Failure to Accommodate Resident Food Preferences and Nutritional Needs
Penalty
Summary
The facility failed to accommodate the food preferences and nutritional needs of four residents, leading to deficiencies in their care. Resident #77, who was admitted with a regular diet, expressed dissatisfaction with the unhealthy breakfast options provided and was unaware of the ability to request different menu items. The Dietetic Technician, Registered (DTR) confirmed that food preferences were not discussed unless there was an issue with intake, which was not the case for this resident. Resident #403, also on a regular diet, reported feeling hungry after meals and was not informed about the option to make food selections. The DTR acknowledged that the resident's caloric needs were not being met with the current menu offerings, and snacks were not offered to supplement his diet. Additionally, the resident was served a leftover meal tray, which was not in line with facility expectations for providing fresh, warm food. Resident #34, on a renal diet, was not meeting her nutritional needs and expressed dissatisfaction with the food. Despite her diminished appetite and inadequate intake, her preferences were not discussed, and a prescribed nutritional supplement was not ordered. Resident #59, who desired weight gain, received a meal that did not match her order, and the CNA failed to verify the meal ticket before leaving the room. The facility's policy required staff to ensure meals matched residents' preferences and dietary needs, which was not adhered to in these cases.
Plan Of Correction
A) What corrective action(s) will be accomplished for those residents found to have been affected by this practice? a. On Kitchen manager/designee spoke with residents numbers, 34, 59, 403, and 77 to ensure food preferences were obtained. B) How will you identify other residents having the potential to be affected by the same practice, and what corrective action will be taken? a. On Audit completed on residents to ensure resident food preferences have been obtained. C) What measures will be put into place or what systemic changes will you take to ensure that the practice does not reoccur? a. By Director of Nursing/designee to complete education with CDM to ensure resident food preferences are obtained timely. D) How will the corrective actions be monitored to ensure the practice will not reoccur; what quality measures will be put into place? a. Director of Nursing/designee to complete audit of residents food preferences, ensure compliance with federal regulation F806 weekly x4 weeks then monthly for 2 months or until substantial compliance is achieved. b. Findings will be reported monthly at the QA/Risk management meeting until such time substantial compliance has been determined.