Failure to Honor Resident Food Preferences and Requests
Penalty
Summary
The facility failed to honor food preferences and requests for two residents. One resident with intellectual disabilities, type II diabetes mellitus, and a history of a feeding tube was care planned to receive meals in small individual bowls due to her mechanically altered diet. However, observation showed her dinner was served on a plate with all food together, contrary to her meal ticket and care plan instructions. The Dining Operations Manager confirmed the resident did not receive her food in separate bowls as required. Another resident with chronic obstructive pulmonary disease and morbid obesity, who was cognitively intact, reported ongoing issues with the kitchen not providing her correct food choices. Observation revealed she did not receive the requested glazed carrots and was given cranberry juice, despite her meal ticket specifying glazed carrots and no juice. The Dining Operations Manager verified these errors and acknowledged the resident's requests were not met. Facility policy requires honoring residents' food preferences and choices whenever possible, but this was not followed in these cases.