Failure to Provide Palatable, Attractive, and Safe-Temperature Meals
Penalty
Summary
The facility failed to provide foods and drinks that were palatable, attractive, and at a safe and appetizing temperature to residents, as required by policy. Observations during meal service revealed that the main hot entrée, country fried steak, was overcooked or held hot for an extended period, making it difficult for residents and staff to cut and chew. Additionally, the planned cream gravy was not served, and residents requested substitute food items due to the unpalatable and unappetizing nature of the meal. A review of the menus showed that all diet types were supposed to receive cream gravy, but this was not provided. Residents reported during a group meeting that food was often served cold, difficult to chew, lacked flavor, and was not seasoned, leading them to frequently request alternative menu items. A test tray evaluation confirmed that foods and fluids were not consistently served at safe and appetizing temperatures, with hot foods such as corned beef and cabbage and mashed potatoes being served well below the required 135 degrees Fahrenheit. Delays in meal tray delivery were observed, and the director of dietary services confirmed both the delays and the failure to meet temperature standards. Further review of the menu revealed multiple discrepancies between the planned and served items, including substitutions and omissions. The director of dietary services acknowledged that recipes and menus were not followed as planned on the observed dates.