Based on observation, staff interview and review of the Week One Menu, the facility failed to ensure dietary staff were serving the correct portion sizes of pureed food and regular diets according to the menu and failed to serve double portions to two residents (R) (#12 and #14) who had a history of weight loss. There were 65 residents with oral diets. On [DATE] a determination was made that a situation in which the facility's noncompliance with one or more requirements of participation had the likelihood to cause serious injury, harm, impairment, or death to residents. The facility's Administrator and Director of Nursing (DON) LL were informed of the Immediate Jeopardy (IJ) on [DATE] at 1:55 p.m. The noncompliance related to the first IJ was identified to have existed on [DATE]. …
F803 citations in Georgia
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
Georgia cites F803 more often than its own record predicts
1.11 times the share F803 takes of citations nationally.
Of every deficiency written in Georgia 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 Georgia surveyors wrote
F803 findings written in Georgia, 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 observations and staff interviews, the facility failed to ensure pureed meals were prepared according to standardized recipes and appropriate consistency requirements for eight of eight residents who received a pureed diet. Specifically, pureed meals were not consistently prepared or served in a manner that maintained appropriate texture, appearance, palatability, and safety for residents with swallowing difficulties. This deficient practice had the potential to affect all residents receiving pureed diets by placing them at risk for choking, aspiration, poor nutritional intake, and decreased quality of life.Findings include:Observation on 05/11/2026 at 11:00 AM of puree preparation revealed that a recipe was not followed. …
Based on observation, interview, review of facility menus, it was determined the facility failed to follow the approved menu for 79 residents receiving an oral diet. The facility census was 88 residents. Findings include: A review of the 8/5/2020 posted daily menu revealed cubed steak, white rice, lima beans cornbread w/butter and fruit. Beef steak was substituted. No butter or other condiments were noted on the meal trays or serving carts available for residents. The Week at a Glance menu stated Wednesday 8/5/2020 lunch meal would be cube steak, french fries, french green bean medley. A review of the 8/6/2020 posted daily menu revealed lunch as fried chicken, potato salad, mixed vegetables, cornbread w/butter, and chocolate pudding. The dessert served was lemon pie. …
The short window
Recent years
| Year | Share of Georgia citations | vs expected |
|---|---|---|
| 2023 | 0.09% | 0.12× |
| 2024 | 0.34% | 0.47× |
| 2025 | 0.69% | 1.11× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Georgia surveyors cite →
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