Resident Served Incorrect Food Texture Despite Puree Diet Order
Penalty
No penalty information released
The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.
Summary
A resident with dementia and dysphagia, who was assessed as having moderate cognitive impairment and required maximum assistance with eating, was ordered to receive a puree texture diet with moderately thick liquids. During a lunch service observation, the resident was served a meal consistent with their diet order, but an unknown staff member subsequently placed a bowl of regular textured potato salad in front of the resident. Although the potato salad was not fed to the resident, this action was acknowledged by the Certified Dietary Manager as not being in accordance with the resident's prescribed puree diet. Facility policy required that food be provided at the proper texture and consistency to meet individual needs.