Failure to Serve Meals According to Posted Menu
Penalty
Summary
The facility failed to serve meals in accordance with the posted menu, as evidenced by multiple resident complaints and direct observations. During a confidential resident council meeting, more than half of the participants reported that the facility frequently did not follow the posted meal plans, with one resident stating that inconsistencies occurred daily and unpredictably. Additional residents expressed dissatisfaction with the meals, specifically noting that the kitchen did not serve what was listed on the menu and that anticipated meals were substituted with different items without notice. Observations in the kitchen revealed that the dietary staff were serving meals from an outdated menu cycle, while residents had been provided with a different, current menu. The Dietary Manager acknowledged the error, admitting that the correct menus had not been distributed and that the posted menu dates were not updated. Review of the posted menus confirmed discrepancies, including missing menu items and incorrect dates. Facility leadership, including the Nursing Home Administrator and Director of Nursing, acknowledged that residents had reported these issues. The facility's own policy requires menus to be planned in advance by a dietitian, dated, and posted in visible locations, which was not followed.