Failure to Follow Posted Menu and Inform Residents of Meal Changes
Penalty
Summary
Facility staff failed to follow the posted menu for residents on both units, as observed during a lunchtime meal service. The posted menu listed Salisbury steak, steamed rice, squash, brown gravy, dinner roll, strawberry shortcake, condiments, and beverage of choice, but the meal served did not match this menu. The dietary manager reported that the cook changed the menu without informing him, swapping the planned meal with the next day's menu due to the ground beef not being thawed. The dietary manager was not made aware of the change until after the meal was prepared and served, and the posted menu was not updated to reflect the change. Residents interviewed stated they were not informed of the menu change and had expected the meal listed on the posted menu. Residents also reported that this was not the first time the posted menu was not followed and that they were not always informed of such changes.