Failure to Follow Physician Dietary Orders and Supervision Requirements During Meals
Penalty
Summary
Facility staff failed to follow professional standards of practice and physician orders for two residents requiring specific dietary modifications and supervision during meals. For one resident, physician orders and care plans specified a soft and bite-sized texture diet, thin liquids with no straw, and direct supervision during meals. Observations showed the resident had access to beverages with straws and consumed meals without staff supervision, contrary to the prescribed orders. Supervisory staff confirmed these requirements were not met during the observed mealtime. For another resident, physician orders and care plans required a minced and moist texture diet, thin liquids with no straw, and 1:1 supervision during meals. The resident's meal ticket also indicated the need for 1:1 supervision. However, during observation, the resident was seen eating at a dining room table with no staff present to provide the required supervision. An administrative dietary staff member confirmed that staff presence was expected for this resident during meals, as per the dietary orders.