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F0803
F

Failure to Follow Menus and Notify Residents of Food Substitutions

Burlington, Wisconsin Survey Completed on 05-08-2025

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 ensure that menus and menu extensions were followed as required, including providing appropriate, approved food substitutions and adhering to recipes for all 89 residents. During a tray line observation, kitchen staff served mixed fruit instead of the bread pudding listed on the menu, as the bread pudding had not been prepared the night before due to time constraints. Staff responsible for preparing the bread pudding confirmed it was not made and indicated that residents were not notified in advance of the substitution. The Dietary Manager stated that residents should be notified of any menu changes in advance, and the Administrator confirmed that residents needed to be alerted if there were changes to the menu. Review of facility policy and the weekly menu confirmed that the planned meal was not served as specified.

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