Failure to Provide Diet Consistent with Physician Order for Resident with Dysphagia
Penalty
Summary
A deficiency occurred when a resident with a diagnosis of dysphagia, who had a physician's order for a mechanically altered diet with ground meat, was initially served a meal that did not comply with the prescribed diet. The resident was observed receiving a plate containing a sandwich, tossed salad, and root vegetables, which was then removed and replaced with a plate containing ground meat, root vegetables, and tossed salad. The meal ticket indicated the resident required a mechanical soft with ground meat diet. The Director of Dining Services confirmed that the tossed salad should not have been served because the lettuce was not shredded, which was inconsistent with the facility's Mechanical or Dental Soft Diet guidelines that prohibit raw vegetables except for shredded lettuce.