cms_GA: 1135
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1135 | RIVERSIDE HEALTH CARE CENTER | 115375 | 5100 WEST ST NW | COVINGTON | GA | 30014 | 2017-08-17 | 368 | E | 0 | 1 | I6YR11 | Based on observation, record review and interview, the facility failed to ensure meals were served at meal times comparable to normal mealtimes in the community. The deficient practice affected 50 residents who ate in the secured unit and nine residents who ate during the second seating in the main dining room out of a total of 147 residents; residents were observed eating lunch as late as 2:25 p.m. Meal service was haphazard for residents eating in the secured unit with a lack of organization of trays, resulting in residents' trays sitting for extended time frames before being served. Findings include: 1. Review of a CQI (Continuous Quality Improvement) Tool for Dietary Services report dated 5/30/17 indicated a concern with dining room meal service as follows: The D/R (dining room) service did not seem to flow smoothly. The dessert was held hostage till after the meal and some left the D/R before getting their dessert or (sic) it was served .Unit 3 D/R - resident's (sic) were not served their trays together by table leaving some resident eating and other waiting and then trying to get the other resident's tray and or food . (Sic) 2. Review of Food Committee Minutes dated 6/11/17 indicated a resident's comment, Evening meals are sitting too long before being served to residents. 3. Review of an all staff Inservice Sign In Sheet dated 6/22/17 showed 93 staff members attended. One of the topics, Delivery of Trays indicated there was a concern with the delivery and timing of meals as follows: Completion of tray pass is taking longer due to trays being sent out to the floor out of order. Is there anyway (sic) trays can be set up on the tray rack in order of the rooms? 4. Planned meal times Review of the Meal Services Times form indicated planned meal times for lunch for the Unit 3 carts, Unit 2 carts, short hall and second seating in the main dining room were: -Unit 3 first cart - 12:30 p.m. -Unit 3 second cart - 12:40 p.m. -Unit 3 third cart - 12:45 p.m. -Unit 2 right cart - 12:50 p.m. -Unit 2 left cart - 1:00 p.m. -Unit 2 left second cart - 1:05 p.m. -Short hall -1:10 p.m. -Second seating main dining room - 1:20 p.m. The lunch meal was scheduled to begin past the community norm, which according to Wikipedia, https://en.wikipedia.org/wiki/Lunch, in the United States and Canada, lunch is usually a moderately sized meal generally eaten around noon. The facility scheduled the lunch start time as late as 1:20 p.m. for residents eating in the main dining room second seating. The scheduled meal times for breakfast and dinner for residents eating in the main dining room second seating were not identified on the schedule. However, the last scheduled breakfast start time was 8:00 a.m. on the short hall and the last scheduled dinner time was 6:00 p.m. on the short hall. 5. Dining Observations Dining observations showed the lunch meal was served late during the survey which resulted in residents eating as late as 2:25 p.m. a. Main dining room lunch -On 8/14/17, the six residents eating at the second seating required meal assistance from staff. These residents were served starting at 1:50 p.m. which was 30 minutes past the scheduled meal service start time. -Residents finished eating between 2:16 p.m. and 2:25 p.m. and all residents left the dining room by 2:30 p.m. -On 8/16/17, meal service for the second seating in the main dining room began at 1:28 p.m. (eight minutes past the scheduled start time). There were nine residents eating during the second seating. The last resident was served and assisted with his/her meal at 1:45 p.m. All residents were finished eating their meals by 2:12 p.m. b. Secured unit lunch -On 8/14/17 observations were made of the lunch meal on the secured dementia unit (Unit 3, Hall 400). The scheduled meal service times for Unit 3 identified the first meal tray cart was to be delivered at 12:30 p.m., it arrived on the unit at 12:35 p.m. The second cart was to be delivered at 12:40 p.m. but was not delivered to the unit until 1:03 p.m. The third cart was to be delivered at 12:45 p.m., but did not arrive on the unit until 1:42 p.m. -Nineteen residents were observed seated in the dementia unit dining room at 12:30 p.m. When the first two carts arrived on the unit, staff passed trays off of those carts to residents who ate in their rooms. The remaining trays sat in the hallway outside the dining room. Three residents who were seated at the same table were served their meal, however the other trays remained on the cart. -At 1:12 p.m., on 8/14/17, Licensed Practical Nurse (LPN) GG confirmed only three of the 19 residents in the dining room had been served lunch. LPN GG explained staff were waiting until trays for all people seated together at one table arrived prior to serving any resident seated at that table. LPN GG said she had no idea where the third food cart was. -When the third cart arrived on the unit at 1:42 p.m., the remaining 16 residents in the dining room were served their meals. Cross reference to F241, Resident Dignity. 6. Interviews -On 8/17/17 at 1:00 p.m., the previous Administrator was informed of the dining observations in Unit 3 on 8/14//17. He responded, Everything that could go wrong, did go wrong on Monday. -An interview on 8/15/17 at 9:40 a.m. with the family member of R#130 revealed, The food is always cold - it sets out on those carts for 30-40 minutes - of course, it's cold. -During a conversation on 8/16/17 at 10:53 a.m. with the family member of an unsampled resident on Unit 3, the family member stated the food was horrible. He stated that when the survey team was not present at the facility, Trays just sit on the cart for an hour. By the time they (staff) get around to feeding the residents, the food is cold. Food is dry, carrots aren't done. | 2020-09-01 |