Failure to Provide Ordered Dietary Supplements for Weight Loss
Penalty
Summary
A resident with dementia experienced a significant weight loss over the course of a year, dropping from 116.4 lbs. to 108.3 lbs., which amounts to a 7.75% decrease. The resident's care plan and physician orders specified the provision of dietary supplements, including yogurt with meals, to address her nutritional needs and support weight maintenance. The dietician had recommended these supplements due to observed weight fluctuations and had recently added additional supplements to the resident's regimen. Despite these documented interventions, direct observations during meal services revealed that the resident did not receive the ordered yogurt supplement with her meals on multiple occasions. Staff present during meal times did not provide the yogurt, and the Director of Culinary Services confirmed that yogurt was available and should have been included on the meal tray per the order. The dietician also confirmed the expectation that the supplement be offered with meals, as it was beneficial for the resident's health.