Failure to Provide Palatable and Properly Prepared Meals
Penalty
Summary
The facility failed to ensure that food served to residents was palatable, attractive, and at a safe and appetizing temperature for two residents reviewed for nutritive value, flavor, and appearance. One resident, a male with Type 2 Diabetes, leukemia, and protein calorie malnutrition, did not eat his lunch because the manicotti appeared overcooked and unappealing. His lunch tray was observed untouched in his room. Another male resident with multiple sclerosis, heart failure, and paraplegia also did not eat the manicotti served at lunch, stating it looked horrible, was dry, and had black burnt ends. A test tray of the manicotti was observed to be dry, lacking marinara sauce, and with black crusty ends. The temperature of the manicotti was measured at 100 degrees, and it was described as lukewarm and overcooked. Dietary staff and management interviews confirmed that food was not prepared or served according to expectations for appearance and temperature, and that monitoring was insufficient. The facility's policy states that each resident has the right to a dignified existence and self-determination.