Failure to Follow Posted Menu and Communicate Food Substitution
Penalty
Summary
The facility failed to follow its posted menu and recipes by serving mashed potatoes instead of roasted red potatoes to residents on regular-textured diets. This substitution was not communicated in advance to the residents, as required by facility policy. Review of facility documents showed that seven out of 52 residents on the SNF side were to receive regular-textured food, and the weekly menu specified roasted red potatoes for those on regular, NCS, and low fat/low cholesterol diets. During a trayline observation, it was confirmed that mashed potatoes were served instead, and the Dietary Services Supervisor (DSS) acknowledged that the menu should have been followed and the correct item served. The facility's policy requires that any deviations from the posted menu be documented with reasons for the change, but this was not done in this instance.