cms_GA: 1126
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1126 | RIVERSIDE HEALTH CARE CENTER | 115375 | 5100 WEST ST NW | COVINGTON | GA | 30014 | 2017-08-17 | 242 | D | 0 | 1 | I6YR11 | Based on observation, record review, and interview, the facility failed to honor food choices for four of 39 sampled residents (R#124, R#112, R#63, and R#130). Residents made selections between the regular and alternate meal; however, they did not receive the foods they chose. Residents were not offered milk for the noon meal as one of their beverage selections even though it was supposed to be served per the menu. Findings include: 1. Review of the menu for lunch on 8/14/17 showed the regular selection consisted of sliced ham, scalloped potatoes, glazed carrots, corn bread, apple cinnamon cake, and milk. Review of the tray cards showed the alternate selection consisted of barbeque chicken, baked beans, and coleslaw. 2. Meal observations made on 8/14/17 for the lunch meal in the main dining room: a. At 12:25 p.m. R#124 was observed with a meal consisting of the alternate meal of two chicken wings, baked beans, coleslaw, corn bread and a piece of cake. The resident stated, I wanted ham, potatoes, and carrots (the main meal). This happens (not getting what selected) almost daily. The resident's tray card was on the table and she pointed to it showing she selected the regular meal and not the alternate. At 12:48 p.m. the resident got up and left the dining room. She ate less than 25% of the chicken, beans, coleslaw, and cake. At no time during the meal was she offered the regular selection. b. At 12:32 p.m. R#112 was studying her tray card while her meal sat on the table in front of her. She stated she had ordered ham, scalloped potatoes, and carrots for lunch. She was served three chicken wings, baked beans, and coleslaw. She showed the surveyor her tray card which indicated she selected the regular meal and not the alternate. The resident stated, This is terrible. I did not order this. It happens all the time (getting food she did not choose). No one comes around to check on us. When the resident's plate was checked at 1:03 p.m. after she had vacated the dining room, she had consumed less than 25% of her meal. At no time during the meal was she offered the regular selection. c. At 12:33 p.m. R#63 was served three chicken wings, baked beans and coleslaw. She showed the surveyor her tray card, which indicated she selected the regular meal of ham, scalloped potatoes, and carrots. The resident stated she wanted the regular selection and not the alternate. The resident's plate was checked at 1:03 p.m. after she had vacated the dining room. The resident ate less than 25% of the chicken and beans; she ate 50% of the cole slaw. At no time during the meal was she offered the regular selection. d. Residents in the main dining room beginning at 12:15 p.m. (first seating) and concluding at 2:16 p.m. (second seating) were offered ice water and iced tea initially and following the start of meal service were offered coffee as the beverage selections for the lunch meal. A cart was wheeled throughout the dining room during the first seating with ice water and iced tea as the only beverages. Residents were not offered milk (except for one resident) even though it was listed on the menu to be served; furthermore, residents were not offered juice. e. Restorative Certified Nurse Assistant (CNA) CC, who was present in the dining room during both the first and second seating was interviewed at 1:04 p.m. and stated only one resident was served milk for lunch. She stated, Most (residents) want sweet tea, lemonade, or coffee. Everyone wants milk at breakfast. They get it (milk) at breakfast. They also have a variety of milk; we have chocolate milk. They get apple, cranberry and orange juice at breakfast. 3. Interview on 8/15/17 at 9:40 a.m. with the family member of R#130 revealed the resident's food preferences were not always honored. She stated, This past weekend, I told them to bring the alternate because I knew he (R#130) didn't like the regular meal. I told them to bring the sandwich that was the alternate . I was told he can't have that. The family member stated staff told her they were out of bread. 4. The CQI (continuous quality improvement) Tool for Dietary Services report dated 5/30/17 indicated, Milk was to be served on the planned menu, but was not on most trays. 5. A grievance was filed on 4/19/17 by a resident that indicated, I was not asked what I wanted for dinner. I should be asked every day my dinner choice. 6. The previous Administrator was interviewed at 11:50 a.m. on 8/17/17. When asked how residents were provided choices related to food, he stated the menus were posted and included what was scheduled to be served and suggested alternatives for each meal. He added if the resident preferred something other than what was listed on the menu or as an alternative, he or she could make specific requests by telling the CNA or Nurse what they preferred. The previous Administrator confirmed the system in place was based on verbal exchanges between staff working with residents and food service personnel. The previous Administrator said he was not aware of problems with the current system in place to provide residents with food choices. | 2020-09-01 |