Unqualified Staff Assigned to Food Service Director Role
Penalty
Summary
The facility failed to employ a qualified Food Service Director to manage the daily operations of the Dietary Department for a three‑month period from January 2026 through March 2026. Staff interviews and review of employee files showed that the individual functioning as the Kitchen Manager, Employee E21, had been hired on 1/21/26 and had worked as Kitchen Manager since 1/28/26, but was a Nurse Aide and not a Certified Dietary Manager. During an interview on 3/12/26, at 9:57 a.m., Employee E21 confirmed she was not a Certified Dietary Manager. In a subsequent interview on 7/21/24 at 1:40 p.m., the Interim NHA (Employee E12) and the DON confirmed that the facility could not provide documented evidence that Employee E21 met the qualifications required for the Food Service Director position, resulting in noncompliance with PA Code 201.18(e)(6) regarding management. No specific residents, medical histories, or clinical conditions were mentioned in relation to this deficiency in the report.
We Help Long-Term Care Teams Stay Survey-Ready
We process and analyze inspection reports and plan of correction using AI to extract insights and trends so providers can improve care quality and stay ahead of compliance risks.