Failure to Provide Ordered Food Portions and Preferences
Penalty
Summary
The facility failed to provide food choices and preferences as ordered for two residents reviewed for nutrition. For one resident with hypertension and hyperlipemia, who was cognitively intact, a lunch tray was observed to be missing the large portion of pulled pork, plantains, and yellow rice as specified on the meal ticket. The resident's care plan indicated the need to provide diet and supplements as ordered, but the meal provided did not match the documented requirements. Another cognitively intact resident with chronic anemia and adult failure to thrive was observed at breakfast to have not received the fresh fruit cup and 8 ounces of milk as indicated on the meal ticket, nor the large portion of the main entrée. The care plan for this resident specified that weight gain would be favorable and that large portions should be provided. The resident confirmed not receiving the milk or fruit. The Food Service Director stated that trays are checked for accuracy by two staff members, but the observed deficiencies indicate that the correct portions and items were not consistently provided.