Failure to Follow Posted Breakfast Menu
Penalty
Summary
The facility failed to follow the planned breakfast menu for all 51 residents on the specified date. The posted menu included hot or cold cereal, scrambled eggs, a Danish roll, mandarin oranges, milk, and assorted juices. During breakfast service, the dietary manager and dietary aide prepared and served meals, but mandarin oranges were not provided to any residents, nor were they available on the prep tray. The dietary manager later confirmed that mandarin oranges were omitted because she forgot they were on the menu. Additionally, the director of nursing stated that the facility did not have a policy regarding adherence to menus. This deficiency was identified through observation, staff interviews, and review of facility records, and had the potential to affect all residents in the facility.