Failure to Serve Menu-Specified Food Portions and Items
Penalty
Summary
The facility failed to serve food portions as specified on the facility menu spreadsheet for 129 residents receiving oral diets. During lunch tray line service, it was observed that staff used a 4 oz spoodle to serve pasta mixed with meat sauce for regular diet trays, and a 4 oz scoop for chopped pasta and mashed potatoes for mechanical soft trays, rather than the required 8 oz pasta with 4 oz sauce for a total of 12 oz as indicated on the menu extension. Additionally, soft garlic bread was not served with mechanical soft trays, and pureed bread was not provided with pureed trays, despite these items being listed on the menu extension for those diets. The tray line also lacked a container of pureed garlic bread for pureed diets. Interviews with dietary staff and the dietitian confirmed that the menu extension instructions and portion sizes were not followed. The dietitian stated that dietary staff should adhere strictly to the menu extension for serving instructions and portion sizes, and acknowledged that the correct portions and items were not served. The facility's policy requires that all meals be checked for accuracy, including correct portion sizes and adherence to the therapeutic diet extension, but these procedures were not followed during the observed meal service.