Diabetic Resident Served Non-Compliant Desserts
Penalty
Summary
A deficiency occurred when a resident with type 2 diabetes mellitus, who was on a consistent carbohydrate/no added salt diet and required substantial assistance with daily activities, was served regular gelatin and regular pudding instead of sugar free alternatives. The resident's care plan specifically indicated the need for dietary restrictions and compliance with a nutritional regimen to manage hyperglycemia. During lunch service, the gelatin provided was unlabeled, and the pudding cup was marked with an 'R', which staff confirmed indicated regular pudding. Both a Licensed Vocational Nurse and the Registered Dietician verified that the items served were not sugar free and did not meet the dietary requirements for a diabetic resident. The facility's policy on consistent carbohydrate diets, which is intended for residents with diabetes, was not followed in this instance. The Registered Dietician stated that the resident should have received sugar free gelatin and pudding in accordance with their prescribed diet. The failure to provide the appropriate diet was observed during meal service and confirmed through interviews and record review, demonstrating noncompliance with the resident's care plan and facility dietary policies.