the LPN again confirmed. A nursing assistant later verified that several additional residents had no water or water pitchers at bedside, with some having only leftover juice in Kennedy cups from lunch.

The facility’s written Hydration Program policy stated that each resident should receive sufficient fluid intake to maintain proper hydration and health, and the Bedside Water Containers policy required that residents have fresh drinking water at bedside daily, with two complete water container sets per resident. The procedure assigned night shift staff to collect used water containers and replace them daily with clean containers filled with fresh water and ice, which were to be cleaned and sanitized by the food and nutrition services department and then stored inverted until needed. The Dietary Manager reported that water pitchers are replaced and washed in the morning, with dietary staff delivering clean pitchers early and other staff distributing ice and water. The Administrator reported that the facility conducts a hydration pass twice a day. Despite these policies and processes, survey findings showed that several residents did not have water or appropriate bedside fluids available at the time of observation.