Failure to Serve Posted Menu and Update Menu for Residents
Penalty
Summary
The facility failed to ensure that the posted lunch menu was followed for one reviewed meal. On the observed date, the posted and planned menu listed sausage jambalaya, seasoned okra, cornbread, and a brownie. However, during meal service, residents were instead served sausage jambalaya, sliced bread, and capri vegetables (green beans, carrots, squash, and zucchini). The cornbread was not served because the delivered box appeared to be open and was deemed unusable, and there was no replacement available in time. The seasoned okra was also not served as it had been used earlier in the week, leaving insufficient quantity for the lunch meal. Interviews with two residents revealed that they were unsure of what would be served, as the menu often did not match the actual meal. The Dietary Manager (DM) confirmed the substitutions and acknowledged that the menu should match what is served, and that staff had been trained to ensure this. The facility's policy requires that menus be served as written unless changes are made for preference, unavailability, or special meals, and that menus are posted in relevant areas. In this instance, the posted menu was not updated to reflect the substitutions, leading to confusion among residents.