Failure to Follow Menus and Notify Residents of Meal Substitutions
Penalty
Summary
The facility failed to provide meal items as listed on the menu and did not notify residents of menu changes. During a kitchen tour, staff were observed preparing hot dogs for lunch, although the menu specified bratwurst on a bun. One resident received hot dogs instead of the expected bratwurst and expressed disappointment and frustration, stating that not receiving the planned menu items was a frequent occurrence. The resident became visibly upset upon receiving the incorrect meal and reported that this issue happened often. A review of the facility's menu confirmed that hot dogs were not listed as the lunch item for that day. Additionally, during a resident council meeting, all six residents present confirmed that food substitutions were often made without prior notification. This lack of communication and failure to follow the planned menu led to residents feeling frustrated and discontent with the meals provided.