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 Hawaii. Pick another state for the same tag.
Against expectation — 2025
Hawaii cites F803 more often than its own record predicts
Versus expected share1.09×
1.09 times the share F803 takes of citations nationally.
Share of Hawaii citations0.68%
Of every deficiency written in Hawaii in 2025, this is the portion that was F803.
Hawaii0.68%
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 Hawaii surveyors wrote
F803 findings written in Hawaii, 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, isolatedOctober 28, 2019
Based on observation, staff interviews, and record review the facility failed to ensure resident (R)70 receives the correct physician's order for fluid consistency. As a result, R70 was observed coughing/choking during mealtime while consuming non-nectar thickened liquids.
Findings Include:
R70 was admitted to the facility on [DATE], with a [DIAGNOSES REDACTED]. A speech therapist consultation on 07/31/18, identified R70 at risk for aspiration. However, the facility's kitchen staff, unit staff, dietary staff and NS1 were not aware R70 was not receiving a nectar thick fluid consistency as ordered since 07/18/19.
On 10/22/19 at 11:47 AM, observed R70 in the 3rd floor dining area during lunch, drinking independently. …
D · No harm, potential for more than minimal, isolatedMay 1, 2025
Based on observation, interview, and record review, the facility failed to ensure a resident's menu with selected food choice was followed for one of two residents (Resident (R) 66) sampled for food preferences. The facility did not follow-up/communicate with R66's food choice after identifying the selection may have an ingredient he is allergic to, and did not give R66 the opportunity to choose what he wanted to eat. As a result, R66 received a meal that was not listed on the menu provided in advance that he did not want to eat, causing the resident confusion.
Findings include:
On 04/28/25 at 11:17 AM, during lunch dining observation, observed R66 sitting in the dining room with two other residents (R35 and an unidentified resident). …
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