Incorrect Portion Sizes Served for Altered Textured Diets
Penalty
Summary
The facility failed to provide the correct portion size of meat for residents on altered textured diets, as observed during a lunch service. Specifically, the cook served a #16 scoop (2 ounces) of pureed and mechanical soft turkey to multiple residents, instead of the required 3 ounces for mechanical soft diets and 3.75 ounces (#8 scoop) for pureed diets, as documented in the facility's menu and recipes. This discrepancy was confirmed by review of the facility's dietary documentation and by interview with the Dietary Manager, who acknowledged that the incorrect portion sizes were served and could not explain why the error occurred. The affected residents were those identified as receiving either pureed or mechanical soft diets according to facility records. The deficiency was identified through interviews, observation of meal service, and review of dietary records, which showed that the prescribed menu and recipes were not followed for nine residents requiring altered textured diets.