Based on review of facility policy, record review, and interview, the facility failed to follow Resident (R)138's diet order which resulted in R138 choking and dying. This failure had the possibility to negatively impact the 34 residents on a mechanical soft diet residing in the facility. On 07/30/26 at 4:46 PM, the Administrator and Director of Nursing were provided with a copy of the CMS Immediate Jeopardy (IJ) Template and informed the facility IJ existed as of 06/26/26. The IJ was related to 483.60 - Food and Nutrition Services. On 07/30/26, the facility provided an acceptable plan for removal of the IJ. The survey team verified all elements of the facility's removal plan and determined that the facility put forth due diligence in addressing the noncompliance. …
F803 citations in South 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
South Carolina cites F803 more often than its own record predicts
2.06 times the share F803 takes of citations nationally.
Of every deficiency written in South 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 South Carolina surveyors wrote
F803 findings written in South 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 and interviews, the facility failed to ensure the master menu and the posted daily menu matched the meal served during two lunches for 4 of 4 residents reviewed, (Resident (R)45, 26, 82 and 73).During an observation on 05/03/26 the posted menu for lunch was: Chili with beef, Tossed salad, Cornbread, Chilled fruit cup and a Beverage. During an observation on 05/03/26 at 11:50 AM in the main dining room, R45's lunch ticket read:House Mechanical Soft/ Regular bread, Chopped meats1/2 cup soft seasoned green beans6 oz Chili con carne1 2x3 Cornbread1 ea Margarine1 sl Mech soft pie of choice8 oz Beverage of choiceInner lip plateR45 was served: Bowl of ChiliPlain baked potatoContainer of cheese sauceSlice of cakeR45 did not receive the cornbread, margarine, or pie listed on… …
Based on observations, interviews and facility policy review, the facility failed for one of one meal observation to substitute a lunch meal alternate meal item (tortellini) with another meal item (kielbasa sausage) that has the same comparable nutritive value. The failure had the potential to affects residents at risk of nutritional problems.Findings include:Review of the facility's undated policy titled provided by the DM indicated, Policy Statement: The Dietary Department may make substitutions to the posted menu when necessary; however, all substitutions must be equivalent in nutritional value, appropriate for the resident's diet order, and documented according to facility guidelines. …
The short window
Recent years
| Year | Share of South Carolina citations | vs expected |
|---|---|---|
| 2023 | 0.71% | 0.95× |
| 2024 | 0.16% | 0.22× |
| 2025 | 1.28% | 2.06× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else South Carolina surveyors cite →
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