Failure to Provide Required Daily Grain/Bread Servings on Facility Menu
Penalty
Summary
The facility failed to provide the required six servings of grains or breads daily on its menu for all 40 residents, as identified through review of the facility's Spring/Summer 2025 Diet Extensions for various diet types. Specific deficiencies were noted on each day of the week, with missing servings ranging from one to three for general diets and up to four for specialized diets such as Mechanical Soft, Pureed, Consistent Carbohydrate, and Heart Healthy. The Diet Type Report confirmed that 39 residents were receiving oral diets, and the menu audit checklist indicated the expectation of six daily grain servings. During interviews, the Director of Nutrition Systems and the Dietitian acknowledged that the menus were short on grain servings and confirmed that the menus were planned using USDA My Plate and state regulations. The facility's policy required menus to meet nutritional needs in accordance with national guidelines and to be approved by a dietitian or qualified nutrition professional. Despite these requirements, the menus did not consistently provide the mandated grain/bread servings for all diet types throughout the week.