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F0805
E

Improper Preparation of Pureed Pork Resulting in Inappropriate Texture

Rockford, Illinois Survey Completed on 12-10-2025

Penalty

No penalty information released
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The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

The facility failed to ensure pureed pork was prepared to a smooth, pudding-like consistency for four residents on pureed diets, resulting in food that was chunky and required chewing. A facility diet report dated 12/8/25 showed that four residents were ordered pureed diets. On that date at 11:45 AM, a cook (V15) removed a pot from the stove containing seven servings of pork slices cooked in chicken broth, placed all pork slices into a blender pitcher, and added additional chicken broth to puree. At 11:48 AM, V15 added thickening powder to the pureed pork, and by 11:52 AM had finished blending and transferred the product to a food service pan. The finished pureed pork appeared chunky and not smooth, despite V15 stating that pureed foods should have a pudding-like consistency and not be too thick or too runny. At 1:00 PM, a surveyor and the Food Service Director (V13) tested a pureed test tray and found the pureed pork was not smooth and required chewing; V13 acknowledged it could have been cooked longer, blended longer, or made thinner to be easier to swallow and that it was not an appropriate texture. The facility’s Pureed Food Preparation policy dated 9/26/23 states that pureed food must be the consistency of pudding or mashed potatoes, which was not met in this instance.

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