Failure to Offer and Document Bedtime Snacks for Residents
Penalty
Summary
The facility failed to ensure that bedtime snacks were offered and provided in accordance with residents’ needs, preferences, and the facility’s own policy, which required staff to provide a bedtime snack and/or fluids as appropriate to promote comfort and relaxation before sleep. Review of the electronic health records for six residents showed no documentation that they were offered or received bedtime snacks. During a resident council meeting, all six residents reported that staff did not come around to offer bedtime snacks; several stated they had to specifically request a snack and that staff sometimes forgot to bring it, while others reported they were not aware they could request a bedtime snack but would like to have them offered. The Dietary Manager stated that dietary staff place a sealed box of bedtime snacks on the nurses’ desk each evening and do not offer snacks directly to residents, and the Interim DON stated that CNAs were expected to offer snacks to all appropriate residents but confirmed there was no documentation that these residents received any bedtime snacks. No additional medical history or clinical conditions for the involved residents were documented in the report.
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