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F0803
E

Failure to Follow Prescribed Menu Portion Sizes

Denver, Colorado Survey Completed on 04-25-2025

Penalty

No penalty information released
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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

The facility failed to ensure that menus were followed to meet residents' nutritional needs, specifically by not providing the correct portion sizes as outlined in the menu extensions. During a lunch meal observation, the dietary aide used a #12 scoop (1/3 cup) instead of the required #8 scoop (1/2 cup) for serving seasoned couscous and pureed seasoned couscous to residents on regular, mechanical soft, therapeutic, and pureed diets. Additionally, the aide used a partially filled #12 scoop for the vegetable blend, resulting in some residents receiving less than the prescribed 1/2 cup serving. At one point, only about 1/8 cup of vegetables was served due to running out of the vegetable blend, and couscous was omitted from a mechanically soft plate when it was unavailable. The dietary manager confirmed that the dietary aide should have used a full 1/2 cup scoop for vegetables and that the use of the #12 scoop was incorrect. The aide's actions were influenced by concerns about running out of food, leading to inconsistent and inadequate portion sizes. These deviations from the prescribed menu and portion sizes resulted in residents not receiving the nutrition as planned and required by their dietary orders.

See complete original report
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