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F0808
D

Failure to Provide Physician-Ordered Double Meat Portion at Lunch

Matteson, Illinois Survey Completed on 05-09-2025

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 follow a physician's prescribed diet order for a resident who required double portions of meat at lunch. The resident's physician order sheet and diet card both specified a regular texture, thin diet with double meat at lunch. However, during observation at lunchtime, the resident was served only one piece of meat instead of the ordered double portion. The resident, who was alert and oriented, confirmed receiving only one piece of meat. The dietary manager later verified that a double portion should have consisted of two pieces of meat and acknowledged that therapeutic diet orders must be followed. The facility's policy also states that therapeutic diets are to be prescribed by the attending physician.

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