Failure to Provide Palatable, Attractive, and Properly Served Meals
Penalty
Summary
Surveyors observed that the facility failed to provide attractive, palatable, and flavorful food at safe and appetizing temperatures. A sample tray from the kitchen contained creamed corn and green beans running together on the plate, with the corn showing burnt bits and the green beans containing tough strings that had to be removed. The baked chicken breast was unseasoned and bland, the pudding was light gray, thin, and dripping off the spoon with only a faint chocolate taste, and there was no butter provided for the roll. The facility’s Registered Nutritionist/Kitchen Manager stated they were unaware of food complaints and relied on food council meetings and floor staff to communicate resident concerns. One resident with tracheal cancer, a voice box removal, moderate cognitive impairment, and a pureed diet had an untouched lunch tray consisting of a large pile of unidentifiable pureed food and reported the food looked unappealing, had no flavor, and they had no desire to eat it. Another cognitively intact resident did not receive their lunch tray when the cart was first passed; the tray remained on the cart in the hall until a CNA was prompted to deliver it, and the resident then reported the food was cold and terrible, describing prior breakfasts as a glob of eggs and an unpalatable muffin, and receiving two bowls of dry cereal without milk. A third cognitively intact resident reported that the food was terrible, that quality, consistency, and flavor had declined after a period of improvement, and that the facility used too many liquid eggs, including at dinner. The Administrator stated they believed food quality was improving and that managers would increase tasting and post-meal rounds to assess satisfaction.
