CLASS AA CITATION-- PATIENT CARE
On 9/6/11, a resident who had no teeth and a history of choking on food was given a cheese sandwich that was not suitable for her therapeutic diet. As a result, the resident choked on the sandwich, was unable to breathe, and her heart stopped. The resident did not recover from the incident and died. The facility was cited for failure to provide the resident with the therapeutic diet ordered by the physician.