Failure to Accommodate Resident's Documented Food Preferences
Penalty
Summary
A deficiency was identified when a resident with multiple medical diagnoses, including infective endocarditis, atrial fibrillation, chronic kidney disease, cystitis, type 2 diabetes mellitus, bacteremia, hypolipidemia, and hypokalemia, received food items that did not accommodate her documented dietary preferences and dislikes. The resident had a clearly documented dislike of pork and pork products, including ham and sausage, as noted on her Nutrition Screening Intake Form and her meal ticket. Despite these documented preferences, the resident reported receiving pork products, specifically sausage, on multiple occasions, including during a breakfast observation where a sausage patty was present on her tray. Interviews with the resident, a CNA, and a staff member responsible for dietary preferences confirmed that the resident's dislikes were known and documented, and that pork products should not have been served. The staff member acknowledged that the resident's meal ticket listed pork, ham, and sausage as dislikes and that eggs were typically provided as an alternative. The presence of sausage on the resident's tray was verified by both the CNA and the kitchen, indicating a failure to follow the resident's documented dietary preferences.