Failure to Provide Timely Meal Service According to Posted Mealtimes
Penalty
Summary
The deficiency involves the facility’s failure to ensure meals were served in a timely manner in accordance with residents’ needs, preferences, and the facility’s own posted mealtimes and policy. Resident Council minutes from two separate meetings documented that meals were often late. The facility’s posted mealtime information at the second-floor nurses’ station indicated that the second-floor meal cart was to be delivered at 11:50 A.M. During an observation on 03/23/26 at 12:45 P.M., lunch trays arrived on the second floor, and an LPN confirmed that the trays were 55 minutes late compared to the posted delivery time of 11:50 A.M. The facility’s written mealtime policy titled “Frequency of meals” stated that three regular mealtimes would be scheduled comparable to normal mealtimes in the community. During interviews conducted in conjunction with the survey, the Dietary Manager stated that the posted times represented when tray line started for the food cart, but then acknowledged that the posted mealtimes indicated trays were to be delivered to the second floor at 11:50 A.M. In a resident council meeting held during the recertification survey, five residents reported that late meals were a concern. The deficiency affected five residents reviewed for frequency of meals and had the potential to affect all 47 residents who received meals from the kitchen, with one resident identified as NPO. This issue was investigated under Complaint Number 2693841.
