Failure to Accommodate Food Allergy in Resident Meal Service
Penalty
No penalty information released
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
A resident with a documented peanut allergy and moderate cognitive impairment was served a peanut butter bar for dessert, despite clear documentation of the allergy in the clinical record, ongoing plan of care, and admission documentation. The resident required set-up assistance for feeding and was at nutritional risk due to vision problems, with instructions in the care plan to offer alternate food items as needed. On the observed date, staff served the resident a meal that included a peanut butter bar, and the resident identified his peanut allergy when interviewed. The Director of Nursing later confirmed that the resident had received the peanut butter bar, which was not appropriate given his documented allergy.