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 Montana. Pick another state for the same tag.
Against expectation — 2025
Montana cites F803 less often than its own record predicts
Versus expected share0.76×
0.76 times the national share — cited less often here than elsewhere.
Share of Montana citations0.47%
Of every deficiency written in Montana in 2025, this is the portion that was F803.
Montana0.47%
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 Montana surveyors wrote
F803 findings written in Montana, 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.
E · No harm, potential for more than minimal, patternJune 29, 2026
Based on observation, interview, and record review, the facility failed to ensure menus were planned and followed as approved; and failed to obtain registered dietitian approval prior to implementing facility-wide menu substitutions, including substitutions affecting therapeutic diets and altered food textures. The deficient practice resulted in residents receiving meals that differed from the approved menu and therapeutic menu extensions without prior review to ensure nutritional equivalency, affecting all residents who were served food from the kitchen. If the failure is not corrected, it may affect all residents at the facility in some manner as related to meal services and nutrition. …
B · No harm, potential for minimal, patternSeptember 16, 2022
Based on observation, interview, and record review, kitchen staff failed to follow menus for meals served, and failed to address the menu changes with a registered dietician. Findings include:
During an observation on [DATE] at 12:46 p.m., residents were being served lunch. Lunch was sliced ham and scalloped potatoes. The menu showed candied yams.
During an observation on [DATE] at 8:01 a.m., residents were being served breakfast. Breakfast was an omelet and a donut. The menu showed coffee cake.
During an interview on [DATE] at 11:35 a.m., staff member U said if the kitchen did not have an item the menu called for, he would substitute something else. Staff member U said he had been cooking at the facility since December of 2021. …
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