Failure to Follow Approved Menu for Dinner Meal
Penalty
Summary
The facility failed to follow the approved dinner menu for one of three observed meals. On the specified date, the menu approved by the Registered Dietician included minestrone soup and carrot raisin salad, but instead, residents were served either beef vegetable or chicken noodle soup and 3 bean salad. The rest of the meal components matched the approved menu. This deviation was observed during a dining observation and confirmed through staff interviews. Staff interviews revealed that the substitutions were made because the facility did not have the required menu items available. The dietary staff member responsible for meal preparation stated that they substituted the items due to lack of supplies. The Dietary Manager confirmed that while the menus are created and approved by the RD, changes are sometimes made without RD review or approval. This resulted in the facility not adhering to the displayed and approved menu for the observed meal.