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F0806
E

Failure to Honor Resident Food Preferences During Meal Service

Butler, Pennsylvania Survey Completed on 05-14-2025

Penalty

No penalty information released
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The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

The facility failed to provide food products according to resident preferences for four residents. Facility policy required trays to be checked for accuracy and resident dislikes, but observations and interviews revealed multiple failures. One resident reported not receiving requested food items on her menu. During tray line observation, two residents who were supposed to receive pureed broccoli were instead served pureed carrots, despite tray cards indicating their preference. Another resident, who preferred not to have gravy and whose tray card was marked 'NO GRAVY,' was served food with gravy. These incidents demonstrate that the facility did not consistently follow resident food preferences as documented and requested.

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