Based on clinical record review, facility documentation, and staff interview, it was determined that the facility failed to provide a diet consistent with physician's orders [REDACTED]. Findings include: Review of Resident R116's admission MDS (Minimum Data Set - periodic assessment of resident needs) assessment dated (MONTH) 29, (YEAR), indicated that the resident had severe cognitive impairment. [DIAGNOSES REDACTED]. The resident required a mechanically altered diet and extensive assistance of one person for eating. Review of physician's orders [REDACTED]. ground or minced) was ordered. Review of speech therapy note of (MONTH) 6, (YEAR), indicated that the resident participated in skilled speech therapy which included assessment and intervention for dysphagia. …
F803 citations in Pennsylvania
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
Pennsylvania cites F803 less often than its own record predicts
0.76 times the national share — cited less often here than elsewhere.
Of every deficiency written in Pennsylvania 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 Pennsylvania surveyors wrote
F803 findings written in Pennsylvania, 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, review of facility documents and interviews with residents and staff, it was determined that the facility failed to follow menu extensions related to pureed diets and meals were not served in accordance with posted meal times and meal tickets, for two of eight nursing units observed ([NAME] Ground floor Section C unit and [NAME] First floor Section C unit). Findings include: Observation of the [NAME] Ground C unit on August 18, 2026, at 1:25 p.m. revealed several residents gathered by the nurses station, waiting for lunch to arrive. Six residents stated that they were hungry and wanted to know why lunch was so late. Interview with Employee E5, licensed nurse, confirmed that lunch had not arrived yet to the unit. …
Based on observation, review of facility documentation, and resident and family interviews, it was determined that the facility failed to follow the planned menu and ensure that preferences were provided for four of 24 sampled residents. (Residents 1, 10, 14, 84) Findings include: Review of the facility menu revealed that the lunch meal on February 11, 2026, was to be baked ham, sweet potatoes, Italian green beans, and gelatin with whipped topping. Clinical record review revealed that Resident 1 had diagnoses that included moderate protein calorie malnutrition, epigastric pain, and gastro-esophageal reflux disease. Review of the Minimum Data Set (MDS) assessment dated [DATE], revealed that Resident 1 had no cognitive impairment. …
The short window
Recent years
| Year | Share of Pennsylvania citations | vs expected |
|---|---|---|
| 2023 | 0.70% | 0.94× |
| 2024 | 0.52% | 0.72× |
| 2025 | 0.47% | 0.76× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Pennsylvania surveyors cite →
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