Texture Modification Audit

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

TEXTURE MODIFICATION

Texture A - Soft Diet

• Add media

  Media

• Does the Texture A meal align with the Aegis menu of that day ?

  Yes

  No

  N/A

• Does this Texture A protein meet the required standard for a soft diet ?

  Yes

  No

  N/A

• Does this Texture A vegetables and carbohydrate meet the required standard of a soft diet ?

  Yes

  No

  N/A

• Does the sauce match the menu of the day and meet the required thickness ( minimum of L150) ?

  Yes

  No

  N/A

• Does the Texture A - Soft Diet dessert match the menu of the day?

  Yes

  No

  N/A

Texture B - Minced Moist

• Add media

  Media

• Does the Texture B meal align with the Aegis menu of that day ?

  Yes

  No

  N/A

• Does this Texture B protein meet the required standard for a minced and moist diet ?

  Yes

  No

  N/A

• Does this Texture B vegetables and carbohydrate meet the required standard of a minced and moist diet ?

  Yes

  No

  N/A

• Does the sauce match the menu of the day and meet the required thickness ( minimum of L150) ?

  Yes

  No

  N/A

• Does the Texture B - Minced Moist Diet dessert match or is similar to the menu of the day?

  Yes

  No

  N/A

Texture C - Smooth Puree

• Add media

  Media

• Does the Texture C meal align with the Aegis menu of that day ?

  Yes

  No

  N/A

• Does this Texture C protein meet the required consistency for a smooth puree diet ?

  Yes

  No

  N/A

• Does this Texture C vegetables and carbohydrate meet the required consistency of a smooth puree diet ?

  Yes

  No

  N/A

• Does the sauce match the menu of the day and meet the required thickness (minimum of L150) ?

  Yes

  No

  N/A

• Does the Texture C - Smooth Puree dessert match or is similar to the menu of the day?

  Yes

  No

  N/A

Thickened Fluid

• Is there a dessert option and at a correct level for the thickened fluid residents?

  Yes

  No

  N/A

• Add media

  Media

• Additional notes for the Facility :

• Yes

  No

  N/A