Failure to Offer Meal Choices and Follow Menus
Penalty
Summary
The facility failed to ensure that residents were offered meal choices and that menus were followed as required by policy. Multiple residents with little to no cognitive impairment reported that when they received meals in their rooms, they were not given a choice of food, and the only alternative offered was a peanut butter and jelly sandwich. Residents stated they received whatever the facility provided without being informed of the menu or given an opportunity to select their meals. This lack of choice was specifically noted for residents who ate in their rooms, while those who ate in the dining room were able to make meal selections. Additionally, there were discrepancies between the meals listed on the posted menus, the meal tray tickets, and the actual food served to residents. For example, one resident was served meals that did not match either the tray ticket or the posted menu on two separate occasions. The Dietary Manager confirmed that residents receiving meals in their rooms were not informed of their meal options and could not explain the inconsistencies between the posted menus, tray tickets, and meals served. The Administrator acknowledged that all residents should be informed of the menu and offered alternatives, and that the posted meals should be served as written.