Failure to Prepare Pureed Foods to Required Consistency for Residents on Modified Diets
Penalty
Summary
The facility failed to prepare foods in a form designed to meet individual needs for residents on a puree/level 4 diet. During observation and interview, it was noted that puree bread and puree beef served to these residents were flat and did not hold their shape on the plate, contrary to the requirements outlined in the facility's diet manual and IDDSI guidelines. The Dietary Supervisor confirmed that the puree foods should be of a pudding-like consistency, smooth, and able to hold their shape, but acknowledged that the items in question were not prepared to these standards. The facility's recipes and policies specify that pureed foods must be smooth, free of lumps, and able to hold their shape, and must pass IDDSI level 4 testing requirements, which was not achieved in this instance. This deficiency affected 18 out of 101 residents on a puree/level 4 diet, as the improperly prepared foods could impact their ability to eat using silverware and potentially result in decreased food intake. The facility's documentation and staff interviews confirmed that the pureed foods did not meet the required consistency and presentation, as they were runny and did not maintain their shape, which could make them less appetizing and more difficult for residents to consume.