Failure to Provide Drinks With Meals to Multiple Residents
Penalty
Summary
Surveyors identified a deficiency in the facility’s failure to provide drinks with meals consistent with resident needs and preferences and sufficient to maintain hydration. During an evening meal observation on 03/01/26 at 5:28 PM, four residents (R1, R2, R3, and R4) were seated in the dining room with their meals in front of them but had no drinks at their tables. At that time, R2 and R3 had already eaten approximately one third of their food, and R4 had eaten approximately three quarters of his food, all without drinks present. By 5:44 PM, all four residents were still eating and still did not have drinks in front of them. At 5:45 PM, a CNA (V3) stated she did not know why the four residents did not have drinks and suggested they may have come late, and only then asked one resident (R2) if she wanted something to drink, to which R2 responded affirmatively. Later, the DON (V2) stated that all residents should receive a drink with their meals regardless of arrival time or table changes. The Dietary Manager (V4) confirmed that all residents should receive drinks with their meals, and that CNAs are responsible for preparing and delivering drinks, while the kitchen prepares beverage pitchers. The facility’s undated “24 hour Dining” policy states that staff will monitor residents’ food and fluid intake for adequate consumption and that any staff member observing inadequate fluid intake at meals will refer the resident to the DON and Dining Services Manager for follow-up, but this monitoring and provision of fluids did not occur for the four observed residents during the meal in question.
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