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F0803
E

Failure to Serve Menu-Specified Portion Sizes for Mechanically Altered and Regular Diets

Eden, North Carolina Survey Completed on 06-19-2025

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

The facility failed to follow the approved dietary menu regarding portion sizes for residents on both moist and minced diets as well as regular and mechanically altered diets. During a lunch meal service, five residents on a moist and minced diet received only 1.75 to 2 ounces of fish instead of the 4 ounces specified on the menu. The Dietary Supervisor used a #24 scoop, which holds 1.75 ounces, rather than the required 4-ounce scoop, despite having the correct utensil available. The supervisor was unaware that the menu, not the production sheet, specified the correct portion size and attempted to compensate by overfilling the smaller scoop, resulting in inconsistent portions. Additionally, 54 residents on regular or mechanically altered diets were served 2 ounces of mashed potatoes instead of the 4 ounces indicated on the menu. The Dietary Supervisor used a #16 scoop, which holds 2 ounces, and did not realize the menu required a larger portion because the production report did not list portion sizes. The supervisor did not review the menu for this information, leading to the incorrect serving size. These actions resulted in the facility not meeting the nutritional needs of the residents as outlined in the approved menu.

See complete original report
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