Failure to Serve Dietitian-Planned Pureed Food Portions
Penalty
Summary
The facility failed to serve food portions as planned by the Registered Dietitian (RD) for six residents who had physician's orders for a pureed diet. During a lunch observation, staff member #18 used a four-ounce scoop for pureed barbeque ham sandwiches and a three-ounce scoop for pureed potatoes, instead of the required five and one-half ounces for the sandwich and four ounces for the potatoes as indicated on the dietary spreadsheet. A poster in the kitchen provided coded measurement indicators for reference, but these were not followed. The Dietary Manager confirmed that the incorrect scoop sizes were used and that the staff member did not adhere to the spreadsheet planned and approved by the RD. Review of the facility's policy on kitchen weights and measures indicated that staff were to be trained on the appropriate measurement and type of serving utensil for each food. This deficiency affected six residents with pureed diet orders and was identified during the investigation of two complaint numbers.