F0806

D

Failure to Consistently Honor Resident Dietary Preferences and Portions

Chicago, Illinois Survey Completed on 03-05-2026

Penalty

No penalty information released

Summary

The facility failed to consistently honor a resident’s documented dietary preferences and needs, specifically regarding double portions and scrambled eggs at breakfast. The resident had diagnoses including hemiplegia and hemiparesis following cerebral infarction, muscle wasting and atrophy, dysphagia (oropharyngeal phase), benign prostatic hyperplasia, hypertension, and depression, and was documented as cognitively intact with a BIMS score of 14. The resident reported ongoing complaints about receiving the wrong food orders. The dietician stated that on one occasion the resident did not receive scrambled eggs with breakfast because the meal ticket had not been updated after the resident requested scrambled eggs every breakfast the previous day. The dietician also noted that the scrambled eggs were a preference and that the resident was to receive double portions with meals.

Multiple CNAs and LPNs reported that the resident’s food orders were frequently incorrect, including not receiving scrambled eggs with breakfast and not receiving double portions as expected, requiring calls to the kitchen for corrections. One CNA reported that the resident complained that morning about not getting double the portion of eggs. Nursing staff confirmed that the resident was prescribed double portion meals and often complained about not receiving them, and one LPN stated that most of the time the resident’s meals were wrong. Review of the resident’s diet order showed only a regular diet with no specification for double portions, and although the dietician’s notes documented the preference for scrambled eggs at breakfast, there was no corresponding diet order for double portions or documentation of the required Food Preference Interview in the electronic medical record.