F0800

D

Failure to Follow Renal Diet Restrictions for Resident with CKD

New Orleans, Louisiana Survey Completed on 01-23-2026

Penalty

No penalty information released

Summary

The facility failed to provide a diet that met a resident's special dietary needs when a resident with a physician-ordered renal diet was served food inconsistent with that order. The facility's undated Nutrition policy stated that all physician-ordered diets were to be implemented promptly and that the dietary department was to prepare and serve meals that met ordered diets and nutritional requirements. The resident's medical record showed a diagnosis of stage 4 chronic kidney disease, and the January 2026 physician's orders specified a renal diet. The resident's meal ticket for 01/21/2026 further specified a renal diet with no potatoes.

Despite these orders and documentation, observation on 01/21/2026 at 1:05 PM showed the resident was served cubed potatoes. An LPN immediately acknowledged that the resident should not have been served potatoes per the renal diet. The DON described the facility's process for ensuring correct diets, stating that diet recommendations are placed on the meal ticket, dietary aides are to follow the meal ticket when preparing plates, and floor staff are to check trays against the meal ticket when distributing them, notifying nursing and dietary if inconsistencies are found. The DON confirmed that the resident should not have been served potatoes.