Failure to Provide Prescribed Liquid Consistency
Penalty
Summary
A deficiency occurred when a resident with a physician's order for a puree diet and nectar consistency liquids was provided with honey thickened liquids instead of the ordered nectar consistency. The resident's care plan specified a regular diet with puree texture and nectar thickened liquids, and the facility's policy required that dietary cards and care plans accurately reflect the required liquid consistency. Despite these orders and policies, the resident was served honey thickened liquids during a lunch meal, as observed and reported by staff. The discrepancy was confirmed through record review and discussion with the Director of Nursing, indicating a failure to provide drinks consistent with the resident's needs and prescribed diet order.