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 Kentucky. Pick another state for the same tag.
Against expectation — 2025
Kentucky cites F803 less often than its own record predicts
Versus expected share0.90×
0.90 times the national share — cited less often here than elsewhere.
Share of Kentucky citations0.56%
Of every deficiency written in Kentucky in 2025, this is the portion that was F803.
Kentucky0.56%
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 Kentucky surveyors wrote
F803 findings written in Kentucky, 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, isolatedDecember 13, 2025
Based on interview, record review and review of the facility's policy, the facility failed to ensure residents received a therapeutic diet per the physician's order for 1 of 7 residents sampled for diets out of the total sample of 21 residents, (Resident (R)86). The physician ordered a pureed diet for R86; however, on 04/25/2025, a Certified Nurse Assistant (CNA) gave the resident a peanut butter sandwich. R86 choked on the sandwich and subsequently lost his pulse. The Emergency Medical Services (EMS) transferred R86 to a hospital where R86 expired. Review of the official Kentucky Certificate of Death listed the immediate cause of death as, choking on a food bolus. …
Based on observation, interview, record review, review of the facility's incident report, and review of the facility's documents and policy, the facility's staff failed to follow a menu for a resident on a puree diet for 1 of 11 sampled residents, Resident (R) 76.Review of the facility's Incident Report, revealed R76 was provided the wrong texture of diet on 01/08/2026, which caused the resident to choke. Actual harm was identified with the highest scope and severity (S/S) of a G.The facility provided an acceptable Removal Plan alleging the removal of the G on 01/28/2026, prior to the State Survey Agency (SSA) initial entrance to the facility on [DATE]. …
D · No harm, potential for more than minimal, isolatedAugust 6, 2026
Based on observation, interview, and record review, the facility failed to ensure residents received food portions consistent with planned serving sizes by failing to use the required scoop size when serving mashed potatoes and by using tongs rather than a standardized portioning utensil to serve roast beef. This deficient practice had the potential to result in all residents who receive meals from the dietary department to receive inconsistent portions and inadequate nutritional intake.The findings include: Review of the facility policy titled Policy #ADM-136 - Portion Control, undated, revealed all meals shall be portioned according to standardized recipes and menu requirements to ensure consistent quality and nutritional accuracy. …
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