Failure to Honor Food Preferences and Provide Adequate, Acceptable Meals
Penalty
Summary
Surveyors identified that the facility failed to honor resident food preferences and provide requested nutritional items for multiple residents. One resident reported frequently receiving foods she had previously stated she does not like. Another resident stated she often receives foods she dislikes but eats them because she is very hungry; observation of her lunch plate showed she had eaten all of the ham, broccoli, and mashed potatoes despite reporting that she really does not like ham. Review of this resident’s meal ticket showed no notation for double portions, although she reported that she had spoken to the dietitian and was supposed to receive double portions. A further interview with this same resident revealed she does not like the food served and is not eating well. This resident also reported a recent cancer diagnosis and expressed concern about losing weight, stating she was supposed to receive a nutritional supplement with meals but had only received it once over more than a week. Another resident reported often receiving foods he cannot eat and showed a photo of a burnt piece of pizza that he described as inedible; he stated he sent it back and did not receive a replacement and was told nothing else would be sent, leading him to order food from outside. He also reported receiving chicken with blood in it, which he refused to eat due to concern, and again stated he was not given a substitute. Another resident reported not getting enough to eat and often feeling hungry, stating she continues to receive foods she had indicated she does not eat, such as scrambled eggs. These findings were cited under 28 Pa. Code 211.6(a) Dietary services, 201.14(a) Responsibility of licensee, and 201.18(b)(3) Management.
