Failure to Provide Planned Menu Meals and Alternatives According to Resident Preferences
Penalty
Summary
A resident with intact cognition, as indicated by a BIMS score of 15, did not receive the planned menu meal or the appropriate food alternative on multiple occasions. During a dining observation, the resident received a beef patty and salad, which was the same meal served the previous day, despite the posted menu listing soft tacos and salad. The resident confirmed he had not requested an alternative for that meal and expressed a preference for the soft tacos, which he did not receive. Additionally, the resident reported that on a previous occasion, after requesting barbecue chicken from the alternative menu, he was instead served chicken nuggets, which were not listed as an alternative option. Review of the resident's tray ticket showed a documented dislike of all pork, and the dietary manager confirmed that the soft tacos were made with beef, not pork, indicating the planned menu item was appropriate for the resident's preferences. The dietary manager acknowledged that the resident received a vegetable patty instead of the planned menu item and that the requested alternative meal was not provided as listed. The facility's policy requires that menus be prepared in advance and followed, but these requirements were not met in this instance.