Failure to Accommodate Dietary Preferences and Needs
Penalty
Summary
The facility failed to provide meals in accordance with the preferences and dietary needs of two residents, R40 and R278. Resident R40, who is alert and oriented, reported not receiving the correct food at meal times on multiple occasions. Specifically, R40 requested tuna salad but received chicken, asked for coffee but was given a tea bag without hot water or cream, and requested kielbasa but again received chicken. These discrepancies indicate a failure to accommodate the resident's meal preferences as outlined in their care plan. Resident R278, who follows a vegetarian diet, reported not receiving appropriate vegetarian protein options with meals. During an interview, R278's lunch tray was observed to lack a requested veggie burger, and the resident stated that soy milk, which was supposed to be provided, was not available. The resident's meal slip confirmed a vegetarian diet, yet the facility did not provide the necessary vegetarian products. The Food Service Director admitted to a lack of vegetarian options and the dietician acknowledged the failure to order necessary vegetarian food products, highlighting a systemic issue in meeting the dietary needs of vegetarian residents.
Plan Of Correction
1. R40 preferences were updated, R278 no longer resides in the center. 2. An initial audit was conducted to validate residents' meal preferences are provided. Variances were addressed at the time of the audit and placed on the facility audit tool. 3. NHA/Designee to re-educate food service director and dietician on providing food preferences. 4. NHA/Designee will conduct random audits on food preference and tray accuracy 3 times per week for 4 weeks, then 1 time a month for 2 months. Audit findings will be addressed and submitted to the Quality Assurance Performance Improvement Committee for further review and recommendations as needed.