Menu Substitution Not Approved by Registered Dietician
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
The facility failed to ensure that menu substitutions were approved by the registered dietician as required. On 08/11/2025, the approved lunch menu included white beans, ham, steamed rice, and brussel sprouts, but the meal served consisted of white beans, rice, and beets. The dietary manager did not document the substitution of beets for brussel sprouts and did not notify the registered dietician for approval of this change. Interviews with the dietary manager and administrator confirmed that the substitution was neither documented nor communicated to the registered dietician, who also confirmed he was not notified. There was no documented evidence to show that the registered dietician was informed of or approved the menu revision.