Failure to Communicate Resident Dietary Needs Due to Missing Tray Tickets
Penalty
Summary
The facility failed to ensure that residents' daily nutritional and special dietary needs were met for one of four weeks, specifically due to the absence of tray tickets on meal trays. During an observation, lunch trays were found without tray tickets, which are used to identify the resident, their diet, and specific food items. Instead, dietary staff hand-wrote residents' last names, room numbers, and diet orders on the placemats. This practice was implemented because the facility's printer was broken for approximately one week. The information provided to dietary staff for this workaround only included residents' names, room numbers, and diet orders, but did not include critical details such as food allergies or preferences. The Dietary Manager confirmed that this omission meant that proper information regarding resident preferences and food allergies was not communicated or provided during this period. The administrator also confirmed that the facility failed to ensure that daily nutritional and special dietary needs for residents were met.