F-F801.

3.1-21(a)(2)

FORM CMS-2567 (02/99) Event ID: Facility ID: If continuation sheet Previous Versions Obsolete Page 19 of 23 155006 Department of Health & Human Services Printed: 08/26/2025 Form Approved OMB Centers for Medicare & Medicaid Services No. 0938-0391

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A. Building 155006 B. Wing 05/22/2025

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Waters of Wabash Skilled Nursing Facility East The 1900 N Alber St Wabash, IN 46992

For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency.

(X4) ID PREFIX TAG SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)

F 0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food

in accordance with professional standards. Level of Harm - Minimal harm or potential for actual harm 48384

Residents Affected - Many Based on observation, interview, and record review, the facility failed to store and prepare food under safe and sanitary conditions related to kitchen equipment, utensil storage, food storage, and chemical storage.

This deficient practice had the potential to affect 56 of 56 residents who received food from the facility kitchen.

Findings include:

During a kitchen observation on 5/18/25 at 9:49 a.m., accompanied by the Dietary Manager, the following was observed:

Next to the front service window, an open container of brown sugar was on the countertop with a scoop (including the handle) laying inside the brown sugar.

The microwave had splatters of eggs and other unidentifiable foods on the bottom, three inside walls, and inside the door. The many food splatters varied in size and were dry and thick in appearance.

The upper cabinets to the left of the service window contained different colored splatters on the outsides of

the doors. Splatter sizes ranged from the size of a dime to the size of a quarter.

Under the cabinets, a pair of discarded kitchen gloves lay on the countertop along with three empty coffee packets. The floor beneath the cabinets and countertop was covered with corn flakes, about the size of a floor mat.

The toaster had a thin layer of crumbs on the spill tray, with crumbs on the countertop beneath the toaster. There were scissors laying in the crumbs. There was an uncovered container of melted butter on top of the toaster.

The front of the stainless-steel refrigerator had thick, finger sized, sticky prints covering the areas above, below, and beside the handles. Inside the refrigerator was a roast beef (identified by the Dietary Manager) in

a zip lock bag dated 5/5/25. The Manager removed the meat and threw it away.

The top utensil drawer on the single sink station, containing spatulas and tongs, had crumbs and nickel-sized drips of an unidentifiable, brown substance on the bottom. The bottom utensil drawer contained measuring utensils with crumbs and a piece of torn paper on the bottom.

There was an open 25-pound bag of panko breadcrumbs sitting on a rolling bin underneath the counter where the food processor was located.

In the dry storage area, to the left of the entrance, two containers of bleach and approximately six boxes of sanitizer and floor cleaner sat on the floor beneath two electrical panels.

FORM CMS-2567 (02/99) Event ID: Facility ID: If continuation sheet Previous Versions Obsolete Page 20 of 23 155006 Department of Health & Human Services Printed: 08/26/2025 Form Approved OMB Centers for Medicare & Medicaid Services No. 0938-0391

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A. Building 155006 B. Wing 05/22/2025

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Waters of Wabash Skilled Nursing Facility East The 1900 N Alber St Wabash, IN 46992

For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency.

(X4) ID PREFIX TAG SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)

F 0812 During an observation on 5/19/25 at 11:39 a.m., a kitchen staff member emptied a large can of green beans into a stainless-steel container in preparation for heating. The lid of the green beans was not completely Level of Harm - Minimal harm or removed. As she shook the can to empty the green beans, the inside and outside of the lid touched the potential for actual harm green beans repeatedly. The Dietary Manager indicated the lid should have been removed completely and

the staff member had not been trained properly. Residents Affected - Many

During an observation on 5/19/25 at 11:45 a.m., the chemicals in the dry storage area remained in their same position beneath the electrical panels.

During an observation and interview on 5/21/25 at 9:34 a.m., the Regional Director of Operations indicated

the chemicals should be stored properly in the janitor's closet. He pointed to the closet approximately 4 to 5 feet from where the chemicals sat. He planned to train the staff on proper kitchen cleaning and storage of chemicals.

A current facility policy, dated 3/25/12, titled Cleaning & Sanitation, provided by the Administrator on 5/22/25 at 10:47 a.m., indicated the following: .The Food and Nutrition Director will develop, implement, and monitor schedules for cleaning, sanitizing, and maintenance and keep record for 1 year .To ensure the food service department is maintained according to state and federal regulations and is a clean, sanitary, and safe environment at all times .1. The Food Service Director develops, implements, and monitors a cleaning schedule to include all areas of the kitchen and equipment. 2. Food Service employees are trained in proper use, cleaning, and maintaining all equipment. 3. Cleaning schedules designate cleaning for each position and are posted in an accessible area

A current facility policy, dated 3/25/12, titled Food Storage, provided by the Administrator on 5/22/25 at 10:57 a.m., indicated the following: .Food is stored and prepared in a clean, safe, sanitary manner that will comply with state and federal guidelines .to minimize contamination and bacteria .1. Food storage areas are clean, organized, and free of dirt .4. Containers for bulk items (flour, sugar, etc.) are leak proof, non-absorbent, sanitary, NSF approved and have tight fitting lids . 5. All food not in original containers are to be labeled and dated and stored in NSF approved containers

A current facility policy, dated 3/25/12, titled Safe Food Handling Practices, provided by the Administrator on 5/22/25 at 10:57 a.m., indicated the following: .All food is purchased, store, prepared, and distributed in a clean, safe, sanitary manner promoting safe food handling and compliance with state and federal guidelines . To minimize contamination and bacteria while providing nutritious meals .6. All working surfaces and equipment are clean and sanitized after each use

3.1-21(i)(3)

FORM CMS-2567 (02/99) Event ID: Facility ID: If continuation sheet Previous Versions Obsolete Page 21 of 23 155006 Department of Health & Human Services Printed: 08/26/2025 Form Approved OMB Centers for Medicare & Medicaid Services No. 0938-0391

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A. Building 155006 B. Wing 05/22/2025

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Waters of Wabash Skilled Nursing Facility East The 1900 N Alber St Wabash, IN 46992

For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency.

(X4) ID PREFIX TAG SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)

F 0880 Provide and implement an infection prevention and control program.

Level of Harm - Minimal harm or 45122 potential for actual harm Based on observation, interview, and record review, the facility failed to consistently implement facility policy Residents Affected - Few for enhanced barrier precautions for staff to identify those residents requiring enhanced barrier precautions for 1 of 3 residents reviewed for enhanced barrier precautions. (Resident 21)

Finding includes:

During an observation, on 5/19/25 at 9:15 a.m., Resident 21 lay on his bed on top of the blankets looking at a phone. A heel boot was lying on the floor beside the bed. No signage for transmission-based precautions was on his door

During an observation, on 5/20/25 at 9:49 a.m., Resident 21 sat in his wheelchair in his room with a heel boot on his right foot. No signage for transmission-based precautions was on his door.

During an observation, on 5/21/25 at 9:19 a.m., Resident 21 sat in his wheelchair in his room. He had a heel boot on his right foot. No signage for transmission-based precautions was on his door.

Resident 21's clinical record was reviewed on 5/20/25 at 3:26 p.m. Diagnoses included chronic diastolic (congestive) heart failure, peripheral vascular disease, multiple myeloma, and protein calorie deficit.

Current orders included enhanced barrier precautions related to his wound with personal protective equipment (PPE) outside door, bin in room for disposal, and sign on door every shift (5/8/25) and cleanse wound to right foot with Dakin's solution, pat dry, apply calcium alginate with silver, and cover with bordered foam dressing every other day until resolved (5/14/25).

A 2/26/25 admission Minimum Data Set (MDS) assessment indicated the resident was moderately cognitively impaired. He required partial/moderate staff assistance for rolling left and right in bed. He required substantial/maximal staff assistance with toileting, showering/bathing, upper/lower body dressing, and transfers. He was dependent on staff for putting on and taking off footwear.

A care plan, initiated on 5/8/25, indicated the resident had developed an arterial wound to his right lateral foot.

A care plan, initiated on 5/18/25, indicated the resident was on enhanced barrier precautions related to wounds or a skin opening requiring a dressing. Interventions included set up isolation per facility protocol and follow enhanced barrier precautions (5/18/25).

A Wound Assessment Report, dated 5/13/25, indicated the resident had an arterial wound to his right later foot with a length of 1.0 centimeters (cm), a width of 1.0 cm, and a depth of 0.2 cm.

FORM CMS-2567 (02/99) Event ID: Facility ID: If continuation sheet Previous Versions Obsolete Page 22 of 23 155006 Department of Health & Human Services Printed: 08/26/2025 Form Approved OMB Centers for Medicare & Medicaid Services No. 0938-0391

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A. Building 155006 B. Wing 05/22/2025

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Waters of Wabash Skilled Nursing Facility East The 1900 N Alber St Wabash, IN 46992

For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency.

(X4) ID PREFIX TAG SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)

F 0880 During an interview, on 5/22/25 at 11:44 a.m., CNA 16 indicated she knew which residents were on enhanced barrier precautions and required PPE by the signs on the doors. They also had a PPE cart beside Level of Harm - Minimal harm or their door or across the hall in front of their door. She knew what PPE was required for the resident by the potential for actual harm signs on the doors. She walked down the hall and pointed to all the doors with signs on them as residents who required enhanced barrier precautions. She indicated Resident 21 was not on any transmission-based Residents Affected - Few precautions. He did not have a sign on his door. She thought the enhanced barrier precautions were also listed on the CNA assignment sheets. She looked at the CNA assignment sheets and indicated transmission-based precautions were not on the assignment sheets for anyone.

During an interview, on 5/22/25 at 11:48 a.m., the Infection Preventionist (IP) indicated she had not put the enhanced barrier precautions sign on the door. The resident had been recently added to the enhanced barrier precautions list.

During an interview, on 5/22/25 at 11:50 a.m., CNA 18 indicated she knew the resident required PPE when doing care because he had a wound, but he did not have a sign on his door.

During an observation, on 5/22/25 at 11:57 a.m., the Housekeeping Supervisor placed bins in the room for disposal of PPE/trash/laundry. The resident did not have the facility bins that were utilized for the enhanced barrier precautions in his room prior to this placement.

During an interview, on 5/22/25 at 2:52 p.m., the DON indicated the resident should have had the EBP signage on his door as ordered.

A facility policy, revised 12/2022, provided by the Administrator on 5/22/25 at 3:13 p.m., titled ENHANCED BARRIER PRECATIONS-(EBP), indicated the following: .Procedure .3) Ensure that proper signage is posted

on the resident's room door instructing those who plan to enter the room to check first at the Nurses' Station for education/instructions .5) Ensure that proper receptacles are in place to collect discarded EBP in the resident's room

3.1-18(a)

FORM CMS-2567 (02/99) Event ID: Facility ID: If continuation sheet Previous Versions Obsolete Page 23 of 23 155006 

F-F812.

3.1-20(e)

FORM CMS-2567 (02/99) Event ID: Facility ID: If continuation sheet Previous Versions Obsolete Page 15 of 23 155006 Department of Health & Human Services Printed: 08/26/2025 Form Approved OMB Centers for Medicare & Medicaid Services No. 0938-0391

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A. Building 155006 B. Wing 05/22/2025

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Waters of Wabash Skilled Nursing Facility East The 1900 N Alber St Wabash, IN 46992

For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency.

(X4) ID PREFIX TAG SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)

F 0804 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Level of Harm - Minimal harm or 45122 potential for actual harm Based on observation, interview, and record review the facility failed to ensure meals were palatable for 17 of Residents Affected - Some 31 residents reviewed for palatable meals. (Residents 3, 4, 5, 9, 17, 19, 23, 25, 33, 34, 36, 40, 49, 50, 51, 108, and 109)

Finding includes:

During an interview, on 5/18/25 at 11:04 a.m., the Resident 109's representative indicated the food at the facility was terrible. The resident's representative had talked with the Administrator and sent a letter to the vice president of the company. The food was worse than terrible. The roll yesterday was as hard as a rock.

He could bounce it off the floor. The residents were served some kind of soup yesterday and were unable to tell what it was supposed to be. The food was cold, did not look good, and tasted terrible. He sent back the resident's breakfast three days in a row because it was cold and looked terrible. Sometimes, there was very little on the plate. One time, there was just a hot dog on the plate. He kept hearing everyone's hands were tied when trying to make the food more pleasing

During an interview, on 5/18/25 at 11:13 a.m., Resident 36 indicated the food sucked and looked disgusting.

The food either had no taste or had too much spice. The facility served lentil soup last evening. It had no flavor and did not look good. The plates looked like slop. The residents complained, but nothing changed.

The food was always cold.

During an interview, on 5/18/25 at 2:24 p.m., Resident 40 indicated the food was not good at all. The food was cold, did not taste good, and looked nasty.

During an interview, on 5/18/25 at 3:11 p.m., Resident 49 indicated she often went back to her room to eat snacks and food provided by her family because the facility's food was not good.

During an interview, on 5/19/25 at 9:56 a.m., Resident 3 indicated the food was awful.

During an interview, on 5/19/25 at 10:11 a.m., Resident 108 indicated the taste of the food varied and depended on who the cook was. The food taste had really slipped and did not taste good at all. Sometimes it was warm when served, and sometimes it was cold. She often had her family bring in food for her.

During an interview, on 5/19/25 at 11:26 a.m., Resident 50 indicated most of the food was cold when he got it. Yesterday, the facility had served lentil soup, so he had his wife bring him something later from a restaurant.

FORM CMS-2567 (02/99) Event ID: Facility ID: If continuation sheet Previous Versions Obsolete Page 16 of 23 155006 Department of Health & Human Services Printed: 08/26/2025 Form Approved OMB Centers for Medicare & Medicaid Services No. 0938-0391

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A. Building 155006 B. Wing 05/22/2025

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Waters of Wabash Skilled Nursing Facility East The 1900 N Alber St Wabash, IN 46992

For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency.

(X4) ID PREFIX TAG SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)

F 0804 During an interview, on 5/19/25 at 12:17 p.m., Resident 25 indicated sometimes the food did not taste good.

The quantity was not good either. A sandwich and some fruit was all she got for supper sometimes. The food Level of Harm - Minimal harm or was cold by the time she got her tray in her room. The staff warmed it up if she wanted. She had eaten potential for actual harm sausage gravy this morning, and it was the first time it was hot. The nurse had gotten it before others started eating and brought it to her since she had an appointment in the morning. When she got soup, the soup Residents Affected - Some bowls were maybe half filled. One night, she had a piece of pizza so small it fit in a bowl, and half of a dessert dish of fruit. The last month, the food had gotten worse.

During an interview, on 5/19/25 at 12:39 p.m., Resident 9 indicated she had been taking notes about the food and the various issues with it. On 5/9/25, she received her supper at 6:20 p.m., although dinner was supposed to be served at 5:00 p.m. On 5/12/25, she received minestrone soup for dinner, which was only half a bowl. She had to fill up on snacks because the dinner was not enough food. On 5/13/25, for lunch, she received very little of the pudding; the dish was not even filled halfway up. On 5/14/25, for lunch she had a small portion of goulash and a very hard roll, which she called a hockey puck. For dinner, she had cold French fries and a carrot and raisin salad that was bad. On 5/15/25, for dinner she received one taco with lettuce, tomato, a little meat, and a cookie. She felt it was very little food to receive.

During an observation, on 5/19/25 at 5:14 p.m., drinks passed to the residents contained very little ice.

During an observation, on 5/19/25 at 5:29 p.m., CNA 12 indicated to the residents the meat loaf, which was

on the menu, was made with turkey.

During an observation, on 5/19/25 at 5:36 p.m., pudding portions were not consistent. One resident received

a full dish of pudding; another resident had requested pudding and received a dish less than half filled.

During an interview, on 5/19/25 at 6:06 p.m., Resident 9 indicated the meal was warm but not hot tonight.

The biscuit was only the size of a silver dollar.

During an interview, on 5/19/25 at 6:08 p.m., Resident 49 indicated she did not like the meat loaf. She ate one bite.

On 5/19/25 at 6:29 p.m., a test tray was observed. The meat loaf was grayish in color with lots of ketchup on

the top,and the flavor was displeasing. The mashed potatoes and gravy were not flavorful. The cranberry juice was watered down and lacked flavor.

Facility grievances provided by the Administrator on 5/20/25 were reviewed and indicated the following:

Resident 33, on an undated grievance, indicated the food was lousy, lousy, lousy. The food was poorly cooked and was not provided enough food to fill her up.

Resident 23, on a grievance dated 12/2/24, indicated the cream of wheat was too thick, and the pancakes were too thick.

FORM CMS-2567 (02/99) Event ID: Facility ID: If continuation sheet Previous Versions Obsolete Page 17 of 23 155006 Department of Health & Human Services Printed: 08/26/2025 Form Approved OMB Centers for Medicare & Medicaid Services No. 0938-0391

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A. Building 155006 B. Wing 05/22/2025

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Waters of Wabash Skilled Nursing Facility East The 1900 N Alber St Wabash, IN 46992

For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency.

(X4) ID PREFIX TAG SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)

F 0804 Resident 109's representative, on a grievance dated 2/27/25, indicated the resident only received two chicken wings and was supposed to get four. He also received applesauce instead of the apple pie on the Level of Harm - Minimal harm or menu. potential for actual harm Resident 109's representative, on a grievance dated 4/29/25, indicated the supper ticket listed hamburger on Residents Affected - Some a bun, but the resident received a bologna sandwich. The French fries were not cooked through. The meals were usually not warm and had to be sent back to be heated.

Resident 5, on a grievance dated 4/29/25, indicated the French fries were not cooked through. There were not enough hamburgers to serve everyone, so some people got bologna instead.

Resident 51, on a grievance dated 4/30/25, indicated the evening meal was a chicken pot pie and crushed pineapple. The food served made her feel like older people did not matter.

Resident 40, on a grievance dated 4/30/25, indicated the food tasted like s**t.

Resident 49, on a grievance dated 4/30/25, indicated the French fries were never done. The meat loaf tasted like a big chunk of hamburger with no seasoning.

Resident 17, on a grievance dated 4/30/25, indicated he received a bowl of crap for dinner. He ate two bags of fried cheese puffs and some crushed pineapple. He had another meal that was egg salad sandwiches and was still hungry after he ate.

Resident 4, on a grievance dated 4/30/25, indicated the food was terrible. She wondered why the facility couldn't get someone who could cook.

Resident 19, on a grievance dated 4/30/25, indicated the food was not very good and needed improvement.

He could not eat his dinner on 4/30/25.

Resident 3, on a grievance dated 4/30/25, indicated the food was terrible and looked bad - messy.

Resident 25, on a grievance dated 4/30/25, indicated she received a bowl with a two-inch piece of pizza and

a bowl of pear cubes. She was glad she had some chicken strips in her refrigerator she had gotten when she was out of the facility the day before. The meals were bad.

Resident 9, on a grievance dated 4/30/25, indicated the supper portion of potpie was very small. She only took three bites and that was all there was. She often received cornbread without butter and chili without chili seasoning.

A review of the Resident Council minutes, provided by the Social Services Director (SSD) on 5/20/25, indicated in the meeting on 4/9/25 the residents had complained that the supper was getting later and later,

the baked potatoes were served with no butter and no sour cream. In the meeting, on 5/7/25, the residents' complaints about the food were still an issue including the not getting bread when on the menu, the hamburger was not good, and the salad lettuce was brown.

During an interview, on 5/20/25 at 10:59 a.m., the Administrator indicated he was working with the resident

on the food complaints. There was a food committee developed to discuss the residents food concerns.

FORM CMS-2567 (02/99) Event ID: Facility ID: If continuation sheet Previous Versions Obsolete Page 18 of 23 155006 Department of Health & Human Services Printed: 08/26/2025 Form Approved OMB Centers for Medicare & Medicaid Services No. 0938-0391

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A. Building 155006 B. Wing 05/22/2025

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Waters of Wabash Skilled Nursing Facility East The 1900 N Alber St Wabash, IN 46992

For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency.

(X4) ID PREFIX TAG SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)

F 0804 During an interview, on 5/20/25 at 12:07 p.m., the Regional Director of Operations for the contracted company supplying the facility dining services indicated he had spoken with the Resident Council and had Level of Harm - Minimal harm or received good feedback. He knew residents were dissatisfied with the portions and the temperatures of the potential for actual harm food. There were some new dietary staff members, and he was making sure they were getting educated.

The company tried to customize the menu from facility to facility. For example, he was taking the lentil soup Residents Affected - Some and the turkey loaf off the menu.

Anonymous interviews were conducted during the survey as follows:

Interviewee B indicated the food had been sucking. The portion sizes were inconsistent.

Interviewee C indicated the food was more often worse than good.

Interviewee D indicated she would not eat the food and the portions were small.

Interviewee E indicated she had talked to the Administrator about the food. The food was not good.

Interviewee F indicated the food was subpar in temperatures, portion sizes, presentation, and taste.

A facility policy, revised on 3/7/25, provided by the Administrator on 5/22/25 at 3:35 p.m., titled Meal Service - Palatability and Nutritive Value, indicated the following: .Food will be prepared, held, and served in a manner that maintains its nutritive value and palatability

Cross reference