Based on observation, interview and record review, the facility failed to ensure coffee was served at a safe temperature. Resident B, who was moderately cognitively impaired and required assistance with eating, experienced a 2nd degree burn from hot coffee on 8/28/21. Resident D, who was severely cognitively impaired and required supervision with eating, experienced a 2nd degree burn from hot coffee on 9/18/21 and multiple 2nd degree [CONDITION(S)], on 11/03/21. This deficient practice had the potential to affect 34 residents, who drank coffee, out of 94 total residents. The immediate jeopardy began on 8/28/21 when Resident B experienced 2nd degree [CONDITION(S)] from coffee. …
F804 citations in Indiana
Food palatability and temperature · Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Indiana cites F804 less often than its own record predicts
0.98 times the national share — cited less often here than elsewhere.
Of every deficiency written in Indiana in 2025, this is the portion that was F804.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Indiana surveyors wrote
F804 findings written in Indiana, 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 ensure hot coffee was served at a safe temperature for 1 of 3 residents reviewed for accidents, resulting in a resident sustaining skin burns when coffee was spilled on her lap, (Resident B). This deficient practice had the potential to affect 112 of 112 residents who could choose to receive daily hot coffee from the facility kitchen.Findings include:On 4/29/26 at 9:56 A.M., Resident B's clinical record was reviewed. …
Based on observation, interview, and record review, the facility failed to ensure food was served at a palatable temperature for 1 of 1 trays tested for temperature. (600-hall, Resident B, Resident C, and Resident D)Finding includes:1. Interview on 8/12/26 at 10:21 A.M., Resident B indicated that the hot food was not always hot when it was served.Interview on 8/12/26 at 11:21 A.M., Resident C indicated that the hot food was always cold when it was served.Interview on 8/12/26 at 1:08 P.M., Resident D indicated that she ate in the dining room and the hot food was cold when it was served. 2. On 8/12/26 at 12:29 P.M., a test tray was obtained from the 600-hall. Temperatures were:Baked chicken - 107.7 Fahrenheit (F)Buttery noodles - 102.1 FPear cobbler - 96.8 F3. …
The short window
Recent years
| Year | Share of Indiana citations | vs expected |
|---|---|---|
| 2023 | 1.19% | 1.21× |
| 2024 | 0.88% | 0.92× |
| 2025 | 0.90% | 0.98× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Indiana surveyors cite →
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