Failure to Serve Accurate Meal Portions According to Menu Requirements
Penalty
Summary
The facility failed to ensure that accurate portions were served according to the menu diet spreadsheet during meal service. Observations revealed that residents in the main dining room who were not on a pureed diet received less than the required portion of chicken and wild rice casserole. Specifically, the serving utensil used was a #8 scoop, which provided only four ounces, while the facility's spreadsheet indicated that the serving size should be one cup, or eight ounces, using either an eight-ounce spoodle or two four-ounce scoops. This discrepancy was confirmed by both dietary staff and the Mobile Dietary Manager during the observation. As a result of the insufficient portions, at least one resident reported feeling hungry and requested additional food. The deficiency affected 22 residents who were not on a pureed diet and had the potential to impact all residents receiving meals from the facility. The facility census at the time was 86, with additional residents identified as receiving pureed diets or being NPO. The findings were based on direct observation, interviews with residents and staff, and review of facility documentation.