Failure to Accommodate Dietary Allergies and Preferences During Meal Service
Penalty
Summary
The facility failed to provide food that accommodated resident allergies, dietary intolerances, and preferences for three residents. One resident with an egg allergy and a preference for ground fruit cocktail was initially served regular fruit cocktail instead of the required ground version, as indicated on her tray ticket. Another resident, who was supposed to receive double portions due to a physician order, was served only a regular portion of chicken piccata, contrary to the tray ticket instructions. Both discrepancies were identified by dietary staff during meal service. A third resident, with a documented lactose allergy and a physician order for a carbohydrate control renal diet, was served chicken piccata containing milk instead of the required baked chicken breast, as specified on her tray ticket. This error was also identified by dietary management staff before the meal was delivered. All three residents were noted to have either intact or moderately impaired cognition and were independent in eating. The deficiencies were observed through direct observation, interview, and record review, and were verified by dietary staff at the time of the incidents.