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F0806
D

Failure to Accommodate Dietary Preferences and Restrictions

Aurora, Colorado Survey Completed on 06-26-2025

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

The facility failed to provide food and drinks that accommodated a resident's allergies, intolerances, and preferences, specifically not ensuring a vegetarian diet as prescribed and preferred by the resident. Despite a physician's order and meal ticket indicating a vegetarian diet, the resident was served non-vegetarian food, including a pork chop at lunch and marble cake containing chocolate at dinner, which the resident was supposed to avoid due to a prior medical procedure. The resident reported that her food choices were repetitive and that she was not offered a vegetarian diet during her stay. Review of the care plan revealed it did not identify the resident's preference for a vegetarian diet or her inability to eat chocolate cake. Staff interviews confirmed that although a vegetarian menu extension existed, it was not utilized for this resident. The dietary manager stated that the resident would communicate her food preferences directly to the kitchen, but a specific vegetarian menu was not consistently provided. The registered dietitian acknowledged learning only recently about the resident's need to avoid chocolate, confirming that the cake served contained chocolate.

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