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 Missouri. Pick another state for the same tag.
Against expectation — 2025
Missouri 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 Missouri citations0.56%
Of every deficiency written in Missouri in 2025, this is the portion that was F803.
Missouri0.56%
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 Missouri surveyors wrote
F803 findings written in Missouri, 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, isolatedFebruary 2, 2022
Based on observation, interview and record review, facility staff failed to follow the resident's diet orders for a resident on a puree diet. The resident had an order for a dysphagia puree diet and required supervision with eating. The activity assistant brought a whole donut into the resident's room, left the donut and did not verify the resident's diet order or ensure the resident had supervision while eating. This resulted in a choking incident for this resident (Resident #76). The census was 105.
The administrator was notified on 1/27/22 at 3:15 P.M. of an Immediate Jeopardy (IJ), which began on 1/27/22. The IJ was removed on 1/28/22, as confirmed by surveyor onsite verification. …
F · No harm, potential for more than minimal, widespreadMay 29, 2026
Based on observation, interview and record review, the facility staff failed to prepare and serve food in accordance with the nutritionally calculated recipes to all residents. The facility census was 47.1. Review of the facility's standardized recipe for spaghetti with meat sauce showed staff directed to use 12.5 pounds of ground beef for 50 servings of meat sauce. Observation on 05/27/26 during the lunch meal, showed [NAME] H served residents portions of spaghetti noodles and meat sauce combined. Observation showed the cook did not offer residents additional protein. During an interview on 05/27/26 at 12:31 P.M., [NAME] H said he/she prepared the spaghetti for the noon meal following the recipe for 50 servings. …
C · No harm, potential for minimal, widespreadJune 20, 2024
Based on observation and interview, the facility failed to post daily menus and a list of available substitutions for residents to reference. The facility census was 38.
Review of the facility's policy titled, Menu Posting and Display, undated, showed:
- All menus for the current week are clearly posted and dated to adequately document meals that are to be served and to guide staff assisting with the meal service;
- The dated menu for the current week is posted in areas easily accessible to residents and families.
Observations on 06/17/24 at 9:58 A.M., 06/18/24 at 8:45 A.M. …
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