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F0803
E

Failure to Follow Pureed Diet Portion Sizes for Residents

Emmetsburg, Iowa Survey Completed on 07-28-2025

Penalty

Fine: $39,530
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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

Staff failed to prepare and serve pureed food in accordance with the facility's established portion sizes and procedures for four residents on pureed diets. During meal preparation, the cook used a #10 scoop to serve pureed pork tenderloin instead of the required #12 and #16 scoops as indicated on the Pureed Diet Portion Sizes/Scoop Chart. This resulted in incorrect portion sizes being served, with leftover pureed meat remaining after meal service, despite only four servings being prepared for four residents. The cook acknowledged the error in scoop size and portioning, and the Certified Dietary Manager confirmed that the correct scoop sizes should have been used. The Administrator stated there was no formal policy on the puree process, and the facility relied on the portion size chart.

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