cms_ND: 38
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 38 | THE MEADOWS ON UNIVERSITY | 355024 | 1315 S UNIVERSITY DR | FARGO | ND | 58103 | 2018-06-28 | 809 | E | 0 | 1 | ROZG11 | Based on observation, review of facility policy, resident interview, resident group interview, and staff interview, the facility failed to provide meals in a timely manner according to resident needs, preferences, and requests for 5 of 11 sampled residents interviewed (Resident #6, #16, #25, #31, and #35) and for 7 of 7 residents attending the resident group interview (Resident A, B, C, D, E, G, and F). Failure to provide timely meal service and snacks can negatively impact the dining experience and has the potential to cause adverse reactions for residents receiving medications such as short acting insulin. Findings include: Review of the facility policy titled Meal Schedules, occurred on 06/28/18. This policy, dated (MONTH) 2014, stated, . Guidelines: 1. Requests for different meal times for individual patients are reviewed and accommodated as possible. 6. According to the Investigative Protocol for Dining and Food Service from the Survey Procedures for Long Term Care Facilities, meals should arrive no later than 30 minutes past the scheduled meal time. The facility meal times for Dakota Dining were as follows: * Breakfast at 8:00 a.m. * Lunch at 12:00 p.m. * Dinner at 6:00 p.m. Observation of the noon meal in the Dakota Dining room occurred on 06/25/18 between 12:00 p.m. and 1:10 p.m. and showed numerous residents commenting about the food being late. Meal service started 45 minutes after the scheduled 12:00 p.m. meal time. During an interview on 06/25/18 at 4:06 p.m., Resident #6 reported he missed lunch today due to an appointment, and he returned to the facility at 2:30 p.m. Resident #6 was currently eating ice cream for an afternoon snack, but stated staff did not offer him a meal. Resident #6 stated this is not the first time this has happened. Observation on 6/26/18 at 8:24 a.m. showed Resident #31 in his room waiting for his breakfast tray, and 8:50 a.m. he received his breakfast tray. The resident group interview occurred on 06/26/18 at 10:37 a.m. All residents who attended group reported the food is always at least 30 minutes late, and can be as late as 90 minutes. They stated evening snacks are not always served and the facility runs out of food such as yogurt, bananas, and peanut butter. One resident stated he/she gets snacks in the evening about 2-3 times per week and states if you miss a meal they do not offer a meal when you return. -During an interview on 06/26/18 at 9:47 a.m., Resident #16 stated she is the last person to get served her meal tray and the food is cold when I get it. Resident #16 stated she received her lunch at 1:20 p.m. yesterday and the night before her tray arrived at 7:20 p.m. She stated the trays usually arrive after 7:00 p.m. and the facility runs out of food. - During an interview on 6/26/18 at 10:55 a.m., Resident #25 stated the food is not served on time and the noon and supper meals are the worst. - On 6/26/18 at 4:21 p.m., Resident #31, who eats meals in his room, stated I have to wait for for my food sometimes, it depends on the day. - During an interview on 06/26/18 at 1:30 p.m. Resident #35 stated that he is hungry most of the time and that the aids (certified nurse assistants) told him he is not allowed more food due to his special diet. He stated he gets snacks about fifty present of the time. During an interview on the morning of 06/28/18, a administrative dietary staff member (#12) acknowledged a problem with late meals and delivery of meals. | 2020-09-01 |