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.
F803 in Washington. Pick another state for the same tag.
Against expectation — 2025
Washington cites F803 less often than its own record predicts
Versus expected share0.51×
0.51 times the national share — cited less often here than elsewhere.
Share of Washington citations0.31%
Of every deficiency written in Washington in 2025, this is the portion that was F803.
Washington0.31%
National0.62%
Share of all citations that were F803.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Washington surveyors wrote
F803 findings written in Washington, 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.
J · Immediate jeopardy, isolatedJune 18, 2024
Based on observation, interview, and record review, the facility failed to ensure menus were followed and modified diet textures were prepared in accordance with established guidelines and physicians' orders for 2 of 2 residents (Residents 35 & 125) reviewed for diet textures who were at serious risk for aspiration (inhalation of foods/fluids into the lungs), pneumonia, and choking. The facility's lack of an effective system to ensure residents at risk received the correct food texture represented a potential serious outcome including death and constituted an Immediate Jeopardy (IJ). …
E · No harm, potential for more than minimal, patternAugust 5, 2026
Based on observation, interview, and record review, the facility failed to ensure menus were followed for 7 of 18 residents (Residents 27, 29, 8, 31, 5, 1 & 34) reviewed for food and nutrition services. Failure to follow the menu as directed, and provide accurate portion sizes, placed residents at risk for not having their food choices honored, dissatisfaction with meals, unmet nutritional needs, and a diminished quality of life. Findings included .<RESIDENT 27>Review of the physician diet orders dated 11/01/2025 showed Resident 27 was on a Carbohydrate Controlled (CCD), No Added Salt diet with Regular texture, thin liquid consistency, and low potassium diet (no orange juice--substitute cranberry juice for orange juice and substitute rice with gravy instead of mashed potatoes when… …
C · No harm, potential for minimal, widespreadNovember 25, 2025
Based on observation, interview, and record review, the facility failed to follow prepared menus and ensure any changes were reviewed with the registered dietician when reviewed for kitchen. This failure placed residents at risk of not receiving adequate nutritional intake, decrease in weight, and a diminished quality of life.Findings included.Review of the menu for lunch on 09/25/2025 showed parmesan chicken, sweet potato, cauliflower, bread roll, and seasonal fresh fruit as the main meal. Observation on 09/25/2025 at 11:47 AM showed the facility cook serving chicken breast in an orange sauce, sweet potato, green beans, and canned mandarin oranges. Observation showed bread rolls were not provided. …
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