Failure to Accommodate Resident Dietary Needs and Preferences
Penalty
Summary
The facility failed to provide food in accordance with residents' documented preferences, allergies, and intolerances for three of thirteen residents reviewed. One resident did not receive a prescribed frozen nutritional supplement as indicated on their tray card, and the supplement was only provided after intervention by a state surveyor. Another resident, who reported a fish allergy, requested an alternate sandwich but was told there was no lunchmeat available and did not receive the requested cottage cheese and fruit, instead receiving chicken strips. Staff confirmed that the kitchen had been out of lunch meat for several days. A third resident, who had a documented dislike of pork, received a meal containing ham instead of the expected beef in a macaroni casserole. The resident reported having previously informed staff of this preference and resorted to eating a peanut butter and jelly sandwich instead. The Regional Dietary Manager confirmed that due to staffing issues and a missed food order, the facility had to make emergency substitutions, resulting in the use of ham in place of beef. These incidents demonstrate that the facility did not consistently accommodate residents' dietary needs and preferences as required.