Failure to Serve Meals According to Prescribed Menus and Resident Preferences
Penalty
Summary
The facility failed to ensure that residents were served meals according to predetermined menus that incorporated their preferences and met their nutritional needs. During lunch observations, multiple residents did not receive all items listed on their meal tickets. One resident's tray was missing milk and margarine, while another did not receive milk and butter, despite expressing a desire for these items. A third resident's tray was missing whole milk, margarine, and a dessert item called magic cup, all of which were specified on the meal ticket. These discrepancies were confirmed by staff present during the meal service. The observations were corroborated by both the residents and staff, who acknowledged the missing food items at the time of service. The failure to provide the correct menu items as ordered and preferred by the residents demonstrates a lack of adherence to the planned menu and dietary requirements. This practice has the potential to affect all residents receiving meals in the facility.