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F0800
E

Failure to Meet Resident Dietary Preferences and Portion Requests

Portland, Oregon Survey Completed on 04-28-2025

Penalty

Fine: $149,783
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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

A resident with diabetes and a below-the-knee amputation, who was cognitively intact, reported not receiving enough food and specifically requested larger portions. Despite having an order card for double portions and a hamburger on the side, the resident was observed receiving small portions and no hamburger. Staff interviews confirmed that the resident had requested double portions and a hamburger regularly, and that there was not a good system in place to meet resident preferences and cultural preferences for food. The dining manager and dietary staff acknowledged the resident's requests, but the upgrade to double portions was not implemented until after the deficiency was observed.

See complete original report
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