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 Iowa. Pick another state for the same tag.
Against expectation — 2025
Iowa cites F803 more often than its own record predicts
Versus expected share2.65×
2.65 times the share F803 takes of citations nationally.
Share of Iowa citations1.64%
Of every deficiency written in Iowa in 2025, this is the portion that was F803.
Iowa1.64%
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 Iowa surveyors wrote
F803 findings written in Iowa, 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.
K · Immediate jeopardy, patternJanuary 5, 2023
Based on clinical record review, observation, and staff interview, the facility failed to serve a resident a mechanical soft diet as ordered by the physician. During the noon meal service on [DATE], the ticket incorrectly directed staff to serve a regular diet to a resident who required a mechanical soft diet. During the process of serving the incorrect diet, this surveyor stopped the dietary staff from serving the meal. These circumstances posed an Immediate Jeopardy to the residents health and safety. (Resident #2). During closed record review the facility failed to serve the correct diets for 2 of 4 residents reviewed. (Resident #1 and Resident #3). …
E · No harm, potential for more than minimal, patternAugust 13, 2026
Based on observation, policy review and staff interview, the facility failed to ensure 3 of 3 residents on a pureed diet received margarine and the correct portion of bread and vegetables and failed to ensure multiple residents on a regular diet received the correct portion of meatloaf. The facility reported a census of 29 residents.Findings included:a. The Week 1 Tuesday menu for the noon meal directed staff to serve those on a pureed diet a #10 scoop( to a half cup) of italian blend vegetables and 1 piece of bread with margarine.On 8/11/26 at 10:51 a.m., Staff M [NAME] added 2 4 ounce scoops of vegetables to the food processor and blended to a pureed consistency. Staff M then added 2 pieces of bread without margarine. Staff M stated she was making 2 servings of vegetables. …
C · No harm, potential for minimal, widespreadSeptember 6, 2023
Based on observation, staff interviews, and policy review the facility failed to follow the menu, did not serve the dinner roll/bread and margarine at lunch for 30 of 30 residents.
During an observation of the lunch meal on 8/29/23 starting at 11:30 AM, a meal of chicken, potatoes, peas, and a cookie was served to all 30 residents. The 30 residents were not provided or offered the dinner roll/ bread and margarine as scheduled.
Review of facility Week-At-A-Glance menu documented the lunch meal of marinated chicken thigh, sugar snap peas, oven browned potatoes, dinner roll/bread with margarine, and chocolate chip cookie. …
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