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F0806
F

Failure to Notify Residents of Menu Substitutions and Accommodate Preferences

Palmyra, Pennsylvania Survey Completed on 07-03-2025

Penalty

Fine: $47,51420 days payment denial
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The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

The facility failed to accommodate resident food preferences and did not notify residents of menu substitutions. On July 1, 2025, the planned lunch menu included apple crisp for dessert, but due to a lack of ingredients, nurse aide 1 reported that applesauce was served instead. Seven residents interviewed stated they typically do not know what food will be served with each meal. Review of a resident's clinical record showed she had depression, anxiety, and protein calorie malnutrition, with no cognitive impairment. During lunch, this resident received applesauce instead of the apple crisp listed on her tray ticket and stated she often does not receive what is indicated on her tray or the menu, and is not informed of substitutions. There was no evidence that residents were notified about the substitution of applesauce for apple crisp.

See complete original report
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