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F0803
E

Failure to Serve Meals According to Posted Menus

Ripley, Tennessee Survey Completed on 08-14-2025

Penalty

Fine: $38,23020 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 serve food items as listed on the posted menus for three consecutive days during the recertification survey. Review of the menus and direct observation revealed that the meals served did not match the planned menus for each day. On multiple occasions, substitutions were made due to the lack of necessary food items in inventory, as confirmed by the Registered Dietitian. For example, instead of serving beef ravioli, pork riblet, and cornmeal crusted chicken as planned, the facility served meat loaf, roast pork, and pulled pork, among other substitutions. Additionally, side dishes and desserts were also changed from what was originally posted. The Registered Dietitian confirmed that the posted menu should be followed to meet the nutritional needs of the residents, and acknowledged that the changes were made because the required food items were not available. The census at the time was 35, with all residents receiving meals that did not align with the posted menus. There is no mention of specific residents' medical histories or conditions in the report.

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