Failure to Provide Prescribed Double Portions for Therapeutic Diet
Penalty
Summary
The facility failed to ensure that a resident with physician orders for double portions at all meals received the prescribed diet. The resident, who had diagnoses including Parkinson's disease and malignant neoplasm of the prostate, had a physician's order dated 10/10/24 specifying double portions at all meals. During a lunch meal service observation, the resident did not receive double portions as indicated on their meal ticket, which clearly stated the requirement in capital letters. The Dietary Manager confirmed that dietary staff are expected to follow the meal tickets when serving meals. Facility policy requires all meals to be checked for accuracy, including proper portion sizes and adherence to therapeutic diet extensions, prior to serving.