Failure to Provide Meals According to Resident Preferences
Penalty
Summary
The facility failed to ensure that residents received meals according to their stated preferences, resulting in two residents not receiving their requested food options. One resident reported frequently not receiving the meal he selected, and on the observed date, he received an alternate entree (salmon patty) without having requested it. Another resident was observed scraping sauce off his chicken and stated he did not receive the meal he had requested, which was the alternate entree. His roommate confirmed that both had made a timely request for the alternate entree, and while the roommate received it, the resident in question did not. Review of the meal change request log confirmed that both residents' names were listed for the alternate entree, but the dietary aide misread one resident's name and provided the alternate meal to the wrong individual. The meal ticket for the resident who did not receive his requested meal did not indicate the correct entree. The dietary aide acknowledged the error and confirmed the process for handling meal change requests, which was not followed correctly in this instance. Facility documentation and staff interviews supported these findings.