Failure to Follow Standardized Recipes and Portion Sizes During Meal Service
Penalty
Summary
Staff failed to follow the preplanned menu portion serving sizes and standardized recipes during meal preparation and service. Specifically, a staff member preparing the meal for residents with altered textured diets did not use the standardized recipe, adding cheese to the chicken pot pie and using biscuits instead of the specified pie crust. The staff member also used a four-ounce scoop to portion the entree for pureed diets, rather than the required six-ounce portion as indicated on the facility's menu extension and spreadsheet. This resulted in residents receiving incorrect portion sizes and altered nutritional content. The Dietary Manager confirmed that the scoop used was not the correct size and provided the appropriate six-ounce scoop after the error was identified. Additionally, the Dietary Manager was unable to explain how the amount of casserole prepared for pureed diets met the nutritional needs of the residents, as the standardized recipe and intended portion sizes were not followed. The facility's documentation showed that eight residents had physician orders for pureed diets, and the deviation from the recipe and portion sizes affected the nutritional value of the meals served to these residents.