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- Plan Of CareCare planning
Inspectors found that a dietitian was not informed of assessment findings showing a resident had been assessed multiple times for dehydration, had unmet hydration requirements, and limited food and fluid intake.
- Nutritional Care And Hydration ProgramsNutrition & dining
Inspectors found that the home did not follow residents' individualized nutrition and hydration plans during meal service. In one case, a resident with a pre-selected menu was served a restricted food item; in another, a resident was served a beverage that their care plan indicated they did not prefer.
- Food ProductionNutrition & dining
Inspectors found that on a specified date, the home did not prepare all lunch menu items according to the planned menu. Specific issues included: a food item that weighed less than planned (reducing nutritional value), a smaller scoop used for a pureed meal than planned, a pureed food prepared with a different dressing than planned, another dish prepared with a different dressing and unplanned ingredients, a food item prepared more than 24 hours before service when the recipe allowed only 24 hours, and a filling prepared two days in advance when the home's policy did not allow this.
- Food ProductionNutrition & dining
Inspectors found that the home did not consistently document menu substitutions on production sheets, and did not always provide staff with clear written directions about serving sizes and portions for replacement menu items.