Failure to Follow Resident Dietary Preferences and Restrictions
Penalty
Summary
The facility failed to accommodate the dietary preferences and restrictions of three residents as observed through meal service and review of dietary records. One resident with multiple diagnoses, including diabetes and dementia, had a physician order for a no added salt diet and was specifically noted to avoid apple juice. Despite this, the resident received apple juice on her breakfast tray and expressed her dislike for it. Another resident with chronic kidney disease and other conditions was served cauliflower, which was listed as an allergy on her dietary card, despite her repeated statements that she does not like it. The resident also commented on the temperature and quality of the food, indicating ongoing dissatisfaction. A third resident with dementia and psychiatric diagnoses received drinks with ice, contrary to her dietary card instructions specifying no ice. Additionally, facility documentation from resident council meetings indicated ongoing concerns about dietary tickets not being read properly, resulting in residents receiving food items they do not like or cannot have. The facility's policy requires identification of food preferences within 72 hours of admission, but these incidents demonstrate a failure to consistently follow documented dietary preferences and restrictions for multiple residents.