Based on observations and interviews, the facility did not ensure a qualified person is named as the dietary manager. This has the potential to affect all 71 residents. The facility's failure to ensure a qualified person is named as the dietary manager created a finding of immediate jeopardy that began on 08/27/22. NHA A (Nursing Home Administrator) and Regional Nurse Consultant W (RNC) were notified of the immediate jeopardy on 09/08/22 at 11:40 AM. The immediate jeopardy was removed on 09/13/22, however the deficient practice continues at a scope/severity of F (No Actual Harm/Widespread) as the facility continues to implement its action plan. This is evidenced by: The dietary manager is responsible for the overall coordination of the dietary department. …
F801 citations in Wisconsin
Qualified dietary staff · Nutrition and Dietary Deficiencies
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.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Wisconsin cites F801 more often than its own record predicts
2.12 times the share F801 takes of citations nationally.
Of every deficiency written in Wisconsin in 2025, this is the portion that was F801.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Wisconsin surveyors wrote
F801 findings written in Wisconsin, 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 interview and record review, the facility did not designate a person to serve as the director of food and nutrition services who was a certified dietary manager, a certified food service manager, had a national certification for food service management and safety from a national certifying body, or had an associate's or higher level degree in food service management or hospitality. This practice had the potential to affect all 32 residents residing in the facility. Findings include: During an initial kitchen tour on 7/13/26 that began at 8:18 AM, Dietary Manager (DM)-C indicated they had not received their Dietary Manager certification. DM-C stated they were currently enrolled in classes, but had not completed them. …
Based on interviews and record review, the facility did not employ a qualified dietician or other clinically qualified nutrition professional either full-time, part-time or on a consultant basis. The practice had the ability to affect 130 out of 130 residents. Findings include: On 10/08/19 at 1:23 PM, the Surveyor interviewed Dietary Manager (DM)-C. DM-C indicated she is a Certified Dietary Manager. DM-C stated she completed the course in (MONTH) 2019. DM-C stated the facility does not have a Registered Dietician on a full-time, part-time or consultant basis. On 10/09/19 10:45 AM, the Surveyor interviewed DM-C. DM-C indicated she handles it all and works with the physicians, nursing staff and therapy staff regarding nutritional needs and care plans for all the residents. …
The short window
Recent years
| Year | Share of Wisconsin citations | vs expected |
|---|---|---|
| 2023 | 0.28% | 0.79× |
| 2024 | 0.56% | 1.68× |
| 2025 | 0.55% | 2.12× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Wisconsin surveyors cite →
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