Failure to Follow Prescribed Menu for Pureed Diets
Penalty
Summary
The facility failed to follow the prescribed menu to ensure nutritional adequacy for residents on a pureed diet, affecting six residents. The deficiency was observed when a cook, identified as V13, prepared pureed chicken by blending chicken breast, chicken broth, and bread, and then served it using a #10 scoop (3.25 ounces) instead of the prescribed #8 scoop (4 ounces) for chicken breast and #20 scoop (1 5/8 ounces) for bread. The dietary manager, V5, confirmed that the diet spreadsheet, which specifies portion sizes, should be followed to ensure residents receive the appropriate amount of protein and vegetables for nutrition. The recipe for Pureed Italian Chicken also indicated the use of a #8 scoop, highlighting the discrepancy in portion sizes served to the residents.