Failure to Provide Nutritive Meal Substitutes
Penalty
Summary
The facility failed to provide lunch meal options of similar nutritive value to the main entree for two residents. During a lunch meal service, two residents received a grilled cheese sandwich with a side of zucchini as a substitute for the main meal of Lemon Baked Tilapia, Wild Rice Blend, and Sliced Zucchini. The meal tickets indicated that the residents had ordered the grilled cheese sandwich as a substitute. The cook prepared the sandwiches using two slices of American cheese and two slices of bread. The dietitian confirmed that the Lemon Baked Tilapia portion provided 21 grams of protein, while the grilled cheese sandwich only provided 6 grams of protein due to the use of two slices of cheese. The dietitian agreed that the facility should have offered an additional item to meet the nutritional needs of the substitute meal. The facility's policy on selective menus, effective June 2023, states that selections should be provided within allowed dietary modifications to create nutritious menus and portion control.