366273
03/18/2024
The Enclave at Cambridge
8420 Georgetown Road Cambridge, OH 43725
F 0802
Level of Harm - Minimal harm or potential for actual harm
Residents Affected - Many
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Based on observation, dietary staffing and schedule review and staff interview, the facility failed to employ and maintain sufficient staffing in the kitchen to ensure resident meal service was provided as planned and without potential interruption. This had the potential to affect all 29 residents residing in the facility.
Findings include: Review of the facility meal schedule revealed breakfast service was scheduled for 7:30 A.M. and 8:10 A.M. and lunch service was scheduled for 11:10 A.M. and 12:10 P.M. The second time noted was to finish the delivery of resident hall trays (for those residents who ate in their rooms) Upon entrance to the kitchen, on 03/15/24 at 8:30 A.M. Dietary [NAME] #49, State Tested Nursing Assistant (STNA), STNA #50 and STNA #45 were observed in the kitchen preparing the residents morning meal. The meal service was noted to be finishing at the time of the observation. Interview with [NAME] #49 on 03/15/24 at 9:21 A.M. revealed the dietary aide scheduled to work in the kitchen on this date had walked out after getting her paycheck this morning and did not work the rest of her scheduled shift. Interview with STNA #50 on 03/15/24 at 9:22 A.M. revealed she was working on this date and had a resident care assignment, providing direct resident care but when she found out the kitchen was short staffed, she volunteered to go to help in the kitchen because she had prior work experience in the kitchen. Additional observation of the kitchen on 03/15/24 at 9:20 A.M. revealed Dietary [NAME] #49, STNA #50 and Dietary Manager (DM) #47 observed in the kitchen. STNA #45 went home after breakfast was served. On 03/15/24 at 9:20 A.M. interview with DM #47 revealed she was the DM from the corporation's sister facility and she was assisting today and completing the food order for next weeks delivery. The DM revealed she had come to the building on this date to make sure food was ordered for next week as the food order was due on Friday (03/15/24). Observation of the lunch meal on 03/15/24 at 11:45 A.M. revealed the first cart was 35 minutes late. Interview with kitchen staff at that time revealed the meal was running behind as it was only Dietary [NAME] #49's third day of work and STNA #50 was just filling in in the kitchen.
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366273
366273
03/18/2024
The Enclave at Cambridge
8420 Georgetown Road Cambridge, OH 43725
F 0802
Level of Harm - Minimal harm or potential for actual harm
Residents Affected - Many
On 03/15/24 at 12:30 P.M. telephone interview with the previous facility dietary manager (DM) revealed she had recently (on 03/14/24) resigned her position in the facility. The DM stated she quit because she had worked 45-60 days straight, (payroll) checks were no good and the company was going under. The DM voiced concerns she was losing employees in the dietary department (had recently had her cook walk out) and there were open shifts. She stated she physically was not able to cover (the open shifts) which was leaving residents at risk. The DM revealed the rest of her staff that were still currently working were ready to leave. The DM indicated based on the issues that were occurring she was not sure if meals would be prepared or prepared on time. Review of an All Staff listing with title document, provided by the facility on 03/15/24 revealed the staff listing included four total dietary employees. This list did not match the dietary staffing schedule which included seven staff names. The previous DM's name was not included on either the All Staff listing or the dietary staffing schedule. Review of the dietary staffing schedule, dated 03/15/24 through 03/24/24 revealed the schedule for these dates included multiple scheduled shift times with no employee assigned to work during the time period. For example, the schedule for 03/15/24 noted a dietary aide scheduled to start at 5:30 A.M. This dietary aide was the aide who walked out on this date after receiving her paycheck and did not work the shift. The schedule reflected three dietary staff shifts scheduled to start at 6:30 A.M. However, two of the shifts appeared to be associated with vacant positions (as there was no staff name associated with them) and only one of the shifts had a name, Dietary [NAME] #49. The schedule reflected two dietary employee shifts to begin at 12:30 P.M. However, only one of the two shifts included a staff name. The second 12:30 P.M. shift appeared to be for a vacant position. Interview with the Director of Nursing (DON) on 03/15/24 at 1:15 P.M. verified the dietary aide who was scheduled to work this morning with Dietary [NAME] #49, received her paycheck and walked out at that time, leaving only the dietary cook to work in the kitchen. Due to the lack of dietary staff at that time, two STNAs, one who was working the floor and one who came in to pick up her paycheck went to the kitchen to assist with morning meal service. This deficiency represents non-compliance investigated under Complaint Number OH00152028.
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