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 Michigan. Pick another state for the same tag.
Against expectation — 2025
Michigan cites F803 less often than its own record predicts
Versus expected share0.77×
0.77 times the national share — cited less often here than elsewhere.
Share of Michigan citations0.48%
Of every deficiency written in Michigan in 2025, this is the portion that was F803.
Michigan0.48%
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 Michigan surveyors wrote
F803 findings written in Michigan, 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, isolatedJanuary 25, 2024
This citation pertains to Intakes: MI00142187, MI00142251, MI00142309.
Based on observation, interview, and record review, the facility failed to ensure one resident (R901) received and consumed pureed foods as prescribed, resulting in airway obstruction/choking.
On [DATE] at approximately 8:30am, R901 consumed a peanut butter sandwich resulting in the resident's airway becoming obstructed, requiring the use of the Heimlich Maneuver, CPR (Cardiopulmonary Resuscitation), and the use of forceps to remove copious amounts of the peanut butter sandwich from the resident's airway that led to hospitalization where the resident was placed on life-sustaining treatment, and died eight days later. …
D · No harm, potential for more than minimal, isolatedJune 18, 2026
Based on observation, interview and record review, the facility failed to honor the resident's food preferences and ensure accuracy of their food ticket for one resident (R154) of one reviewed for food preferences. Findings include: On 6/16/2026 at 11:27 AM, R154 was observed sitting in their wheelchair, and was asked about their stay in the facility. R154 expressed their dislike for the food citing the taste, temperature and accuracy of their meal ticket. At this time, R154's lunch tray was delivered to them. An observation of R154's food ticket revealed the tray was to consist of the following items: 6-ounce cheese pierogi, hotdog on bun, German style red cabbage, chocolate cream pie, apple juice, fresh fruit of the day, ginger ale and a turkey sandwich. …
C · No harm, potential for minimal, widespreadDecember 1, 2023
Based on observation, interview and record review the facility failed to follow established vendor provided menus on two of two days meals were observed. This deficient practice has the potential to result in inadequate meal nutrition for any and all 26 residents.
Findings include: (all reported times are in EST)
On 11/29/23 at 1:00 PM observations of the noon meal were made. The steam table contained stainless steel pans with mashed potatoes and a meat/gravy mixture. An interview with CDM (Certified Dietary Manager) was conducted and was learned the meal being served was shepherd pie as the main course. A review of the menus provided revealed the menu for 11/29 was scheduled to be meat loaf, mashed potatoes, gravy, and peas. …
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