Failure to Provide Physician-Ordered Therapeutic Diets to Diabetic Residents
Penalty
No penalty information released
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 ensure that five residents with diabetes mellitus received their prescribed therapeutic diets as ordered by their physicians. Clinical record reviews showed that these residents had physician orders for a no concentrated sweets diet, yet during meal service, they were served pudding instead of the required fruit cup for dessert. This discrepancy was observed during tray line service, and it was confirmed by the Food Service Director that the correct substitution should have been made. One resident expressed concern that the meals were carbohydrate heavy, which was consistent with the observed failure to follow the prescribed diet orders.