Failure to Serve Meals Consistent With Menus and Resident Preferences
Penalty
Summary
The deficiency involves the facility’s failure to provide meals consistent with posted menus, diet orders, and documented food preferences for all five residents reviewed for dining, with specific examples involving two residents. One resident with chronic respiratory failure with hypoxia had a physician’s order for a heart healthy, regular texture diet. At lunch, her meal ticket included a request for a salad in the additional notes, but observation showed she did not receive a salad. She reported that she asked kitchen staff about the missing salad and was told there was no salad available for her. The dietary aide confirmed the resident did not receive a salad because the kitchen did not have one readily prepared, while both the RD and the Dietary Manager stated they expected kitchen staff to have prepared and provided the salad when requested. Another resident with muscle wasting and atrophy had no known food allergies and was on a regular diet. At lunch, her meal ticket indicated she was to receive a pork sandwich on a bun, potato salad, coleslaw, and ice cream. Observation revealed she was instead served mashed potatoes in place of the ordered potato salad. This resident stated that items listed on the food menus were often inconsistent with what was actually served and that she would have preferred the potato salad shown on the menu. The Regional Nurse Consultant confirmed that menus should have been updated and residents should have been served what was on the menu.
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