Based on interview and record review the facility failed to follow the menu for a resident on mechanical soft diet for 1 of 7 (Resident #1) residents reviewed for therapeutic diets. The facility did not ensure Resident #1 was provided the proper therapeutic diet during an activity which resulted in him choking, having CPR performed, being sent to the hospital, and his death. This failure resulted in an identification of an Immediate Jeopardy (IJ) at 4:25 p.m. on [DATE]. While the IJ was removed on [DATE], the facility remained out of compliance at actual harm that is not immediate jeopardy with a scope identified as isolated due to the facility's need to complete in-service training and evaluate the effectiveness of the corrective systems. …
F803 citations in Texas
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
Texas cites F803 less often than its own record predicts
0.64 times the national share — cited less often here than elsewhere.
Of every deficiency written in Texas 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 Texas surveyors wrote
F803 findings written in Texas, 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 observation, interview and record review the facility failed to follow the menu for 1 of 2 days (09/10/2026) reviewed for the breakfast and lunch meal service.1. Dietary staff failed to follow the breakfast menu on 09/10/2026 and served biscuits and sausage gravy, oatmeal and dry cereal and lunch menu on 09/10/2026 and served steamed red potatoes, salad with dressing mixed in, hot dog bun with steak patty and sauteed onions, sauteed bell peppers, and lemon pudding on graham cracker crumbs.2. Dietary staff failed to maintain and document menu substitutions. 3. …
Based on observations, interviews, and record reviews, the facility failed to update and follow posted menus in accordance with professional standards for all residents for 1of 2 meals observed. The facility failed to follow their posted lunch menu for Tuesday, 2/17/2026.The facility failed to update their posted lunch menu for Tuesday, 2/17/2026 when a substituted menu was provided. These failures could place residents at risk for dissatisfaction with their meals and decreased nutritional intake. Findings included: Observation of the kitchen on 2/17/2026 at 11:43 AM revealed kitchen staff preparing white rice, a variety of combined meats with vegetables, including chopped chicken and sausage, and individual servings of ribs with no apparent sauce. …
The short window
Recent years
| Year | Share of Texas citations | vs expected |
|---|---|---|
| 2023 | 0.64% | 0.87× |
| 2024 | 0.60% | 0.83× |
| 2025 | 0.40% | 0.64× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Texas surveyors cite →
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