Failure to Serve Physician-Ordered Therapeutic Diets
Penalty
Summary
The facility failed to ensure that therapeutic diets were served as ordered by the physician for two of three residents reviewed. For one resident with vascular dementia and a severely impaired cognitive status, observations showed that breakfast and lunch meals did not consistently match the physician's order for a regular diet with fortified foods, as indicated on the meal card and care plan. The care plan specifically noted the resident was at risk for malnutrition and required the diet to be served as ordered by the physician. Another resident, diagnosed with dementia and stroke and assessed as requiring a mechanically altered and therapeutic diet, was observed receiving meals that did not align with the physician's order for a no added salt, mechanical soft diet with fortified foods. The resident's breakfast and lunch did not include the required fortified foods, and the lunch meal was missing a specified side dish. The dietary manager confirmed that fortified foods, such as yogurt or oatmeal, should have been provided but were not consistently served.