Failure to Follow Prescribed Menu and Serving Sizes During Meal Service
Penalty
Summary
The facility failed to follow the prescribed menu during an observed meal service, impacting the nutritional adequacy of meals served to residents. During the lunch service, the cook was observed plating meals that did not match the menu specifications for serving sizes and food items. For example, regular diet plates were served with three chicken tenders, one scoop of coleslaw, one scoop of mashed potatoes, and one scoop of gravy, while the mechanical soft diet plate included ground chicken tenders, mashed potatoes, gravy, and cooked cabbage. The pureed diet plate was served with pureed chicken tenders, mashed potatoes, and two scoops of gravy, but no pureed vegetables were included as required by the menu. The facility's policy and the extended menu spreadsheet specified serving sizes and required components for each diet type, including pureed vegetables for residents on pureed diets. The cook acknowledged not following the menu, serving incorrect portion sizes for coleslaw and chicken tenders, and omitting pureed vegetables for the pureed diet plate. The Director of Nursing identified that 63 residents received meals from the kitchen during this service.