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F0803
F

Failure to Follow Planned Menus Due to Untrained Interim Dietary Management

Randolph, Nebraska Survey Completed on 11-24-2025

Penalty

No penalty information released
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The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

The facility failed to follow its planned and preapproved menus for all residents who consumed food from the facility kitchen. On the specified date, the noon meal served to residents did not match the posted menu; instead of the listed breaded chicken patty on a bun, mini baker potatoes, cream gravy, country trio vegetables, bread with margarine, and flamingo cake, residents received Salisbury steak, au gratin potatoes, country trio vegetables, white gravy, and a cookie. This deviation occurred because the Operations Manager, who was acting as the interim Dietary Manager after the previous manager left, did not order enough food for the planned menus and substituted available items from the facility's storeroom and freezers. The interim Dietary Manager had no training for the role and did not consult with the Registered Dietician regarding these menu changes.

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