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 West Virginia. Pick another state for the same tag.
Against expectation — 2025
West Virginia cites F803 more often than its own record predicts
Versus expected share2.05×
2.05 times the share F803 takes of citations nationally.
Share of West Virginia citations1.27%
Of every deficiency written in West Virginia in 2025, this is the portion that was F803.
West Virginia1.27%
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 West Virginia surveyors wrote
F803 findings written in West Virginia, 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, isolatedAugust 29, 2024
Based on staff interview and record review the facility failed to follow the diet order for a resident on a pureed diet. The wrong texture of diet was provided which resulted in a choking incident for Resident #112. This failed practice was found true for (1) of (3) residents reviewed for diet order accuracy during the survey process. Resident identifiers #112. Facility Census 111.
The State Agency (SA) determined this placed the resident in a past non-compliance immediate Jeopardy (IJ) situation. Resident #112 was provided regular texture food, which caused her to choke. The resident late died. The SA called the past noncompliance IJ starting on 08/14/24 and ending on 08/22/24. …
E · No harm, potential for more than minimal, patternJuly 29, 2026
Based on record review, observation, resident interviews, and staff interviews, the facility failed to ensure the menus were prepared in advance and followed to meet the nutritional needs of the residents. This failed practice affected five (5) of 21 residents. Resident Identifiers: #68, #40, #104, #111, and #65. Facility Census: 114. Findings included: a) The facility's policy and procedure for meal distribution stated, For point of service dining, the Dining Services Department staff, under the supervision of the licensed nurse, will assemble the meal in accordance with the individual meal card and present it to the resident/patient or care staff for delivery to the resident/patient. b) On 07/27/26, the dining observation was initiated. …
B · No harm, potential for minimal, patternAugust 6, 2026
Based on record review, staff interview, and observation, the facility failed to ensure menus were followed as posted for the dining room and on resident tray cards. This failed practice had the potential to affect more than a limited number of residents. Resident identifiers: #18, #54, #14, #61, #8 and #52. Facility Census: 61. Findings included: a) Posted Lunch Menu On 08/03/26, the facility's posted lunch menu included: Hamburger Steak with Grilled OnionsMashed PotatoesCornRollChocolate Pudding Parfait On 08/03/26 at 12:10 PM, Licensed Practical Nurse (LPN) #16 confirmed there were no grilled onions per posted menu and as listed on the resident's tray cards for the following residents: Resident #18, Resident #54, Resident #14, Resident #61, Resident #8 and Resident #52. …
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