Failure to Provide Resident with Preferred Breakfast Items
Penalty
Summary
A deficiency occurred when the facility failed to provide food that accommodated a resident's stated preferences. Specifically, a resident with diagnoses including cardiomegaly, dementia with behavioral disturbance, morbid obesity, urogenital candidiasis, and rheumatoid arthritis, who was on a regular diet, did not receive a breakfast sandwich with egg, bacon, and cheese as requested and documented on her meal ticket. During breakfast service, the resident received a sandwich without egg, which she reported had happened one to two times per week previously. The resident stated that when her breakfast was not prepared as requested, she would not eat breakfast. The dietary manager confirmed that the omission was due to forgetting the egg substitute, which was used in place of real eggs due to supply issues. The resident's care plan included offering the diet as ordered and updating food preferences as needed. The facility's meal service policy required dietary staff to interview residents about food preferences upon admission and periodically thereafter, and to serve breakfast to order. Despite these procedures, the resident's preferences were not consistently met.