Failure to Serve Menu-Specified Portions and Items for Pureed Diets
Penalty
Summary
The facility failed to ensure that meals were prepared and served according to the planned written menu to meet the nutritional needs of residents on pureed diets during two observed meals. Specifically, for the noon meal, residents were supposed to receive 1/2 cup of pureed scalloped potatoes, 3/8 cup of vegetables, and 3/8 cup of pureed cornbread. However, the dietary aide used a #12 scoop, equal to 1/3 cup, instead of the required scoop sizes, resulting in residents receiving less than the specified portions. Additionally, pureed breadcrumbs were served instead of pureed cornbread as listed on the menu. Interviews with dietary staff confirmed that the incorrect scoop sizes were used and that breadcrumbs were routinely substituted for cornbread due to staff oversight. During the breakfast meal observation, residents on pureed diets were to receive 1/2 cup of pureed hash browns, but the dietary staff again used a #12 scoop, providing only 1/3 cup per serving. Staff interviews confirmed the use of the incorrect scoop size and portion for all residents on pureed diets. These actions resulted in residents not receiving the menu-specified portions and items, as required to meet their nutritional needs.