Failure to Follow Menu and Dietician Recommendations for Pureed Diets
Penalty
Summary
The facility failed to follow the approved menu and dietician recommendations for residents requiring pureed diets. On the observed date, staff prepared a taco salad instead of the taco casserole specified on the menu, and did not adhere to the portion sizes directed by the Registered Dietician. During food preparation, the kitchen staff used incorrect measurements and did not follow the conversion chart accurately, resulting in residents receiving improper portion sizes of both the pureed taco mixture and rice. Additionally, the dietary staff relied on an inaccurate scoop size guide posted in the kitchen, which led to further errors in serving sizes. The required pre-meal huddle, where menu and portion expectations are reviewed, did not occur on the day of the deficiency. Furthermore, the facility did not serve fresh grapes to residents on a regular diet as required by the menu. Interviews with staff revealed a lack of awareness regarding the correct menu items and portion sizes, and the kitchen manager acknowledged the presence of an incorrect scoop size poster in the kitchen. The dietician confirmed that the menu was not followed and expressed concern about the incorrect scoop sizes used during meal service.