Failure to Provide Correct Portions and Follow Menu for Modified Diets
Penalty
Summary
The facility failed to ensure that residents on mechanical soft and pureed diets received the correct portions and that the menu was followed as required. Observations revealed that staff did not weigh or measure the ham portions before processing them to mechanical soft and pureed consistencies. Instead, staff estimated the portion sizes and used a standard scoop size, which did not align with the menu requirement of a 5-ounce serving of ham for each resident. Additionally, staff did not provide rolls to residents on pureed diets as required by the menu, as they forgot to puree the rolls with the ham. Interviews with staff confirmed that the correct procedures for measuring and serving portions were not followed. The dietary manager stated that the process should involve measuring meat portions before processing and using a chart to determine serving size, but this was not done. The facility's policy also directed staff to ensure correct portions and to include all menu items, such as bread, in pureed diets. These failures resulted in five residents not receiving the correct portions and three residents not receiving all menu items as specified.