Failure to Follow Menus and Meet Resident Food Preferences
Penalty
Summary
The facility failed to ensure that the menu was followed and that resident choices and preferences were met during meal service. On one occasion, seven residents who had ordered bread sticks for lunch did not receive them, as observed by the surveyor and confirmed by the Certified Dietary Manager (CDM). The bread sticks were not brought up from the kitchen to the unit, and the last meal tray was served without them. This issue was acknowledged by the CDM during the meal service and again during a review with the surveyor. Additionally, a resident's breakfast tray did not match the items listed on their dietary ticket, which included a beverage of choice, milk, bacon, Danish, and instructions to provide two cereals. Instead, the tray contained only a hot beverage cup, a tea bag, and a half-eaten bagel. The Dietary Supervisor confirmed that the expectation is to follow the dietary ticket, and the discrepancy was discussed during the survey. These findings were reviewed with facility leadership during the exit conference.