Suzanne Cryst: Home Maker

Over the years, Cryst has worked closely with Alice Pollard, RD, LD, director of the Central Production Unit. Together they've improved recipes to make them more appealing, perhaps by adding a bit more margarine, salt and other seasonings as they did to the scratch-made mashed potatoes. "They came up with this wonderfully flavored product and when the hospitals (in the system) found out what we had, they started using them, too," Cryst notes.

Managing perception: Although two of the hospitals utilize a conduction system, Maria Joseph has a convection system and, early on, it was a challenge to devise methods to get more moisture on the plate. Through trial and error, Cryst learned that putting some type of sauce over plated ingredients keeps them moist during the retherm process and makes them ultimately easier to chew.

"With medications as well as the aging process, the sense of taste and smell is diminished and altered," she says. "Sometimes residents perceive it as different than it is. So we've done a lot of changing of how we plate and a good amount of recipe development with cooks here to get a positive outcome for our residents."

For example: "Now, we put beef stew in a casserole dish versus directly on the plate," she continues. "Some vegetables need to be in a cup instead of directly on the plate so they don't get hard. We'll use an orange sauce for carrots and add some other flavors to gravy so it's not always a buttered vegetable or brown gravy on meat. Perhaps we could add a little red pepper base for a bit of zing and color."

"Again, we're managing perception visually, plus heightening that aroma as the lid comes off the food," she adds.

Working with nursing and other staff with the objective of creating a more-like-home environment, Cryst has steadily liberalized special diets since her arrival on the scene. Early on, it was close to being a 1,500-calorie diet with two grams of sodium, along with multiple restrictions. Now, residents are offered a regular diet with individual modifications as needed, determined by the clinical staff.

"We're moving to a regular diet with portion control on desserts for those who are diabetic, so they can choose a regular brownie, for example," Cryst says, "but it will be a smaller portion, or it will be prepared with less carbs and calories so what's served to them doesn't look different from what their neighbor gets."

Today, plate presentation has improved dramatically and her staff understands the ins and outs of working with the retherm system. It's one in which trays are loaded off the kitchen tray line onto transport carts that are then delivered to the 18 stand-alone plug-in units on the floors. But Cryst is well aware that some residents still think they don't have a choice as to what they're served.

Getting real: Perhaps they've forgotten they indicated their "likes" and "dislikes" when they first arrived at Maria Joseph, or, more to the point, they've forgotten that four weeks ago they circled their meal choices for the coming month. "We want what we want when we want it," she says. "Also, they're confused because it's not real time. And, when we have our annual inspections, surveyors ask if (residents) have a choice of what they're served. To manage the perception, our solution is to make it more real time."

To address this issue, a selective menu is currently being debuted in the facility's 31-bed rehab unit. Residents there are receiving a paper menu "today" for what they'll be served "tomorrow." Cryst also views the pilot as a stepping-stone to the introduction of room service. She's now waiting to see how the new menu affects production and whether the requisite forecasting system is doable.

Green-housing residents: Part of Cryst's job is to plan for the future—at least five to eight years down the road. She's envisioning one that may be drastically different from today's reality—but even more like home for the residents. One concept currently under consideration is The Green House Replication Initiative, an alternative approach to long-term care (visit for more info).

"There are many Green House communities being developed with small groups to be served family-style," she reports. "It's a big movement out there and it's being talked about now within Premier Health Partners from a foodservice standpoint."

But today, Cryst knows exactly what she's doing in her own personal realm. This mother of three and grandmother of five fondly recalls the lesson she learned from her own parents when she was very young: "You don't just take." That's one of the reasons she's currently serving as chair-elect of Consultant Dietitians in Health Care Facilities, an ADA practice group. "I'm committed to mentoring because these people were there for me," she asserts. "Those young ones coming out (of college) with an interest in geriatrics are our future—and I want to give back."

More From FoodService Director

Sponsored Content
fish tacos

From High Liner Foods.

Younger consumers are driving an increased focus on sustainability, and more consumers overall are demanding a wider variety of seafood on menus. With shifting interest in seafood, operators need to be familiar with the seafood consumer—who they are, what they’re looking for and when they eat it—to more effectively boost interest in seafood dishes.

Understand consumer habits

Technomic’s 2017 Center of the Plate: Seafood & Vegetarian report finds that 65% of consumers eat seafood at least occasionally (once every 90 days or more), either as an...

Industry News & Opinion

The Missouri House of Representatives has initially approved a bill that would enable students with dietary issues to forgo mandatory meal plans at public colleges and universities, U.S. News reports.

Approved Tuesday, the bill would grant students with medical documentation of food sensitivities, food allergies or medical dietary issues the right to opt out of meal plans.

Supporters of the bill say it will allow students to not have to pay for food they can’t safely eat, while opponents say that the bill will negatively impact schools financially. According to legislative...

Industry News & Opinion

A study released by Sodexo indicates that gender-balanced management improves team performance.

The 2018 study is an expansion of a previous Sodexo study that launched in 2014. The expanded study analyzed 50,000 managers in all levels of management from 70 entities around the world over five years.

The study found that teams managed by 40% to 60% women had better employee and client retention, saw fewer workplace accidents and increased their operating margins and employee engagement.

Industry News & Opinion

Rick Farmer, executive chef for St. Jude Children’s Research Hospital in Memphis, Tenn., and Stephanie Powers, executive chef of Spring Harbor, a retirement community in Columbus, Ga., were crowned the winners of MenuDirections’ 2018 Culinary Competition.

Split into teams of two, chefs had 60 minutes to prepare and plate their own entrees using a preselected basket of ingredients such as beans, mushrooms and orange sauce. Each dish was judged on its presentation, taste and creativity.

The winning dish was orange glazed pork with a black bean and wild mushroom cake topped...

FSD Resources