Health inspection·March 12, 2024

F 0803 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. Based on observations, medical record review, staff interviews and spread sheet review, the facility failed to serve the correct amount of puree food texture portions as listed on the menu spreadsheet. This affected four (#21, #35, #39 and #47) of four residents observed who required an ordered puree texture diet. The facility total census was 48. Findings include: Review of Residents #21, #35, #39 and #47's monthly March 2024 physician orders revealed the residents had physician orders for puree texture diets. Review of the lunch menu spreadsheet dated 03/07/24 revealed the puree texture diet should have received three ounces puree meat, four ounces of vegetable, and four ounces of starch. Review of the meal tickets of Residents #21, #35, #39 and #47 revealed no notation the residents preferred small food portions. Observation on 03/07/24 at 12:15 P.M., revealed Residents #21, #35, #39 and #47 were served by Diet Aides, (DA) #45 and #50, puree meat of two ounces, three ounces of vegetable and three ounces of starch. The serving utensils were not completely filled to an accurate measurement. There was no written food spreadsheet noted during the meal service. Interview on 03/07/24 at 12:17 P.M., of DA's #45 and #50 verified there was no written spreadsheet available for the staff to reference, and they knew what the food portions were supposed to be since they had worked at the facility so long. DA #50 verified she did not completely fill the serving utensils when measuring out the food, as some residents did not want that much food. DA #50 verified the meal ticket did not indicate small portions as a preference, but just knew the residents wanted less food. Interview on 03/07/24 at 12:40 P.M., Diet Manager (DM) # 40 verified the puree texture portions were incorrect for Residents #21, #35, #39 and #47 and the DA's #45 and #50 should have served the puree texture portions as listed on the menu spreadsheet. DM #40 verified there was no spreadsheet available for the staff to reference, and no serving portion chart available for portion control accuracy during the meal service. DM #40 confirmed the facility has spread sheets and staff were not utilizing them. Review of policy titled Portion Control, dated 2019, revealed the residents will receive the appropriate portions of food as outlined on the menu. Control at the point of service is necessary to Page 1 of 2 366316 366316 03/12/2024 Seven Acres Senior Living at Clifton 476 Riddle Road Cincinnati, OH 45220

F 0803 assure accurate portion sizes are served. Level of Harm - Minimal harm or potential for actual harm This deficiency represents non-compliance investigated under Complaint Number OH00151106. Residents Affected - Some 366316 Page 2 of 2