Failure to Follow and Update Posted Dietary Menus
Penalty
Summary
The facility failed to ensure that dietary menus were followed as required, affecting at least one resident and potentially impacting all residents receiving meals from the kitchen. Observation of the breakfast meal service revealed that the food served did not match the posted menu; instead of the planned breakfast quiche, residents received scrambled eggs, yogurt, and donuts. The Dietary Manager acknowledged making last-minute changes to the menu, which were not updated on the master menu or communicated to residents. Review of the facility's policy confirmed that planned menus should be posted and any revisions made in a timely manner. A resident with diagnoses including diabetes, high cholesterol, arthritis, and chronic pain, who was cognitively intact and independent in eating, reported not being given a choice for breakfast and not knowing in advance what would be served. Minutes from a recent food committee meeting also documented resident concerns about inconsistencies between posted menus and actual meals served. The Administrator confirmed that the facility had issues with following posted menus and that changes should have been communicated to residents.