Failure to Serve Correct Portion Sizes of Rice Pilaf
Penalty
Summary
The facility failed to ensure that appropriate portion sizes of rice pilaf were served to residents, as required by the facility's menu and portion control guidelines. According to the menu spreadsheet, residents were to receive four ounces of rice pilaf, except for those on carbohydrate-controlled diets who were to receive three ounces. However, during an observation of the tray line, it was found that only two ounces of rice pilaf were being served. This discrepancy was confirmed by a staff member at the time of observation and upon review of the spreadsheet. The incorrect portion sizes affected 33 residents and had the potential to affect 69 out of 70 residents, with one resident on a no food by mouth order. The facility's policy emphasized the importance of portion control to ensure nutritional adequacy, but the established procedures were not followed during meal service.