Based on observation, interview and a review of facility documents titled Menu Substitutions, OptimaSolutions .Dietary Management System .Spring and Summer 2017 and Pureed Cake Chocolate (mix) the facility failed to ensure residents ordered a pureed diet received pureed chocolate cake for lunch on 6/28/17. This affected RI (Resident Indentifer) # 4, one of nine sampled residents and six of 69 residents receiving meals from the kitchen. Findings Include: A review of a facility document titled Menu Substitutions documented the following: .To provide a substitute when an uncontrolled situation has temporarily made the item unavailable . …
F363 citations in Alabama
Nutrition and Dietary Deficiencies
Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
No F363 citations were recorded in Alabama for 2025. That means none appear in the CMS file for that year — not that the requirement does not apply.
In the surveyor’s words
What Alabama surveyors wrote
F363 findings written in Alabama, one from each severity band recorded here, most serious first.
Severity is as the surveyor wrote it. Some findings had already been corrected before the survey.
Based on observations, interviews and a review of the facility Diet Spreadsheet (pre-planned menu) and the recipe used to prepare Ham & Beans, the facility failed to ensure the recipe and preparation corresponded with the designed quantity of meat (Ham) to use for the lunch meal on 8/23/2017. This had the potential to affect 102 residents who received meal trays in the facility on 8/23/2017. Findings Include: A document review of the Diet Spreadsheet (pre-planned menu) and corresponding recipe revealed staff should use 19 pounds and 13 ounces (oz.) of diced buffet Ham to serve 90 portions of Ham & Beans using an 8 oz. spoodle portion size. The menu plan was to serve Ham & Beans on all meal trays. …
What else Alabama surveyors cite →
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