Failure to Provide Correct Menu Items and Serving Sizes
Penalty
Summary
The facility failed to ensure that residents received correct serving sizes and all menu items as specified on the posted menu. Observations and interviews revealed that several residents received smaller portions than required, and some menu items were substituted or omitted entirely. For example, residents reported receiving small portions at mealtimes and not knowing what was on the menu prior to receiving their meals. Review of the menu indicated specific serving sizes and items for different diet types, but during meal service, staff used incorrect scoop sizes, resulting in smaller portions. Additionally, some menu items such as coleslaw and apple slices were replaced with chips, cottage cheese with fruit, and applesauce cups, which were also served in smaller portions than required. Further observations showed that some residents did not receive fruit cups or dessert with their meals, and staff confirmed these omissions. The dietary manager acknowledged that substitutions were made due to unavailable items and verified that the portions served were not consistent with the menu requirements. These deficiencies affected multiple residents and had the potential to impact all residents except those who were NPO (nothing by mouth). The findings were based on direct observation, record review, and staff and resident interviews.