Failure to Follow Prescribed Menu Portions for Specialized Diets
Penalty
Summary
The facility failed to ensure that prescribed menu portions were followed for residents on various diet textures, resulting in residents receiving less food than indicated on the menu spreadsheet. Observations in the 2B kitchenette/dining room revealed that dietary staff used incorrect scoop sizes when serving pureed chicken, pureed cauliflower, country gravy, scalloped potatoes, and ground chicken. Specifically, a two-ounce scoop was used instead of the required four-ounce scoop for pureed items, and other items were also served in smaller portions than specified. Dietary aides and the chef confirmed during interviews that incorrect serving sizes were being used, and the registered dietitian verified that staff were expected to follow the menu spreadsheet for serving sizes. This deficiency affected four identified residents and had the potential to impact all 54 residents who were served from the 2B kitchenette/dining area. The diet order report confirmed that these residents were on regular, ground, or pureed texture diets. The issue was identified through observation, menu and portion control chart review, and staff interviews, and was investigated under a specific complaint number.