**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observations, record reviews, and staff interviews, the facility failed to provide a dignified dining experience by standing over a resident while providing feeding assistance for 1 of 1 resident reviewed for dignity (Resident #28). Findings included: Resident #28 was admitted to the facility on [DATE]. A review of Resident #28's quarterly Minimum Data Set, dated [DATE] indicated she had severe cognitive impairment and required extensive assistance for most activities of daily living. On 3/06/22 at 12:34 PM an observation was made of Nurse Aide (NA) #1 standing at Resident #28's bedside while feeding the resident her lunch. The resident's head of bed was in an upright position and the NA stood above the resident's eye level during the dining experience. There was no chair in the room available for the NA to use. An interview on 3/06/22 at 2:56 PM with NA #1 revealed she stated she did not sit down to feed the residents because it was hard to reach them. She stated she was trained to sit down and feed the residents but had not done so. An interview on 3/08/22 at 3:15 PM with the Director of Nursing revealed she was unaware that NA #1 had provided feeding assistance to Resident #28 standing up. She stated she should have sat down and did not know why she had not done so. An interview on 3/08/22 at 1:48 PM with the Administrator revealed she expected the staff to sit down when providing feeding assistance to the residents and she did not know why NA #1 had not done so.

**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record reviews, staff and physician interviews, the facility failed to ensure Physician visits were performed every sixty days as required for 1 of 2 residents reviewed for physician services (Resident #16). Findings included: Resident #16 was admitted to the facility on [DATE] with diagnoses that included congestive heart failure, chronic obstructive pulmonary disease and dementia. A review of Resident #16's quarterly Minimum Data Set, dated [DATE] indicated she had severe cognitive impairment and required limited assistance for most activities of daily living. Review of progress notes revealed that notes were written, signed, and dated by the NP for several consecutive visits with the most recent one dated 12/31/21. No documentation was found to indicate that the attending physician had visited and examined the resident since 9/22/21. An interview on 3/07/22 at 2:17 PM with the Medical Records Clerk revealed she was responsible for providing the physician with a list of residents who needed to be seen for routine visits. She stated she had not put Resident #16 on the physician's list for her to be seen. She stated she had just overlooked Resident #16 on her list and she should have been seen by the physician in January 2022. An interview on 3/09/22 at 9:45 AM with the physician revealed he saw the facility residents for routine visits based on a list provided by the Medical Records Clerk. An interview on 3/08/22 at 1:47 PM with the Administrator revealed she expected the facility to follow the regulation for physician visits.