Failure to Accommodate Resident Food Allergies and Preferences
Penalty
Summary
The facility failed to provide food items that accommodated resident allergies, intolerances, and preferences for four out of nine residents reviewed. Specifically, one resident with a documented history of celiac disease did not have gluten intolerance noted on their admission assessment, diet order, or meal slips, despite multiple references to this condition in their hospital referral. The resident's dietary communication slip also lacked information about gluten intolerance, and their meal orders did not reflect this critical dietary need. Additionally, meal observations revealed that another resident was served chicken despite a documented dislike, a third resident received their meal on a regular plate instead of the required plastic bowls, and a fourth resident was served rice and bananas despite a documented dislike of rice and an allergy to bananas. The facility's policy required individual food preferences to be assessed and communicated upon admission, but this was not consistently implemented, resulting in residents not receiving their selected or appropriate menu items.
Plan Of Correction
Resident R4, R5, and R6 had no negative outcome for not following preference. Resident was offered a replacement meal which was accepted. Audit completed that all residents' preferences are listed. Dietary Manager or designee will educate dietary staff on following Resident Food Preference. Dietary Manager will audit tray line to ensure all preference tickets are being followed 2x a week by 2 weeks and monthly by 2 months.