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.
F803 in California. Pick another state for the same tag.
Against expectation — 2025
California cites F803 more often than its own record predicts
Versus expected share1.51×
1.51 times the share F803 takes of citations nationally.
Share of California citations0.94%
Of every deficiency written in California in 2025, this is the portion that was F803.
California0.94%
National0.62%
Share of all citations that were F803.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What California surveyors wrote
F803 findings written in California, 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.
J · Immediate jeopardy, isolatedApril 19, 2024
Based on interview and record review, the facility failed to follow the physician's order to give mechanical soft texture (food item that has been blended, mashed, mixed, or processed into a smooth and uniform texture) diet for one (1) of three (3) sampled residents (Resident 1) in accordance with the facility's policy on nutrition management of dysphagia (difficulty swallowing) by facility staff failing to :
1. Ensure Certified Nursing Assistant (CNA 1) did not instruct Uncertified Assistive Personnel 1 (UAP 1) to obtain a sandwich from the facility's refrigerator for Resident 1 to consume on [DATE].
2. …
Based on interview and record review, the facility failed to ensure the prescribed diet was followed for one of five residents reviewed (Resident 1), when the facility served the resident, who was on a regular, no salt added, soft and bite-size texture, regular consistency diet (a diet that contains food that is cut into smaller pieces, soft, easy to chew, with lower amounts of salt), and was at risk for aspiration (when something enters your airway or lungs), a chef ' s salad (a salad of lettuce and other raw [crunchy] vegetables topped with slices of meat, cheese, croutons [bread that is hardened due to being fried or toasted], and hard-boiled eggs), which contained croutons and raw lettuce, both of which are not allowed based on the resident ' s dietary restrictions. …
E · No harm, potential for more than minimal, patternAugust 27, 2026
Based on observation, interview, and record review, the facility failed to follow the standardized recipe for Spinach Au Gratin for five of five sampled residents (Residents 2, Resident 6, Resident 7, Resident 10 and Resident 98). This deficient practice had the potential for affecting the resident's meal satisfaction and risk for weight loss.Findings: During a review of Resident 2's admission Record, the admission Record indicated the facility admitted the resident on 6/5/2018 and was readmitted on [DATE] with diagnoses including diabetes mellitus (DM - a disorder characterized by difficulty in blood sugar control and poor wound healing), muscle weakness (loss of muscles strength), hypertensive chronic kidney disease and anemia a condition where the body does not have enough healthy red… …
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