There are 45 people in the dining room for lunch. There are 5 staff members in the dinning room during this time. One of the staff members recognize that the meals coming out are not what was ordered by the doctor according to the treatment plan. One of the residents is supposed to have 1 on 1 attention while eating and is to have a soft diet. The dietary department sent out a regular diet meal. The staff member did not say anything, instead proceeded to feed the patient the meal that came out. During this time the resident struggled to swallow and began to choke. Staff members observed this in the dining room and asked the staff member what was happening, the staff member working with the resident said “Nothing, she is just being difficult” After about 20 minutes the staff member removed the resident from the table and took the resident to her room. After lunch time another staff member went into the resident’s room and found the resident unresponsive.