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- Plan Of CareCare planning
Inspectors found that a resident received fluids of the wrong thickness during a meal, which caused coughing. The staff member feeding the resident did not report this to the registered staff supervising the dining room, as required by the resident's care plan.
- Duty To ProtectAbuse & neglect
After a resident received food or fluid of the wrong consistency at lunch and began coughing, nursing staff did not assess the resident to check on their condition.
- Palliative CarePrograms & admin
Inspectors found that the home did not complete a comprehensive assessment of a resident's palliative care needs that included consideration of the resident's emotional, psychological, social, cultural, and spiritual needs.
- Dining And Snack ServiceNutrition & dining
Inspectors found that during lunch service, a resident was not served according to their prescribed diet. Front-line staff either did not have access to or did not consult the diet list for the resident's area during the meal.