F0803

E

Failure to Maintain Adequate Food Supply and Follow Posted Menus

Cincinnati, Ohio Survey Completed on 03-17-2026

Penalty

No penalty information released

Summary

The facility failed to ensure menus were followed and that an adequate food supply was maintained to meet residents' nutritional needs. Surveyors observed the dry stock area with the Dietary Manager and found a low stock of food, with the Dietary Manager confirming that food deliveries occurred once a week, that she shopped locally if food ran out, and that there was no emergency stock of food available, despite facility policy requiring a minimum seven-day supply. Review of the lunch meal service showed that the posted menu for that day called for beef and noodles, broccoli florets, and two baked cookies, but residents on regular diets received only one cookie, and residents on mechanical soft and puree diets received pudding instead of the listed dessert. The Dietary Manager confirmed there were not enough cookies prepared to follow the menu and acknowledged that the menu indicated residents should have received two cookies.

Resident interviews further supported that the menu was not consistently followed. One resident reported not always receiving everything listed on their meal tickets, and another resident stated that the facility did not follow the meal tickets and that they felt they were not getting enough food to meet their daily calorie needs. Review of the substitution logs with the Dietary Manager showed that the log had not been filled out since July 2025, and the Dietary Manager verified that she did not keep a substitution log or documentation of meals served. This was inconsistent with the facility’s written menu policy, which required that menus be followed and that any deviations from the menu be recorded and archived. The deficiency affected 67 residents, with three residents identified as NPO and therefore not receiving food from the kitchen.