| 84 |
GATEWAY TRANSITIONAL CARE CENTER |
135011 |
527 MEMORIAL DRIVE |
POCATELLO |
ID |
83201 |
2019-04-12 |
804 |
E |
0 |
1 |
WTPU11 |
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, policy review, review of Resident Council minutes, resident interview, Resident Group interview, test tray evaluation, and staff interview, it was determined the facility failed to ensure palatable food was served. This was true for 15 of 18 residents (#1, #3, #8, #17, #20, #26, #27, #36, #38, #41, #45, #53, #54, #60, and #64) reviewed for food and nutrition. This failed practice had the potential to negatively affect residents' nutritional status and psychosocial well-being. Findings include: The facility's Food Quality and Palatability policy, revised 9/2017, documented food will be palatable and served at an appetizing temperature. Resident Council minutes, dated 2/28/19, documented complaints of cold meals and coffee. Resident Council minutes, dated 3/28/19, documented the residents wanted follow through with the issues they talked about in the meetings and still wanted hot coffee. The facility did not document what actions were taken to resolve the concerns identified at the 2/28/19 meeting. On 4/10/19 at 10:10 AM, during the Resident Group interview, Residents #3, #8, #17, #26, #36, #45, #60, and #64 said the previously mentioned food concerns were not addressed, the food was still cold, and did not taste good. Residents were interviewed regarding the food served at the facility. Examples include: * On 4/8/19 at 4:18 PM, Resident #38 stated she did not like the greasy noodles that were served by the facility. * On 4/8/19 at 4:30 PM, Resident #54 stated the facility put Mrs. Dash and garlic on everything, and the food was lukewarm 90 percent of the time. * On 4/8/19 at 4:44 PM, Resident #27 stated the chicken was pasty. She stated the only fruit the facility had were apples, canned peaches, and fruit cocktail, and they were not very flavorful. She stated she told the DM her concerns with the food, and the DM told her everyone had told her that they liked the food. * On 4/8/19 at 5:58 PM, Resident #53 stated he did not like the food. * On 4/8/19 at 6:11 PM, Resident #41 stated the food was monotonous. * On 4/9/19 at 8:23 AM, Resident #17 stated the food could be better. She stated the broccoli and carrots were not cooked through and were rubbery. She said the pasta was also rubbery. * On 4/9/19 at 8:29 AM and on 4/11/19 at 9:20 AM, Resident #20 stated the food was cold sometimes. She stated she had tried to voice her concerns with kitchen staff but they did not address her food concerns. She stated she had difficulty eating her pancake the morning of 4/11/19, because part of the crust was too hard to cut. * On 4/9/19 at 10:45 AM, Resident #26 stated the food sucks! He said the food quality was poor and was often cold. * On 4/9/19 at 11:10 AM, Resident #36 stated the regular and alternate meals were served lukewarm and tasted terrible. * On 4/9/19 at 11:55 AM, Resident #1 stated the food was always the same and they put too much pepper on the food. On 4/10/19 at 11:45 AM, two test tray lunch meals were requested for the regular and alternate meals. The DM plated residents' meals and took one plate and one warming pellet at a time out of the top of the unplugged plate warmer which was opened at the top. At 12:07 PM, the last of the warming pellets were used and the DM plugged in the plate warmer and asked DA #2 to place new pellets into the warmer. DA #2 took a stack of pellets that had been on a nearby counter and placed them in the warmer. The DM then plated two more residents' meals and the two test tray meals with the new warming pellets underneath them and were delivered down the C and D hallways. On 4/10/19 at 12:15 PM, the two test trays were evaluated by three surveyors along with the District Manager of Dietary (DMD). The alternate meal included Swedish meatballs which had a temperature of 129 degrees F (Fahrenheit), parsley noodles which were 106 degrees F, and broccoli which was 93.5 degrees F. The regular meal included garlic and [MEDICATION NAME] roasted red potatoes which were 111 degrees F and sauteed zucchini which was 110 degrees F. The DMD said the noodles, broccoli, potatoes, and zucchini were lukewarm. The surveyors evaluated the meals and found the meatballs to lack flavor, the noodles were cool and greasy, the broccoli was cool and tough, the potatoes were lukewarm, and the zucchini was lukewarm and chewy. |
2020-09-01 |