Failure to Provide Ordered Double Meal Portions Based on Resident Preference
Penalty
Summary
The facility failed to provide a resident with meals in accordance with his documented food portion preference for double portions. On 08/11/2025 at 10:26 AM, the resident reported he was always hungry after meals and stated he was supposed to receive double portions of food but was not getting them. The resident’s Order Summary Report dated 08/11/2025 showed an order for double portions of food. At 12:02 PM the same day, observation of the resident eating in his room showed his meal appeared to be the same size as a regular meal, and the meal ticket on his tray did not indicate that he was to receive double portions. At 12:30 PM, the Food Service Manager stated that if a resident was to receive double portions, this would be listed on the meal ticket, which is how the kitchen staff would know to serve double portions. On 08/12/2025 at 10:33 AM, the Dietitian confirmed the resident was to receive double portions based on his preference after he reported being hungry after meals, and clarified that the double portions were ordered as a preference and not as a weight management intervention.
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