Based on observations, record reviews, resident, and staff interviews, for one (1) of 98 sampled residents, the facility's staff failed to ensure Resident #255's menu was followed, as evidenced by not providing a pureed diet on 02/17/22. Subsequently, after eating approximately 10% of a biscuit that was provided by facility staff on 02/17/22, the resident complained of feeling the biscuit in his throat. Due to these failures, an Immediate Jeopardy situation was identified on February 17, 2023, at approximately 5:30 PM. The facility submitted a Plan of Action to the survey team that was on onsite at 2:21 AM on February 18, 2023, and the plan was accepted. The survey team verified implementation of the plan on February 21 - 22 2023. …
F803 citations in District of Columbia
Menus · Nutrition and Dietary Deficiencies
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.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2023
District of Columbia cites F803 more often than its own record predicts
1.22 times the share F803 takes of citations nationally.
Of every deficiency written in District of Columbia in 2023, this is the portion that was F803.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What District of Columbia surveyors wrote
F803 findings written in District of Columbia, 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 medical record review and staff interviews, facility staff failed to ensure that a resident's food plan was followed and met her nutritional needs and preferences. This was evident for 1 of 3 sampled residents (#13). The findings included: A review of Resident #13's medical record revealed the resident was admitted to the facility on [DATE] with multiple diagnoses that included: Status Post Reverse Arthroplasty of Left Shoulder, Asthma, Hypertension and Gastroesophageal Reflux Disease. A Physician's Order Reconciliation dated 11/02/25 documented, in part: Medicinal Allergies: Shellfish Derived. A History and Physical dated 11/03/25 documented in part, Allergies: Shellfish. …
What else District of Columbia surveyors cite →
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