Failure to Provide Resident Food Preferences at Breakfast
Penalty
Summary
A resident with diagnoses including osteoarthritis, metabolic encephalopathy, and dysphagia was admitted to the facility and had a diet order for a regular diet with regular texture and thin liquid consistency. On the morning of the deficiency, the resident was observed in her room with her breakfast, which included coffee, juice, cream of wheat, pancakes, bacon, and half of a single strawberry. The resident stated she liked to eat breakfast late and, upon review of her meal ticket, it was noted that her preferences included a fresh fruit cup, which was not provided. The resident confirmed that the facility had forgotten her fresh fruit cup. The Dietary Supervisor confirmed that the single strawberry was only a garnish and that the resident should have received a fresh fruit cup as indicated on her meal ticket. Review of the facility's policy and procedure on resident food preferences showed that individual food preferences are to be assessed upon admission and a variety of foods offered at each meal. The Dietary Supervisor acknowledged that the policy was not followed in this instance, resulting in the resident not receiving her preferred food item.