Health inspection·May 15, 2025

F 0558 Reasonably accommodate the needs and preferences of each resident. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** The facility failed to reasonably accommodate the needs and preferences of a resident by providing only crackers for snacks on a routine basis, even after the resident requested a more substantial alternative. This affected one of two sampled residents, of a total sample of 113 residents who ate food at the facility, (#2). Residents Affected - Few Findings: Resident #2 was a [AGE] year-old man admitted on [DATE] with diagnoses of anemia, depression, anxiety, chronic pain, gastro-esophageal reflux disease and chronic kidney disease, stage two. Review of the admission Minimum Data Set (MDS) dated [DATE], resident #2 had intact cognitive abilities. On 5/15/25 at 10:32 AM, resident #2 stated he had requested an evening snack every night so far at the facility and received some form of cracker; saltines, graham crackers, or goldfish. He said only once was he provided with anything more substantive, a peanut butter and jelly sandwich. He relayed that once when he asked for something more, a staff member gave him their own personal cookie because there was nothing besides crackers. Resident #2 stated he had spoken with the Dietary Manager who told him the department brought snacks to the units but he explained nursing staff would tell him that they only had crackers available. Resident #2 added he expressed to the staff he would like a variety such as ice cream, popsicles, cookies, sandwiches, pudding or cookies because he was hungry and needed something more than crackers to tide him overnight. On 5/15/25 at 11:45 AM, the Dietary Manager stated the policy and procedure for snacks at the facility was to provide only saltine crackers, graham crackers, or Goldfish crackers for snacks. She explained if they were out of Goldfish crackers, she would provide oatmeal crème pies. She added she only provided sandwiches for residents' snacks if nurses requested them but didn't stock them regularly because they were often wasted. The Dietary Manager added, the procedure was that a nurse would come to the kitchen in the afternoon around 2:30-3:30 PM, and request peanut butter and jelly sandwiches for evening snacks for their unit. The Dietary staff would then prepare the sandwiches and deliver them to the requested unit. She said staff acknowledged she had spoken with resident #2 twice this week regarding his desire for a more substantial snack; once about not getting large portions for meals, as ordered, and the other instance the resident made them aware he wanted something more than the crackers that were available in the evenings. The Dietary Manager acknowledged she had a diet requisition for resident #2 to receive 'large portions' and provided paper documentation of such. She was unsure about whether Dietary staff had missed providing him with large portions during his meals, but said she planned for him to receive 'double portions' to make the intent of the order more clear to staff working in the kitchen. The Dietary Manager confirmed she had not thought about offering resident #2 a more substantial evening snack, per his requests. At that time the facility's Regional Manager joined the conversation and stated the current contract with the facility allowed (continued on next page) Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation. LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE TITLE (X6) DATE FORM CMS-2567 (02/99) Previous Versions Obsolete Facility ID: If continuation sheet Page 1 of 5 Event ID: 105530 Printed: 05/28/2026 Form Approved OMB No. 0938-0391 Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION (X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER: (X2) MULTIPLE CONSTRUCTION 105530 B. Wing A. Building (X3) DATE SURVEY COMPLETED 05/15/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Vista Manor Healthcare and Rehabilitation Center 1550 Jess Parrish CT Titusville, FL 32796 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)