The problems weren't isolated incidents. Staff members confirmed that residents regularly complain about not receiving the food items they select from daily menus, according to a federal inspection report completed December 24.
Resident #11, who has been at the facility since January and lives with diabetes and partial paralysis, told inspectors during an 8:48 a.m. interview that she "generally did not receive the choices she selected on her menus for lunch and dinner."
Her complaint proved accurate within hours. When inspectors observed the noon meal service, they watched as Licensed Practical Nurse #203 delivered Resident #11's lunch tray without the vegetable soup she had specifically requested on her meal ticket.
The nurse confirmed the oversight during questioning and revealed a broader pattern: "residents complained about not receiving items they select on their meal tickets."
Only when the inspector asked directly was Certified Nursing Assistant #101 able to locate and provide the missing soup.
A similar scene played out with Resident #15, a newer arrival who has been at the facility since October while managing heart disease, diabetes, and heart failure. During the 12:05 p.m. meal service, inspectors watched CNA #102 deliver lunch to the resident.
A review of Resident #15's menu selection showed she had requested crackers. Her tray arrived without them.
CNA #102 managed to solve the problem by taking crackers from an unused meal tray intended for a resident who was away from the facility.
The meal service breakdown affects a systematic process that nursing assistants described to inspectors. CNAs distribute menu tickets for lunch and dinner meals one day in advance, help residents complete their selections, and return the tickets to the kitchen by 6:00 p.m.
Despite this advance planning system, CNA #101 acknowledged that residents frequently don't receive what they order. She told inspectors she coordinates with coworkers and kitchen staff to locate missing items during meal service when possible.
The problems extend beyond individual complaints. Resident Council Food Committee meeting notes from November 3 documented "a concern regarding menus not being filled out and residents not getting what they request."
Both residents affected by the meal service failures have intact cognitive abilities, according to their medical assessments. Resident #11 can eat independently, while Resident #15 requires only setup or cleanup assistance.
The inspection findings emerged from a complaint investigation at the 106-bed facility. Federal investigators reviewed meal tickets, interviewed staff and residents, and observed actual meal service to document the violations.
Manor at Perrysburg's meal service problems represent a failure to meet federal requirements that nursing homes provide food accommodating resident preferences and appealing options. The regulation exists because food choices often represent one of the few areas where nursing home residents maintain personal control.
For residents like #11, who has lived at the facility for nearly a year while managing multiple chronic conditions, receiving selected meals provides both nutrition and dignity. When the system fails repeatedly, residents lose both.
The facility's own staff confirmed the scope of the problem during inspector interviews. Rather than isolated mistakes, the missing menu items reflect ongoing operational failures in a basic daily service.
CNA #101's ability to locate missing items when asked by inspectors suggests the food exists within the facility. The breakdown occurs between kitchen preparation and tray delivery, leaving residents without items they specifically requested hours earlier.
The November Resident Council notes indicate residents had already raised these concerns through official channels before the December inspection. The continued problems during the Christmas Eve observation suggest those concerns went unaddressed.
Federal inspectors classified the violations as causing minimal harm or potential for actual harm to few residents. However, the repeated nature of the meal service failures and staff confirmation of ongoing complaints indicate systemic problems rather than occasional errors.
The inspection occurred as part of complaint number 2664244, suggesting external concerns about facility operations prompted the federal review.
For Resident #15, who arrived at Manor at Perrysburg just two months before the inspection while dealing with serious heart conditions, missing crackers might seem minor. But when combined with the facility-wide pattern of undelivered menu selections, even small oversights reflect larger care quality issues.
The facility's meal service problems continue despite having systems in place designed to prevent exactly these failures.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Manor At Perrysburg from 2025-12-24 including all violations, facility responses, and corrective action plans.