Failure to Notify Residents of Menu Changes
Penalty
Summary
The facility failed to notify residents of a change to the lunch menu in a timely manner, as required by facility policy. On the specified date, the posted menu indicated that beef pot roast, brown gravy, mashed potatoes, glazed carrots, and pineapple tidbits would be served for lunch. However, during meal preparation, dietary staff substituted hamburgers on wheat bread for the pot roast because the pot roast was not ready. The Dietary Manager confirmed that residents were not informed of this substitution, either verbally or by posted notice, despite the facility's policy requiring notification of menu changes at the earliest convenience. This deficiency affected all residents who accepted food from the kitchen, with the exception of two residents who did not receive food from the kitchen.