Failure to Follow Prescribed Pureed Diet Menu and Portion Sizes
Penalty
Summary
A deficiency occurred when a resident with severe cognitive impairment and a diagnosis of dysphagia, requiring a pureed diet, was not served meals according to the prescribed menu and portion sizes. The resident's care plan and physician orders specified a pureed diet, and the facility's menu for the day included specific pureed items and portion sizes. However, during lunch service, the dietary aide initially served only one 4oz scoop of chili instead of the required two 4oz scoops. The dietary manager later clarified that the correct serving size was two 4oz scoops, but this information had not been communicated to the aide prior to service. Further observations revealed that the resident did not receive all menu items as required. The dietary aide failed to serve the pureed cinnamon roll, pureed vegetables, and pureed dessert until prompted by the dietary manager, and the pureed cinnamon roll was never served at all. The facility's portion control policy required food to be served according to standard portion sizes and menu requirements, but this was not followed. The administrator confirmed that the expectation was for meals to be served according to the menu.