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F0806
E

Failure to Provide Nutritive Alternate Meal Choices

Sonora, California Survey Completed on 08-07-2025

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 provide alternate food choices with similar nutritive value to the main meal for 172 residents who received food from the kitchen. During a kitchen tour, the alternate menu was reviewed and found to include chef's salad, grilled cheese sandwich, cottage cheese and fruit, and hamburgers. The Certified Dietary Manager (CDM) confirmed these were the only alternate meal choices available. Residents reported that they previously received alternatives like sandwiches but now only receive snack-type items, and that portion sizes have decreased since a new company took over food services. Residents also stated that they are not receiving alternatives to the main meal anymore. Further interviews with the CDM revealed that the menu was provided by an external company and could be changed based on the cook's time constraints. The CDM confirmed that the alternate grilled cheese sandwich meal comes with a vegetable and side dish of the day, but no additional protein is added. A review of the corporate recipes showed that the grilled cheese sandwich provided 14 grams of protein, while the main entrée, sesame chicken, provided 35 grams of protein. This discrepancy in protein content indicates that the alternate meals did not match the nutritive value of the main meals.

See complete original report
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