cms_GA: 8136
Data source: Big Local News · About: big-local-datasette
rowid | facility_name | facility_id | address | city | state | zip | inspection_date | deficiency_tag | scope_severity | complaint | standard | eventid | inspection_text | filedate |
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8136 | EARLY MEMORIAL NURSING HOME | 115271 | 11740 COLUMBIA ROAD | BLAKELY | GA | 39823 | 2013-06-12 | 363 | E | 1 | 0 | YM2Q11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on review of the facility's menus, record reviews, observations and staff interviews, the facility had failed to ensure that planned menus were followed for five (5) (#1, #3, #5, #6 and B) of nine (9) residents with orders for specialized diets, from a sample of eleven (11) residents. Findings include: Review of the current information in Section 26 of the Georgia Dietetic Manual defined the purpose of a Mechanical Diet as modified in consistency to reduce the amount of chewing required to consume food. The rational included that it was appropriate for individuals with little or no teeth, poor fitting dentures, oral [MEDICAL CONDITION] or irritated [MEDICAL CONDITION] lining. The comments included that most raw fruits and vegetables, seeds, nuts and dried foods were excluded. Review of the facility's planned menus revealed that they were in four week cycles. The four week cycle of menus for the supper meals observed on 5/14/13 and 6/11/13 were as follows: Regular menus-chicken noodle soup, crackers, turkey sandwich, chips, relish plate of tomato and lettuce, chilled peaches. Mechanical/L3 (Mechanical Soft) menus-chicken noodle soup, turkey sandwich ground, one half cup Capri vegetables and chilled peaches. It did not include crackers/chips or lettuce or tomatoes. 1. Resident #1 had an order for [REDACTED]. Observation of resident #1 on 5/14/13, from 5:20 PM to 5:32 PM, revealed that he received chicken salad on soft white bread, tomato and lettuce and peaches. On 6/11/13 at 6:05 PM, he/she received chicken salad on an onion bun, chicken noodle soup, crackers, lettuce/tomato and diced peaches. There were no Capri vegetables served on the meal trays during either meal. Lettuce/tomato or crackers were not listed on the Mechanical menu referenced above. 2. Resident #3 had an order for [REDACTED]. An observation of the resident on 5/14/13 at 4:50 PM revealed that he received a turkey sandwich with lettuce and tomato on a six inch hoagie roll, ridged chips, crackers and fruit. He had trouble chewing the roll and did not eat it. There were no Capri vegetables served on the meal tray. In addition, lettuce/tomato, chips or crackers were not listed on the Mechanical menu referenced above. 3. Resident B had an order for [REDACTED]. Observation of the resident on 5/14/13 at 5:10 PM revealed that he received turkey on a hoagie roll, lettuce/tomato, peaches, chips and chicken noodle soup. He pointed to his missing teeth and stated he could not eat the sandwich. There were no Capri vegetables served on the meal tray. In addition, lettuce/tomato or chips were not listed on the Mechanical menu referenced above. 4. Resident #5 had an order for [REDACTED]. Observation of the meal service line on 6/11/13 at 4:45 PM revealed he/she was served turkey on an onion roll, cut into four pieces, chicken noodle soup, diced peaches, lettuce/tomato and crackers. There were no Capri vegetables served on the meal tray. In addition, lettuce/tomato or crackers were not listed on the Mechanical menu referenced above. 5. Resident #6 had an order for [REDACTED]. Observation of the resident on 5/14/13 at 5:50 PM revealed that she received chicken noodle soup, white bread with chicken salad, tomato/lettuce, peach halves and ridged chips. On 6/11/13 at 6:00 PM, the resident was served chicken salad on an onion bun, chicken noodle soup, lettuce/tomato, diced peaches and crackers. There were no Capri vegetables served on the meal trays during either meal. In addition, lettuce/tomato, crackers or chips were not included on the Mechanical menu referenced above. During interview with the dietary manager on 6/12/13 at 4:00 PM, the dietary manager acknowledged that residents on a Mechanical Soft diet should have been served Capri vegetables, lettuce or tomatoes. This staff member also acknowledged that chips and crackers should not have been served to residents on Mechanical Soft diets. During an interview with the registered dietician conducted on 05/14/2013 at 5:35 p.m., the registered dietician stated residents having orders for mechanical soft diets should not be served a hoagie, and also should not receive hard items such as chips. | 2016-06-01 |