Based on job description review, review of the facility's APPROVED DIET MANUAL .Menu Guide, review of the facility's Diet Spreadsheet, hospital records, medical record review, and interview, the facility failed to ensure dietary staff members were sufficiently trained to provide the correct mechanically altered therapeutic diet for 1 of 1 (Resident #24) sampled residents reviewed with the potential to effect all 37 residents prescribed mechanically altered diets. The facility's failure to ensure dietary staff members were properly trained to competently perform their job duties resulted in Immediate Jeopardy (a situation in which the provider's noncompliance with one or more requirement of participation has caused, or is likely to cause serious injury, harm, impairment, or death to a… …
F362
Nutrition and Dietary Deficiencies
Hire sufficient dietary support personnel.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
The harm level
How severely F362 is cited
0.0% of citations found actual harm or worse (level G and above).
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J— | K— | L— |
| Actual harm | G— | H— | I— |
| No harm, potential for more than minimal | D1100.0% | E— | F— |
| No harm, potential for minimal | A— | B— | C— |
In the surveyor’s words
What an F362 citation says
One finding from each severity level, most serious first.
Severity is as the surveyor wrote it. Some findings had already been corrected before the survey.
Based on observation, interview and record review the facility failed to ensure meals were delivered as scheduled. This had the potential to affect 164 residents (Resident #78 received no foods by mouth) who received meals prepared at the facility. The facility census was 165 residents. Findings include: 1. Review of the meal delivery times revealed the Willow hall was to receive breakfast at 7:55 A.M. and lunch at 12:25 P.M. The Maple hall was to receive breakfast at 8:50 A.M. The main dining room was to receive breakfast at 8:55 A.M. …
Based on staff and resident interviews and a review of dietary schedule and payroll information, it was determined that the facility failed to provide a sufficient amount of dietary staff to carry out the essential functions of the dietary department. Finding include: An interview with Resident R1 at 9:50 AM on 10/05/17 revealed that the evening meal is often late and that they appear to be short staffed. An interview with Resident R8 on 10/05/17 at 9:15 AM revealed that the supper meals were often delivered late, she stated that her supper was delivered after 7 PM on 10/04/17. …
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