Failure to Follow Menus and Provide Ordered Foods
Penalty
Summary
The facility failed to ensure that menus were followed and that residents received the foods they wanted or ordered, as required. On multiple occasions, the kitchen ran out of key menu items, such as lunch meats and chicken tenders, resulting in substitutions that were not consistent with the posted menus. Staff confirmed that certain items listed as 'Always Available' were not in stock for several days, and that menu substitutions were made without following proper recipes or procedures. For example, zucchini was served boiled and without the required ingredients, rather than being prepared according to the facility's recipe, which called for baking with olive oil, pepper, parmesan cheese, and garlic. Staff also indicated a lack of awareness regarding the existence of recipes for menu items. A resident reported dissatisfaction with the food and was observed receiving a meal that did not match the tray ticket instructions. The resident, who was supposed to receive double fruit portions and vanilla ice cream, instead received only one fruit cup and no ice cream. The resident expressed a preference for fruit and ice cream and stated he would have eaten them if provided. The administrator confirmed that the resident had not received the correct portions as indicated on the tray ticket. These failures demonstrate that the facility did not consistently provide meals as planned or as ordered by residents, affecting the nutritional adequacy and resident choice in meal service.