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32 | The Enrichment Leader in memory care has a menu order form and will ask each resident what they would like to eat. The Enrichment Leader will write everyone’s order on the form and provide the order form to the kitchen staff. The kitchen staff prepare the food and take it over to the memory care unit on a hot food cart. Staff interviews revealed once the food is brought over, they portion it out and serve it to the residents on a plate. However, staff stated there is not always sufficient amounts of food. For example, today, the salmon was shredded, and each side item was in a large tray, as well as the salmon. The caregiver had to ration out the amount of food on each resident plate to ensure all residents were provided food. LPA observed the staff paying attention to each food item they placed on each plate, while checking the dining room to see how many more residents needed a plate. If the salmon was served as a 4oz fillet, each resident would have received a decent size portion. However, due to kitchen staff cutting up the salmon as well as other food items, the staff have to try and ensure all residents receive a plate of food.
LPA observed the large trays after the food was served to the residents and noticed all the food items were finished. Staff confirmed there are times there is not enough food for all the residents and they will have to ask the kitchen staff to bring over more food. The kitchen staff will bring over more food, but it can take thirty (30) minutes. Staff added it’s difficult to have a resident with a Major Neurocognitive Disorder sit at the dining table while other residents are eating, and they must wait additional time. Staff explained due to the resident’s medical condition, they become fidgety and want to get up, which distracts them once the food arrives. Resident interviews confirmed there are times there isn’t enough food served. Outside sources also confirmed there are times during breakfast, lunch, and dinner that there isn’t enough food. Outside sources reported usually the breakfast time is the meal that typically has insufficient food, which was also confirmed by staff. Staff interviews revealed it can depend on which staff member is cooking that day and what they send over to memory care, instead of consistent meal portions. Staff and outside sources also confirmed the kitchen will send over a sandwich and cut each sandwich into pieces and that will be shared amongst residents. There are residents in memory care with a small appetite and some with a regular appetite. Therefore, residents should be served one daily serving as offered on the facility’s menu. The kitchen staff should be consistent with sending whole meals over to the memory care unit, to ensure each resident is provided the quantity necessary to meet the residents needs. Executive Director, Tracy Knepple explained the residents receive enough food to meet their nutritional value. If additional food is needed, the kitchen is always open and able to provide enough food to meet the residents needs. Continued on an LIC 9099C.
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