Failure to Provide Dietician-Approved Food Portions and Consistent Meal Service
Penalty
Summary
The facility failed to provide food portions as directed by the dietary spreadsheet approved by the registered dietician for four residents out of a sample of seventeen reviewed for dining. Specifically, residents with complex medical histories, including diabetes, chronic kidney disease, dementia, malnutrition, and other conditions, were served ham portions that were less than the required 3 ounces specified on the dietary spreadsheet. The dietary manager weighed the ham and found it to be just under 2.75 ounces, and this amount was served to multiple residents. Staff confirmed that the correct portion should have been 3 ounces and acknowledged that the facility had equipment capable of slicing the ham to the appropriate size, but this was not done. Additionally, facility documentation and resident council forms indicated ongoing concerns about food service, including inconsistent portion sizes, meal tickets not being read properly, and residents receiving items they did not like. These issues were noted as recurring, particularly during dinner and weekends, and there were reports of insufficient food to complete meal service. These findings were based on interviews, observations, and record reviews conducted by surveyors.