Based on policy review, review of facility documents and interview, the facility failed to provide a Dietary Manual (an officially recognized, evidence-based reference used by healthcare facilities to guide the preparation, ordering, and administration of patient diets) that was approved by the Registered Dietician and the Medical Director. The census was 54, with all residents receiving meals from the kitchen. The findings include: Based on the facility policy titled, Diet Manual, dated 10/2019, revealed .It is the center policy to use an approved diet manual for manual planning for regular and therapeutic diet plans .The medical director reviews and approves the diet manual annually .The Dining Service Director ensures that a copy of the Diet Manual will be available in the Dining… …
F803 citations in Tennessee
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
Tennessee cites F803 less often than its own record predicts
0.19 times the national share — cited less often here than elsewhere.
Of every deficiency written in Tennessee 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 Tennessee surveyors wrote
F803 findings written in Tennessee, 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 review of nutritional guidelines, menu review, and interview, the facility menu failed to meet nutritionally adequate standards for 3 of 4 weeks in the menu cycle. Findings include: Review of the Nutritional Guidelines and Menu Checklist for Residential and Nursing Home, 2014, revealed 5 or more servings of fruit and vegetables should be served daily. Further review revealed food high in fat should be used sparingly. Review of the 4 week cycle menu revealed the following: Week 1 Sunday Supper was Hamburger on Bun, French Fries, Fudge Round, and Lettuce/Tomato/Onion. Week 1 Monday Lunch was Tuna Salad on Bun, Tator Tots, Soup, Donuts. Week 1 Tuesday Lunch was Corn Dog Nuggets, French Fries, Cookie. Week 1 Friday Lunch was Grilled Chicken Breast, Macaroni Salad, Waffle Fries. …
The short window
Recent years
| Year | Share of Tennessee citations | vs expected |
|---|---|---|
| 2023 | 0.33% | 0.44× |
| 2025 | 0.12% | 0.19× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Tennessee surveyors cite →
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