Failure to Follow Menu Extension Sheet for Diet Consistency
Penalty
Summary
The facility failed to adhere to the menu extension sheet for providing appropriate portion sizes for residents on mechanical soft and pureed diets. During a lunch meal service, the cook used incorrect scoop sizes, resulting in residents on mechanical soft diets receiving less than the required portion of Lemon Baked Tilapia. Additionally, a resident on a pureed diet with double protein did not receive the correct portion sizes for Lemon Baked Tilapia and zucchini, nor did they receive pureed soup or bread, which are standard offerings for all consistency diets. The dietary manager was unaware of the correct portion sizes and expressed dissatisfaction with the menu program, indicating a lack of familiarity with the facility's dietary procedures. The dietitian later confirmed the correct portion sizes and scoop sizes that should have been used, highlighting the discrepancies in the meal service. The facility's failure to follow the menu extension sheet affected six residents who were reviewed for dining, indicating a systemic issue in the dietary service process.