| 79 |
GUARDIAN ELDER CARE AT WHEELING |
515002 |
20 HOMESTEAD AVENUE |
WHEELING |
WV |
26003 |
2019-08-06 |
804 |
E |
0 |
1 |
WJ7O11 |
Based on observation, resident interview, test tray results and staff interview, the facility failed to serve food that is palpable, attractive, at safe temperatures, and with accuracy related to each residents tray card. This is true for 13 tray cards reviewed for the long term care survey process. This practice has the potential to effect more than a limited number. Resident identifiers: #181, #27, #94, #126, #49, #36, #238, #108, #231, #102, #119, #21, and #383. Facility census: 140. Findings included: a) The following tray cards with issues of accuracy include: 1. Resident #181 Resident: #181's noon meal on 07/30/19 had two (2) percent(%) milk. The tray card called for whole milk. 2. Resident #27 Resident #27's breakfast meal on 07/30/19 had french toast, dipped in eggs. The tray card reveals NO EGGS. 3. Resident #94 Resident #94's noon meal, on 07/30/19 did not include, a roll, and whole milk as listed on tray card. During interview at 1:45 PM, licensed nurse (LPN) #19, explained she did not think the resident would drink whole milk. 4. Resident #126 Resident #126's breakfast meal on 07/30/19 had 2% milk did not have syrup. The tray card reveals whole milk and syrup. 5. Resident #49 Resident #49's breakfast meal on 07/30/19; the tray card reveals resident to receive a renal diet. The resident did not receive juice as listed on the tray card. The resident prefers some kind of juice. She explained she could not receive orange juice because of being on a renal diet but was not offered an alternative juice. 6. Resident #36 The tray also included a banana which is high in potassium. Resident #36 explained her breakfast tray usually has a banana which is high in potassium. Potassium should be limited on a renal diet Resident #36's breakfast meal on 07/30/19, included french toast which appeared soggy. The resident did not eat and explained the french toast was soggy. 7. Resident #238 Resident #238's breakfast tray on 07/30/19 had 2% milk. The tray card lists whole milk. Resident #238 explained she request coffee but got hot water. The resident had put cream in hot water but could not drink. 8. Resident #108 Resident #108's breakfast tray on 07/30/19 did not include juice or syrup, both listed on the tray card. Also, received 2% milk with tray card listing whole milk. After surveyor request, the staff offered juice and called the kitchen for syrup. 9. Resident Council Meeting On 07/29/19 at 3:00 PM ten (10) of sixteen (16) residents attending Resident Council meeting agreed food served from the kitchen is often not palpable, and different from the tray card. 10. Interviews On 08/06/19 at 7:30 AM the dietary manager explained meals are dipped to the tray and then checked for accuracy before sending the tray to the floor. Also, that juice is passed out by staff on the floor. She also explained that the common fresh fruit sent to the residents, is bananas, apples and oranges. According to the dietary manager 2% milk has always been placed on trays but whole milk has been ordered. b) Dissatisfaction with food served 1. Resident # 36 An interview with Resident #36, on 07/29/19 at 12:03 PM, revealed a dislike to the food served. 2. Resident # 231 An interview with Resident #231, on 07/29/19 at 12:09 PM, revealed the food is poor. 3. Resident # 102 An interview with resident #102, on 07/29/19 at 12:09 PM, revealed the food is not good. 4. Resident # 119 An interview, on 07/29/19 at 04:01 PM, noted Resident #119 complained of receiving cold food and when soups are served, soups almost always required reheating because of cold temperatures. 5. Resident # 21 An interview with Resident # 21, on 07/29/19 at 12:12 PM, revealed the food is not the best. Resident #21 stated, they served my sandwich with the bread on top of the beets making it soggy. This has happened on many occasions. An additional interview with Resident # 21, on 07/31/19 at 9:00 AM, revealed, breakfast was served at a decent time however the minors scramble was not eaten due to the appearance of the food. Resident # 21 stated, the breakfast came at a decent time this morning but yesterday the food was late all day. 6) Resident # 383 and Test Tray An observation of food tray cart delivery on 07/31/19 at 1:10 PM to Wing five (5). The first tray was passed at 1:15 PM. A test tray of Resident # 383's tray was conducted at 1:26 PM. Resident # 383's tray was the last tray to be served in the cart. The tray was placed on the nurse's desk and both the surveyor and kitchen thermometers were used. The Dietitian thermometer and surveyor thermometer both revealed the same temperature for the coleslaw. The thermometers revealed the same reading and calibration. The results of the test tray were: --[NAME]slaw = 71 degrees Fahrenheit (F) --Baked Beans = 100 degrees F --Pulled Pork Sandwich = 118 degrees F --Milk-= 50 degrees F A taste test was conducted, on 07/31/19 at 1:28 PM, after the temping of the food items. The baked beans tasted good. The pulled pork had spice and tasted good. The coleslaw was warm and very bland. The milk was not tasted. An immediate interview with the Dietitian, on 07/31/19 at 1:28 PM, during the taste test revealed knowledge of the coleslaw being bland. The Dietitian stated, Oh you have to have some salt and pepper when eating coleslaw. Dietitian did not remark on the temperature of the food. A review of temperature logs, on 08/05/19 at 8:00 AM, revealed multiple incomplete temperature log forms for breakfast, lunch and dinner between the dates of 06/01/19 and 07/30/19. An interview with Dietitian, on 08/05/19 at 8:55 AM, confirmed, the policy is to take temps on foods to ensure food is served at the right temperature. |
2020-09-01 |