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F0805
D

Failure to Prepare Pureed Foods According to Recipe for Residents on Modified Diets

Milwaukee, Wisconsin Survey Completed on 05-21-2025

Penalty

No penalty information released
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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 ensure that food was prepared in accordance with prescribed recipes for residents requiring a pureed diet. During breakfast food preparation, a dietary aide was observed preparing pureed breakfast sausage links without following a standardized recipe. The aide added unmeasured amounts of thickening powder and boiling water to the sausage mixture, rather than using the specified ingredients and measurements. The aide later admitted to forgetting to add gravy, which was intended to enhance the nutritional value of the puree, and instead used boiling water. Additionally, there was confusion among dietary staff regarding the number of residents requiring a pureed diet, with inconsistent responses about the correct number of portions to prepare. Further review revealed that the facility did not have a current recipe for pureed breakfast sausage links, and the recipe provided was for sausage patties instead. The lack of a proper recipe and failure to follow measured preparation methods could impact the nutritional content of the food provided to residents on a pureed diet. These deficiencies were confirmed through staff interviews and direct observation, affecting three residents who required a pureed diet at the time of the survey.

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