Failure to Measure and Portion Pureed Foods Correctly
Penalty
Summary
Staff failed to provide a well-balanced diet that meets the nutritional and special dietary needs of residents by not using correct serving size portions for meals. During meal preparation, staff pureed brownies, green beans, and ham and beans, adding thickener as required, but did not measure the pureed food before serving. The pureed items were placed into serving bowls or onto the steam table without determining the correct portion sizes. Staff A indicated that extra servings were made, but there was no measurement of the pureed food to ensure each resident received the appropriate amount. Interviews with the Food and Nutrition Supervisor and the Administrator confirmed that the expectation was for pureed foods to be measured after blending to ensure correct scoop sizes and portion control. Review of the facility's policy on textured-modified diets also specified that the total volume of pureed food should be measured and divided by the original number of portions to ensure accuracy. The failure to follow these procedures resulted in the deficiency.