Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
of F801 citations were written at actual harm or above. The mark is the share across all tags, 5.4%.
Citations in 2025279
Every F801 citation surveyors wrote nationally that year.
Facilities cited273
Distinct nursing homes with at least one F801 finding.
The harm level
How severely F801 is cited
0.7% of citations found actual harm or worse (level G and above).
Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
J—
K20.2%
L50.4%
Actual harm
G10.1%
H—
I10.1%
No harm, potential for more than minimal
D21816.4%
E22617.0%
F84963.8%
No harm, potential for minimal
A—
B10.1%
C272.0%
Every recorded F801 citation, by the harm level and scope the surveyor assigned.
In the surveyor’s words
What an F801 citation says
One finding from each severity level, most serious first.
Severity is as the surveyor wrote it. Some findings had already been corrected before the survey.
L · Immediate jeopardy, widespreadAugust 15, 2024
Based on observation, interview, and record review the facility failed to ensure a full time Registered Dietician (RD) or a clinically qualified nutritional professional (CDM) to provide direct oversight of dietary staff to deliver safe and sanitary food service for 49 of 49 residents when:
1. Dietary staff did not follow safe and sanitary food service practices. Refer to F 802 and F 812.
2. RD, Unqualified Dietary Manager (UDM), and CDM did not ensure all dietary staff had required state and federal competencies to work in the kitchen upon hire. Refer to F 802
3. RD did not ensure all identified issues in the kitchen/sanitation audits were acted upon and resolved. Refer to F 812
4. …
Based on interviews and document review performed on 5/20/2026 from 8:30 AM through 8:00 PM, it was determined that the facility failed to employ sufficient staff with appropriate competencies and skills sets to carry out the functions of the food and nutrition service for 11 out of 11 residents. Findings include:
The Facility policy and procedure, Section 6.1- Evaluación y seguimiento nutricional -Nutritional evaluation and follow up - February 2023 revision, was reviewed on 5/20/2026 at 7:02 PM. The policy states that the nutritional assessment must be performed by the clinical nutritionist during 24 hours after admission following nutritional risk criteria.
1. …
E · No harm, potential for more than minimal, patternAugust 27, 2026
Based on interview and record review, the facility failed to ensure the staff member designated as Food Services Supervisor met the required qualifications.Findings include:During an interview on 8/24/2026 beginning at 9:12 AM, Staff A introduced herself as the Dietary Manager. Staff A reported she was not a Certified Dietary Manager (CDM) but had completed a food safety and management course.During an interview on 8/26/2026 at 10:52 AM, the Administrator stated Staff A had been in the position of Food Services Supervisor for 30 days; and Staff A was still in training and the Registered Dietician was contracted and not a full-time employee of the facility. …
C · No harm, potential for minimal, widespreadJuly 31, 2026
Based on interview and record review, the facility failed to ensure that unless the facility had a full-time Registered Dietician, that the Dietary Manager (Staff D) had completed an academic program in nutrition or dietetics accredited by an appropriate national accreditation organization. This failure placed residents at risk of receiving dietary services from staff without the required competencies and skills to carry out food and nutrition services.Findings include .In an interview on 07/28/2026 at 9:30 AM, Staff D, Dietary Manager stated that they have worked as Dietary Manager for a year and a half. They had completed the Dietary Manager Certification course and needed to complete the testing to obtain their certification. …
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Cited in the same inspection, not caused by one another.
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