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F0803
E

Failure to Provide Adequate Nutrition and Menu Adherence

Pueblo, Colorado Survey Completed on 08-11-2025

Penalty

Fine: $19,135
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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 ensure that menus met the nutritional needs of residents, as required by policy and regulatory standards. Residents reported that meals did not satisfy their hunger and that they were left hungry after meals, with one resident unable to eat provided snacks due to dental issues. Review of menu extensions revealed that portion sizes were not always specified, and the total daily caloric intake on at least one day was below the recommended range set by the registered dietitian. Observations confirmed that portion sizes were small, and there were inconsistencies between the planned menu and what was actually served, such as serving a biscuit instead of a dinner roll. Staff interviews indicated a lack of clarity regarding portion sizes and menu adherence. The registered dietitian acknowledged that the menus were intended to provide 1700-1800 calories per day, but documentation showed that this was not always achieved. The cook was unaware of how desserts were portioned, and agreed that the servings were small. These findings demonstrate that the facility did not consistently provide adequate food to meet residents' nutritional needs, nor did it ensure that menus were properly followed and portioned.

See complete original report
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