F0806

D

Failure to Honor Resident Food Preference for Soup at Lunch

Van Nuys, California Survey Completed on 03-12-2026

Penalty

No penalty information released

Summary

The facility failed to provide meals that accommodated a resident's documented food preferences. A resident with end stage renal disease, type 2 DM, and dependence on renal dialysis was admitted on 2/27/2026 and had a care plan for nutrition related to diabetes and chronic kidney disease with hemodialysis, which included an intervention to honor the resident's rights to make personal dietary choices. The resident's orders specified a CCHO/renal diet with regular/thin liquids. A Nutrition Evaluation and RDN Review completed on 2/28/2026 documented that the resident liked soup for lunch, and the resident's meal card indicated added food for lunch: soup.

On 3/11/2026, during observation of the resident's lunch tray with the DON, it was noted that the resident did not receive soup, despite the meal card indicating that soup should be served. The DON confirmed that the resident should have had soup based on the meal card. In a subsequent interview, the Dietary Supervisor stated that kitchen staff are supposed to follow what is on residents' meal tickets at all times to honor residents' preferences and choices, and acknowledged that the facility failed to honor this resident's food preference by not serving soup at lunch. The facility's Food Preferences policy, last reviewed 2/17/2026, stated that residents' food preferences will be adhered to within reason and obtained through an initial resident screen within seven days of admission by the FNS Director.