Failure to Follow Posted Lunch Menu and Provide Planned Food Items
Penalty
Summary
The deficiency involves the facility’s failure to follow its planned lunch menu for all 63 residents receiving meals from the dining room. The written menu for a specific date listed corn dog, cheesy mashed potatoes, mixed vegetables, white bread, and yellow cake for lunch. During observation of the meal service, staff were instead serving corn dogs, regular mashed potatoes without cheese, mixed vegetables, and vanilla pudding, and no bread was provided. The yellow cake specified on the menu was not served. In an interview, the cook serving the meal acknowledged that the mashed potatoes were not prepared as cheesy potatoes and stated there was no particular reason for this change. The cook also stated that yellow cake was not available because it had not been made, so pudding was served instead, and confirmed that bread had been forgotten entirely. Later, the Corporate Dietary Manager reported she was not aware that cheesy potatoes and bread were not served, but she did know that pudding was substituted for yellow cake because the cake had not been prepared the night before, despite the facility having yellow cake in stock. Facility policy on menus required that menus meet residents’ nutritional needs, that appropriate substitutions be made and recorded when items were not available, and that substitutions be similar in nutritional value to the planned items.
