Cumberland Pointe Care Center

Review of the medical record revealed Resident #57 was admitted to the facility on [DATE].

Diagnoses included chronic respiratory failure, nontraumatic intracerebral hemorrhage, acute kidney disease, heart failure, major depressive disorder, intermittent explosive disorder, polyneuropathy, peripheral vascular disease, insomnia, anorexia, mood disorder, hypertension, benign prostatic hyperplasia, and edema.

Review of the physician's orders revealed Resident #57 had an order for a regular diet with regular texture and thin liquids dated 05/20/23.

Review of the Quarterly Minimum Data Set assessment revealed Resident #57 had intact cognition and had no swallowing disorders.

Review of the progress notes from 02/12/25 to 08/12/25 revealed no documentation of Resident #57 choking on food.

Review of the Always Offered Menu revealed there were no hot dogs listed on the menu.

Review of the four-week menu rotation revealed no encased-link meat on the menu.Review of the incident log from 02/12/25 to 08/12/25 revealed no incidents of choking in the facility.An interview on 08/12/25 at 10:05 A.M. with Dietary Manager #300 revealed she received an email about a year ago stating they were to stop serving encased-meat links.

She stated they were not given a reason except that it was corporate wide.

She stated she was able to find no-casing sausage links for breakfast and bratwurst patties, but there was not a substitution for hot dogs.

She stated several residents had asked for them at resident council.

She stated she had to tell them that the facility could not serve them and they must pick something else as their meal of choice.

She stated they had also complained to her about hot dogs not being on the alternate menu.An interview on 08/12/25 at 10:10 A.M. with the Administrator revealed the facility was not telling the residents they could not have hot dogs, the facility was just not serving them anymore. He stated the residents were more than welcome to have someone bring them in a hot dog or they could order one to be delivered. He stated they did not serve them filet [NAME] either so he did not understand why not serving them hot dogs would be any different. He stated they could use their monthly allowance to order a hot dog from the community if that was what they really wanted to do. An interview on 08/12/25 at 11:35 A.M. with the Administrator revealed they facility did not have a policy on not serving encased-meat links, however they stopped serving them on 01/01/25. He stated the residents were still able to choose something for the alternate menu, so they were not restricting their right to choose. He stated the facility was just not offering them a hot dog as an alternative. An interview on 08/12/25 at 12:00 P.M. with the Administrator revealed he did not know why they eliminated hot dogs and would assume it was due to them being a choking hazard or liability concern. He stated he did not believe they were violating any resident rights and did not know of any regulatory tags which stated they had to offer all foods to the residents. He stated they had offered the resident items in place of hot dogs on the menu and that was what the regulation stated. He stated Dietary Manager #300 has worked with the residents to provide alternatives to hot dogs. He verified they were previously on the menu prior to 01/01/25. An interview on 08/12/25 at 12:50 P.M. with Resident #57 revealed the facility had a lot of stuff he did not eat so he would order hot dogs instead, then he was told he could not have hot dogs anymore. He stated he had been ordering cheeseburgers and grilled chicken from the alternate menu, but it would be nice to have a hot dog occasionally.This deficiency represents non-compliance investigated under Complaint Number 2584123.

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