Lack of Certified Dietary Manager Oversight for Food and Nutrition Services
Penalty
Summary
The facility failed to employ a full-time Certified Dietary Manager (CDM) to oversee the food and nutrition services for the 94 residents documented on the daily midnight roster dated 1/20/26. From 1/21/26 through 1/23/26, a Certified Food Protection Manager (CFPM) was observed educating kitchen staff, providing direction to dietary staff, and assisting with meal preparation and service to residents, despite not being a CDM. From 1/27/26 through 1/29/26, the facility did not have a CDM employed or onsite. The CFPM stated she was not a CDM, had not started any classes, and was not enrolled in a CDM program. A regional RN confirmed that the facility did not have a CDM, that the CFPM was serving as the acting dietary manager, and that she was unsure whether there was a policy requiring the facility to have a CDM, while acknowledging the facility was supposed to have one. This deficiency centers on the absence of a qualified CDM and the reliance on a CFPM without CDM credentials to perform dietary management functions for all residents during the survey period.
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