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F0805
E

Puree Diet Food Served with Incorrect Consistency

Reseda, California Survey Completed on 05-23-2025

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

Seven of eight residents on a puree diet were served a puree lemon crisp dessert that was too thick in consistency. During a test tray observation, the Dietary Supervisor (DS) and Regional Dietary Supervisor (RDS) confirmed that the dessert did not meet the required texture for a puree diet, as it was too thick and failed the spoon tilt test, which is used to assess the appropriateness of food texture for individuals with dysphagia. The DS stated that the dessert should be smooth, similar to mashed potatoes, and should slide off the spoon easily, but the observed dessert did not meet these criteria. A review of the facility's diet manual for the Dysphagia Diet, Puree IDDSI Level 4, indicated that all puree foods should be lump-free, not firm or sticky, and should pass both the fork drip and spoon tilt tests before being served. The manual also specified that all prepared recipes should be tested prior to service to ensure they meet IDDSI guidelines. The DS acknowledged that the dessert served did not comply with these requirements, which could result in residents having difficulty swallowing.

See complete original report
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