Health inspection·December 23, 2024

F 0803 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. Based on observation, interview, and record review, the facility failed to ensure menus were followed for two of four sampled residents (Resident 1 and Resident 2) when Resident 1 and Resident 2 received smaller portion sizes. This failure had the potential to result in Resident 1 and Resident 2 experiencing weight loss due to receiving smaller portion sizes. Findings: During a review of Resident 1's Order Summary Report (OSR), dated 12/23/24, the OSR indicated, Regular-large portion diet. requesting to have large portion of all meals. During a review of the facility's Winter Menus (WM), dated 12/23/24, the WM indicated residents on large portions diet receive four ounces of blended juice, one cup of grits hot cereal, two fried eggs, two slices of wheat toast, two teaspoons of margarine, a parsley sprig, and eight ounces of milk for breakfast. During an interview on 12/23/24 at 11:16 a.m. with Resident 1, Resident 1 stated, I only got one egg and one piece of bread for breakfast this morning. That's very limited. It's not enough. I used to get three eggs scrambled, 1 hashbrown, and two pieces of bacon. Resident 1 stated, Just breakfast, I'm getting smaller portions. They make me starve. During an interview on 12/23/24 at 11:39 a.m. with Certified Nursing Assistant (CNA) 1, CNA 1 stated, This morning (Resident 1) got one toast, one egg, two pieces of bacon, and a cereal. During an interview on 12/23/24 at 11:56 a.m. with [NAME] 1, [NAME] 1 stated for breakfast (12/23/24), residents on large portions diet should have received four ounces of blended juice, one cup of hot cereal, two fried eggs, and two wheat toast. During an observation of the lunch meal service on 12/23/24 at 12:01 p.m. in the kitchen, the steam table had a #12 scoop (1/3 cup) for cilantro lime rice, a #12 scoop for black beans, and a #12 scoop for corn. During an interview on 12/23/24 at 12:02 p.m. with [NAME] 1, [NAME] 1 stated there should have been a #16 scoop (1/4 cup) and a #8 scoop (1/2 cup) on the steam table. [NAME] 1 stated, We should have different scoops so we can follow the spreadsheet (facility menus). During an observation on 12/23/24 at 12:20 p.m. in the kitchen, [NAME] 1 used a #12 scoop to serve corn for Resident 2. Page 1 of 2 555256 555256 12/23/2024 The Rehabilitation Center of Bakersfield 2211 Mount Vernon Avenue Bakersfield, CA 93306

F 0803 Level of Harm - Minimal harm or potential for actual harm During a review of Resident 2's Lunch Meal Ticket (LMT), dated 12/23/24, the LMT indicated Resident 2 is on a renal diet. During a review of the facility's WM, dated 12/23/24, the WM indicated residents on renal diet receive #8 scoop of corn. Residents Affected - Few During an interview on 12/23/24 at 12:21 p.m. with [NAME] 1, [NAME] 1 stated she served less corn for Resident 2, and she was supposed to use a #8 scoop to serve corn for Resident 2. During an interview on 12/23/24 at 12:36 p.m. with the Registered Dietitian (RD), the RD stated, They (kitchen staff) should follow the spreadsheet. During an interview on 12/31/24 at 2:03 p.m. with the Certified Dietary Manager (CDM), the CDM stated, We should follow the spreadsheet. The whole nutrients for the residents for that day are calculated in the spreadsheet. During a review of the facility's policy and procedure (P&P) titled, Menus, dated 4/1/14, the P&P indicated, Purpose To ensure that the Facility provides meals to residents that meet the requirements of the Food and Nutrition Board. Food served should adhere to the written menu. 555256 Page 2 of 2