Based on record reviews and interviews with residents and staff, the facility failed to follow the planned menu and did not offer required substitutes for 1 of 1 breakfast meal. Forty residents with no dietary restrictions, who were scheduled to receive hash browns, did not receive the menu item as planned. Findings included: Review of the facility menu dated 08/27/2026 revealed hash browns were to be served during breakfast. Resident #42 was admitted to the facility on [DATE]. The Minimum Data Set (MDS) for Resident #42, dated 06/01/2026, indicated that the resident's cognition was intact. Resident #64 was admitted to the facility on [DATE]. The Minimum Data Set (MDS) for Resident #64, dated 08/07/2026, indicated that the resident's cognition was intact. …
F803 citations in North Carolina
Menus · Nutrition and Dietary Deficiencies
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.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
North Carolina cites F803 less often than its own record predicts
0.78 times the national share — cited less often here than elsewhere.
Of every deficiency written in North Carolina in 2025, this is the portion that was F803.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What North Carolina surveyors wrote
F803 findings written in North Carolina, 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.
Based on observations of the meal service tray line, record review, and Registered Dietician (RD) and staff interviews the facility failed to provide portions of food from a standardized meal planning guide such as a spreadsheet. This failure had the potential to affect 77 out of 78 residents. Findings included: Review of a menu for the Fall/Winter cycle of 2021-2022 revealed spaghetti with meat sauce, vegetable blend, and garlic toast were going to be served for the lunch meal on 01/24/23. An interview with Cook #1 on 01/24/24 at 11:00 AM revealed she did not have the spreadsheet that provided portion sizes, but the Assistant Dietary Manager would be able to provide them when he arrived. …
The short window
Recent years
| Year | Share of North Carolina citations | vs expected |
|---|---|---|
| 2023 | 0.53% | 0.71× |
| 2024 | 0.44% | 0.60× |
| 2025 | 0.48% | 0.78× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else North Carolina surveyors cite →
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