| 8214 |
CHESTER NURSING CENTER |
425061 |
1 MEDICAL PARK DRIVE |
CHESTER |
SC |
29706 |
2012-05-03 |
242 |
E |
0 |
1 |
WII411 |
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** On the days of the survey, based on group interview and review of the facility's menus, the facility failed to plan a menu that residents did not feel was repetitive. (i.e. tomato soup and green beans served frequently). Five of 5 group members stated food preferences are not honored. Resident #8's food choices were not honored during two meal observations The findings included: Based on concerns expressed during the group interview of repeatedly receiving tomato soup and green beans, the facility's menus were reviewed for repetitiveness. On 5/1/12, review of the 3 week CMRC (Chester Regional Medical Center) Menus revealed the Sunday evening meal for weeks #1, 2 and 3 was tomato soup, saltine crackers, grilled cheese, banana foster bread pudding. The Wednesday evening meal for weeks #1, 2, and 3 was fried chicken, macaroni and cheese, seasoned greens, cornbread, carmelicious brownies. The Friday lunch meal for weeks #1, 2, and 3 was chicken wings, baked fries, walking salad, wheat dinner roll. The Friday evening meal for weeks 1, 2, and 3 was crusted/breaded fish with tartar sauce, half baked potato, cole slaw, hush puppies, cornbread, lemon coconut cake. For week # 3, supper on Wednesday, Thursday, and Saturday and the week 1 Sunday lunch, (which follows week 3 Saturday) green beans were served. An interview was conducted on 5/2/12, at approximately 10:00am, with the Food Service Director (FSD) and the Registered Dietitian (RD). The surveyor reviewed the above information with the FSD and RD. The FSD and RD acknowledged that the menus were written in such a way that single food items (tomato soup, green beans) and entire meals were being duplicated repeatedly throughout the menu. The facility admitted Resident #8 on 4/20/10 and readmitted the resident on 2/06/12 with [DIAGNOSES REDACTED]. Record review revealed a Quarterly MDS (Minimum Data Set) dated 4/10/12 which indicated the resident had a Brief Interview Mental Status (BIMS) score of 15 (cognitively intact). A random meal observation on 4/30/12 at approximately 12:20 PM revealed the resident was served a pimento cheese sandwich A meal observation on 4/30/12 at approximately 5 PM revealed revealed the resident was served a large roll, mashed potatoes, pork chop and broccoli. Review of the meal card revealed documentation that the resident disliked sandwiches and bread. In a group interview on 5/01/12 at approximately 10:15 AM 5 of 5 group members identified by the facility as interviewable, stated they consistently received food on their food tray that they do not like. The group members further stated at times they just leave the food on the tray and did not ask for anything else Five of 5 group members stated they receive green beans and tomato soup too often. The group members further staff they had shared their concerns related to food during Resident Council Meeting. Review of Resident council meeting notes revealed the residents had shared dietary concerns during the months of April 2012, March 2012, and February 2012. |
2016-06-01 |