§483.60(d) Food and drink
Each resident receives and the facility provides-
§483.60(d)(4) Food that accommodates resident allergies, intolerances, and preferences;
§483.60(d)(5) Appealing options of similar nutritive value to residents who choose not to eat food that is initially served or who request a different meal choice;
|
Observations:
Based on clinical record review, resident interview, review of facility documentation, and observation, it was determined that the facility failed to honor resident preferences or allergies during meal service for two of five sampled residents. (Residents 4 and 5)
Findings include:
Clinical record review revealed that Resident 4 had no memory impairment and could communicate clearly and be understood. In an interview conducted on March 25, 2024, at 10:30 a.m., the resident stated that she often didn't receive the food that she ordered. According to the resident's meal selection sheet (a document completed weekly by the resident to select food choices) she requested hot coffee and apple juice for her beverages and angel food cake for dessert during lunch that day. When her lunch tray was observed at 12:30 p.m., she received hot chocolate instead of coffee and ice cream instead of cake. The resident stated that she didn't like these items.
Clinical record review revealed that Resident 5 had various food allergies that included mushrooms. On March 25, 2024, the resident was served Salisbury steak with mushroom gravy. The resident stated, "I can't eat that. I'm allergic to mushrooms."
28 Pa. Code 201.14(a) Responsibility of licensee.
28 Pa. Code 201.18(b) Management.
| | Plan of Correction - To be completed: 04/30/2024
1. Facility is unable to retroactively correct deficient practice, residents 4 was provided the correct selection of beverage and dessert as was noted on the residents meal selection sheet. Resident 5 had the meal with mushrooms removed and was offered an alternative option that did not contain mushrooms.
2. Dietary Manager/designee will review residents preferences and allergies and make updates to the Meal Tracker and plans of care to ensure it is accurate.
3. Dietary Manager or designee will re-educate dietary staff to check meal tickets for accuracy, and policy and procedures for allergies to ensure meal tickets are followed to ensure residents with allergies do not receive items they are allergic to.
4. Dietary Manager/designee will complete weekly random audits on resident preferences and residents with allergies for 4 weeks to ensure preferences, noted allergies and substitutions are inputted into the Meal Ticket System. NHA will review audits in the QAPI meeting to assess if audits need to be continued.
|
|
