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32 | ED stated Belmont’s corporate staff and a dietician designed the menu to ensure all options are low carbohydrates, excluding the beverages and desserts. The ED explained the admission agreement outlines the diets offered at the facility, prior to the resident and/or responsible party signing. The Director Resident Care Services (DRCS) indicated all menu options have moderate carbohydrate amounts and is proportioned appropriately. R1 requires carbohydrates and the order does not state no carbohydrates.
DRCS confirmed the menu is tailored to accommodate a low carbohydrate diet for all residents. DRCS explained the facility does not offer a diabetic diet. Therefore, a resident would have to relocate to an appropriate facility that accommodates a diabetic diet. Outside source interviews revealed R1 was being served waffles with syrup, hamburgers, and baked potatoes. Outside source interviews also revealed R1 sits at the dining table and eats multiple sugar packets. The outside source would like the sugar packets removed from the table. However, that would be a violation of residents’ personal rights. DRCS confirmed the high sugar content items on the menu would be the beverages and desserts. The staff will offer sugar free options for beverages and desserts. However, they cannot force the resident to choose sugar free options, especially since the facility does not offer a diabetic diet. The Chef Manager’s interview revealed the menu offered to residents consists of no added salt and low carbohydrates. The Chef Manager also confirmed the portions are not the portion sizes served at a restaurant. The facility serves potatoes that are small, approximately 3oz; the waffles are mini size and only two (2) are served; and the burger is approximately 2-2.5 oz. Therefore, the resident can select any of the items due to the low carbohydrate content and portion size. Chef Manager also stated the server is aware of any special/modified diets and they will offer the resident sugar free syrup, other sugar free options, and will also try to persuade the resident to make good choices. However, the resident has personal rights and is allowed to choose any items. If the staff notice a resident isn’t making wise choices, such as ordering double portions then it’s reported to the nurse for follow up with the resident’s physician. There have been no issues with R1, they select their own meals and eat in the dining room. Facility’s correspondence dated 06/17/24 indicated R1’s responsible party wanted the facility to stop serving breads, pasta, cookies, potatoes, sugar packets, sugary drinks/desserts. However, R1 requires carbohydrates per the physician’s order. Also, R1 has the cognitive ability to make their own food choices. The facility is offering a low carbohydrate diet and R1 has the right to make their own choices.
During the course of the investigation, interviews were conducted, and records were reviewed. Investigation revealed inconsistent statements and information obtained did not present a preponderance of evidence to support or corroborate the allegation. The allegation was deemed unsubstantiated. An exit interview was conducted and a copy of this report along with Licensee Rights (LIC 9058 03/22) were provided to Executive Director, Tracy Knepple whose signature below confirms receipt of these rights.
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