Failure to Provide Food in Appropriate Texture for Residents
Penalty
Summary
The facility failed to provide food prepared in a form designed to meet the individual needs of two residents. One resident, with diagnoses including type 2 diabetes, hypertension, GERD, and cognitive impairment, was ordered a low concentrated sweets diet with mechanical soft texture. Despite no documentation of refusal of the modified diet, this resident was observed being served a whole hot dog, which did not meet the mechanical soft texture requirement. The error was only corrected after staff intervention at the time of service. Another resident, with severe cognitive impairment and multiple chronic conditions, was ordered a pureed texture diet. During meal preparation, staff were observed pureeing food items for this resident, but the resulting pureed foods did not achieve a smooth consistency as required. The pureed peas were stringy and lacked flavor, the breaded fish was watery and lumpy, and the potatoes were lumpy and flavorless. These issues were confirmed by dietary staff and the dietary director, and were not in accordance with the facility's policy for texture and consistency modified diets.