Failure to Document and Honor Resident Religious Dietary Preferences
Penalty
Summary
Facility staff failed to evaluate and document a resident's food preferences related to religious beliefs, specifically for a resident who identified as Seventh Day Adventist and reported not eating pork. During an interview, the resident stated that meals containing pork were offered despite their religious dietary restrictions. The Food Services Director confirmed that while a food preferences interview was conducted at admission and results are typically recorded on the resident's tray card, this resident's religious dietary preferences were not included on the tray card. Record reviews showed that the resident's admission record, social services data, and comprehensive care plan did not include interventions or documentation regarding religious dietary preferences. The resident's tray card only listed a controlled carbohydrates diet with regular texture, omitting any mention of religious dietary restrictions. The resident's medical history included chronic obstructive pulmonary disease, type 2 diabetes mellitus, heart failure, and major depressive disorder. The annual MDS indicated that religious services or practices were somewhat important to the resident, but no cognitive assessment was documented.