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F0803
E

Failure to Follow Prescribed Menu Portion Sizes for Regular Diet Residents

Omaha, Nebraska Survey Completed on 07-22-2025

Penalty

No penalty information released
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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

Kitchen staff failed to follow the prescribed menu serving sizes for 48 residents on regular textured diets. Observations revealed that dietary assistants did not use dietary cards, which provide essential information on diet type, portion sizes, food consistency, preferences, and allergies. Instead, staff served inconsistent and incorrect portions of meatballs, with one dietary assistant serving 5 meatballs and another serving between 5 and 12 meatballs per resident, contrary to the menu's specified portion of 3 one-ounce meatballs. The Food Service Director later confirmed that the correct serving size should have been 6 half-ounce meatballs, and acknowledged that the menu portion sizes were not followed. Record reviews showed that the menu and diet spreadsheet clearly outlined the required portion sizes for each food item, but these were not adhered to during meal service. Staff interviews indicated a lack of knowledge regarding the correct serving sizes, and the absence of dietary card usage contributed to the inconsistency. The deficiency affected a significant portion of the facility's census, as 48 out of 63 residents on regular textured diets did not receive meals in accordance with the established menu and portion guidelines.

See complete original report
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