Failure to Follow Diet Extension Sheets for Regular Diet Menus
Penalty
Summary
The facility failed to follow its diet extension sheets and approved menus to meet the nutritional needs and preferences of residents on regular diets for all 79 residents reviewed. The facility’s diet and nutrition care manual, reviewed February 16, 2026, specified that the regular diet should provide adequate nutrients as recommended by the Dietary Guidelines and National Research Council, using these guidelines to provide three balanced meals and up to three snacks daily. During observation of a lunch meal service on March 17, 2026, residents on regular diets were served rotini pasta salad using a 3‑ounce scoop. Review of the diet extension sheets for that lunch meal showed that residents on regular diets were to receive 1/2 cup (4 ounces) of rotini pasta salad, indicating that the served portion did not match the diet extension sheet. In an interview, the Nursing Home Administrator stated that she would expect resident meals to be prepared and served in accordance with menus approved by the dietician and physician, confirming that the observed practice did not align with facility expectations and written guidance.
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