Based on observations, staff interviews, clinical record review, menu review, diet manual review, and policy review, the facility food and nutrition services staff failed to follow the Dysphagia (difficulty swallowing) Advanced Texture and Dysphagia Mechanically Altered diets for 2 of 5 residents sampled for mechanically altered diets (Resident #46 and Resident #278). On 05/06/2023 Resident #46 was served the incorrect diet texture during the lunch meal which resulted in the resident choking on a meat patty necessitating the immediate medical intervention of abdominal thrusts by a Registered Nurse (RN) to clear the meat from the resident's airway. …
F803 citations in Florida
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 — 2025
Florida cites F803 more often than its own record predicts
1.00 times the share F803 takes of citations nationally.
Of every deficiency written in Florida in 2025, 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 Florida surveyors wrote
F803 findings written in Florida, 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 observation, interview, and record review, the facility failed to follow the portion sizes listed on the menu for regular and puree diets that were signed by the Registered Dietitian. This had the ability to affect 8 residents who were on the pureed diet and 66 on a regular diet. The census at the time of survey was 102. The findings included: Observations were made on 08/04/26 at 11:50 AM in the kitchen of the lunch tray line. A review of the menu for week 5 Tuesday lunch menu revealed the puree menu included 6-ounce (oz) puree chicken parmesan, 4 oz puree pasta, 4 oz puree Italian Vegetables, 2-oz puree roll with garlic butter and 4-oz puree apple cobbler. …
Based on observation, interview, and record review, the facility failed to ensure an accurate and current menu was posted for residents who eat their meals at the facility. The findings included: On 08/11/24 (Sunday) at 9:00 AM, it was observed that the daily menu posted on the wall at the entrance to the dining room was labeled as being the menu for Monday. This menu documented that the lunch meal to be provided on this day was Cracker Crumb Cod, Potato Wedges, Broccoli, Roll, and Brownie, with the alternate meal being Chili with Beans and Baked Potato. During the meal observation at 08/11/24 at 12:10 PM, the main entree served to the residents was Turkey Shepherd's Pie (Ground Turkey, mashed potatoes, peas/corn/carrots), Dinner Roll, and Cheesecake. …
The short window
Recent years
| Year | Share of Florida citations | vs expected |
|---|---|---|
| 2023 | 0.77% | 1.04× |
| 2024 | 0.91% | 1.25× |
| 2025 | 0.62% | 1.00× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Florida surveyors cite →
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