| 60 |
DAMAS HOSPITAL SNF |
405023 |
2213 PONCE BY PASS |
PONCE |
PR |
717 |
2018-07-27 |
550 |
E |
0 |
1 |
Z15R11 |
Based on observations and interviews the facility failed to provide meals in a dignified manner. The facility served meals to seven of eight sampled residents ((R) (R56, R57, R59, R60, R63, R64, and R104). The facility also failed to coordinate lunch meal delivery times to the seven residents in accordance with their physical therapy schedules. Findings include: On 07/24/18 at 10:00 AM, during the initial tour of the kitchen accompanied by the Dietary Supervisor (DS) and the Manager of Institutional Programs, the DS stated the facility was using disposable three-compartment cardboard containers (coated with a thin layer of plastic on the inside) to serve hot food in to the residents. The cold food items were observed to be placed in brown paper bags along with a package of disposable plastic utensils and a napkin. On 07/24/18 at 11:10 AM, the lunch meals were delivered to the Skilled Nursing Unit. The hot food was in the disposable three-compartment containers which were heat-sealed with a plastic covering and were stacked in a bus tub. Each container had the resident's room and bed number written in black marker on the top. The brown paper bags which contained the cold food items were labeled with the resident name and were also in a bus tub. Two dietary aides delivered the meals to the resident's over-bed tables. The seven residents (R56, R57, R59, R60, R63, R64, and R104) were not in their rooms at the time the meals were delivered. The residents were in physical therapy on a different floor of the hospital. On 07/24/18 at 11:12 AM, the lunch meal for R57 was observed setting on the resident's over-bed table. The resident was not in the room at the time. The resident returned to her room at 11:45 AM. with her daughter and the daughter stated her mother had been in physical therapy. The daughter stated she re-heated her mother's food in the activity/dining room microwave when her mother was ready to eat. On 07/24/18 at 11:12 AM, the lunch meal for R65 was observed setting on the resident's over-bed table. The resident was not in the room at the time. At 1:15 PM the resident was observed in her room eating her lunch. She was asked if her food was hot, she stated the staff heat the food up for her. On 07/25/18 at 11:06 AM, the lunch meals arrived on the skilled nursing unit. Two dietary aides delivered the meals to the rooms of R56, R59, R60, R63, R64, and R104, (R57 had been discharged home) placing the three-compartment containers with hot food and the brown paper bag on the residents' over-bed tables. The six residents were not in their rooms at the time the delivery was completed at 11:12 AM. A visit to the physical therapy department at 11:15 AM revealed the six residents were receiving physical therapy at the time the meals were delivered. At 12:00 PM, the residents remained in physical therapy. Between 12:00 PM and 1:00 PM the residents were brought back to their rooms from physical therapy. On 07/26/18 at 7:47 AM, R 56 was observed in her room with her breakfast meal. She stated she had to be careful to remove the plastic covering from the hot food container because it would come off in pieces and fall in her food. She stated that if she tried to pull the plastic off too hard she was afraid the container would slide off the table. She also stated she disliked the plastic eating utensils. The resident stated she had asked facility staff about the use of the three-compartment containers and plastic eating utensils and they told her it was because of the hurricane (10 months ago). She also stated she did not think an older person could handle peeling the plastic off the food. In an interview with DS on 07/24/18, during the initial kitchen tour, the DS indicated the facility had only one elevator since the hurricane on (MONTH) 20, (YEAR), and although they had a machine for washing trays, the machine was not being used. On 07/27/18 at 10:00 AM, the Manager of Institutional Programs stated the facility had not identified meal delivery, during the time the residents were in physical therapy, as a concern. |
2020-09-01 |