Failure to Accommodate Resident Food Preferences
Penalty
Summary
A deficiency occurred when the facility failed to accommodate a resident's documented food preferences and dislikes, specifically regarding tomato products and green peas. Despite the resident's dietary card indicating these dislikes, the resident received meals containing these items on multiple occasions, including buttered peas, mixed vegetables with green peas, and spaghetti with tomato meat sauce. The resident, who had intact cognition and was independent with eating, reported to staff that she did not like these foods, yet continued to receive them. The resident expressed that her preferences were not being considered, and photographic evidence was provided to support her claims. Interviews with the Dietary Manager confirmed awareness of the resident's dislikes and an expectation that alternatives should be provided when these items were on the menu. However, the Dietary Manager was not aware of the most recent incident and stated that the cook was responsible for ensuring appropriate substitutions. The Administrator also confirmed that food preferences and dislikes were expected to be followed, with oversight by the Dietary Manager through spot checks. Review of facility policy indicated a requirement to accommodate individual resident needs and preferences.