Failure to Serve Diet in Prescribed Texture for Resident with Dysphagia
Penalty
Summary
A deficiency occurred when a resident with a history of dysphagia oropharyngeal phase, cognitive communication deficit, carotid artery stenosis, chronic diastolic heart failure, type 2 diabetes, atrial fibrillation, anxiety disorder, and dementia was not served food in the prescribed form. The resident was ordered a regular diet with mechanical soft texture and thin liquids, and the care plan required monitoring and serving the diet as ordered. During observation, the resident was served brussel sprouts with whole leaves, large pieces of chopped meat, and bow tie pasta, which did not meet the mechanical soft texture requirement. An LPN confirmed that the resident was not supposed to have the food as served and removed the plate to prevent consumption. The resident stated he was full and did not want another plate of food.