Failure to Serve Correct Portion Sizes for Pureed Diets
Penalty
Summary
The facility failed to ensure that menus were followed and correct portion sizes were served for pureed foods during a lunch meal. Observations in the kitchen revealed that staff used incorrect scoop sizes for pureed broccoli and cauliflower, pureed pizza pasta bake, and pureed garlic bread. The Dietary Manager (DM) and a staff member reviewed the recipes and selected scoop sizes, but both became confused about the correct portions, particularly for the pureed garlic bread. As a result, the portions served were significantly smaller than required by the menu and recipe card. A sample tray reviewed by surveyors and the DM confirmed that the portions were not accurate. Interviews with the DM indicated that both she and the staff member did not realize the wrong scoop sizes were used during meal service. The DM acknowledged responsibility for ensuring correct portion sizes and stated that staff had been trained to review recipes and use the correct scoops, but nervousness led to the mistake. Record reviews showed that eight residents were on a pureed diet, and the facility's policy required specific portion sizes to be served using standard utensils. The deficiency was identified based on direct observation, interviews, and review of facility policies and menus.