Failure to Follow Planned Menu for Lunch Meal
Penalty
Summary
The facility failed to follow the planned menu for one of two observed meals, specifically lunch, affecting 96 of 99 residents who consume food orally. Observations revealed that the regular and mechanically altered Philly Beef sandwiches were prepared with shredded cheese instead of the required cheese sauce, and finely chopped parsley was used instead of a parsley sprig. For the pureed diet, the cook did not prepare the required cheese sauce or pureed bread, and powdered parsley was omitted. During interviews, dietary staff acknowledged forgetting to make the pureed bread and stated that the cheese sauce was not prepared because residents did not like the canned version, and no attempt was made to obtain the cheese sauce mix as specified in the menu.