Failure to Follow Dietary Recipes and Portion Sizes
Penalty
Summary
The facility failed to ensure that dietary staff followed facility recipes and portion sizes as required. On the observed date, dietary staff were seen using a 4oz slotted spoodle to serve three bean salad and mandarin oranges, but the actual portions provided were less than 4oz, with the mandarin oranges being approximately 2oz and the three bean salad approximately 3oz. The posted kitchen menu did not indicate portion sizes, and staff would need to consult the recipe binder for correct measurements. The facility's diet spreadsheet specified that a #8 scoop, which provides 4oz, should be used for both items, but this was not followed. Additionally, the process for preparing pureed beef barley soup did not follow the facility's recipe. Instead of pureeing the entire soup (including solids and liquid) to a smooth consistency, kitchen staff strained the solids and served only the liquid portion to residents requiring pureed diets. This resulted in at least one resident receiving a thin, broth-like liquid instead of pureed soup, leading to dissatisfaction and complaints. The recipe for pureed beef barley soup was found to have been altered with white-out to indicate straining for broth, but the unaltered recipe required blending the entire soup to a smooth consistency.