Failure to Provide Physician-Ordered Therapeutic Diet
Penalty
Summary
The facility failed to ensure that a resident received the appropriate therapeutic diet as ordered by the physician. According to the medical record and the registered dietician's recommendation, the resident was to be provided with a fortified, high protein diet with regular texture and thin liquids consistency. The resident's lunch meal ticket indicated that both the soup of the day and a 'super soup' were to be provided, with the 'super soup' specifically associated with the fortified diet order. However, during meal service observation, the resident was only served the soup of the day and did not receive the super soup as indicated on the meal ticket. Interviews with staff confirmed the discrepancy. A CNA verified that the super soup was not present on the resident's tray, and the Dietary Services Supervisor (DSS) stated that residents on fortified diets should receive the super soup instead of the soup of the day. The DSS further clarified that if both soups were listed, only the super soup should be served. This failure resulted in the resident not receiving the diet as ordered by the physician.