Failure to Follow Posted Menu and Provide Required Substitutions
Penalty
Fine: $53,370
The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.
Summary
The facility failed to follow the planned breakfast menu for all 47 residents on a regular diet. On the observed date, the posted menu included assorted juice, a choice of hot or cold cereal, scrambled eggs, bacon, hash browns, and milk or beverage. However, during breakfast service, bacon was not provided as there was not enough available, and no substitute such as sausage was prepared, as the kitchen was also out of sausage. This deviation from the menu was confirmed by a dietary staff member, who stated that no notification or substitution was made. Facility policy requires that menus be followed as posted and that any deviations be promptly communicated, with substitutions of comparable nutritive value provided.