Sofia Garcia

Sofia Garcia is the administrator responsible for overseeing the skilled nursing facility where Margaret resides.

Sofia was trained to protect residents from preventable harm (Bakerjian, 2024).

She is responsible for:

• regulatory compliance

• risk management

• staff oversight

• resident safety

• organizational liability concerns

The facility has previously experienced litigation unrelated to dysphagia care, which has increased administrative anxiety regarding adverse medical outcomes.

Sofia worries that allowing unrestricted diets for residents with aspiration risk may:

• increase choking incidents

• result in increased incidences of aspiration pneumonia

• expose staff to emotional trauma

• create liability for the organization

• attract regulatory scrutiny

Sofia states:

“If something happens to a resident after we knowingly allow risky choices, how do we justify that?”

Sofia believes her policies are intended to protect vulnerable residents and maintain safe standards of care.