Based on facility policy review, Speech-Langauge Pathologist Therapist (SPT) job description review, admission Director job description review, Dietary Supervisor job description review, Clinical Dietician position description review, International Dysphagia Diet Standardization Initiative (IDDSI) manual review, Nutrition Care Manual (NCM)- Diet Manual, medical record review, Dietary Management Company menu review, hospital record review, and interview, the facility failed to provide care and services necessary to maintain the highest practicable physical, mental, and psychosocial well-being of residents when staff failed to prepare food in a form designed to meet individual needs for 1 of 6 (Resident #1) sampled residents reviewed for receiving a mechanically altered therapeutic diet. …
F805 · Food in a form residents can eat
Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Every F805 citation surveyors wrote nationally that year.
Distinct nursing homes with at least one F805 finding.
The harm level
How severely F805 is cited
6.3% of citations found actual harm or worse (level G and above).
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J473.2% | K251.7% | L— |
| Actual harm | G201.4% | H— | I— |
| No harm, potential for more than minimal | D79354.1% | E56338.4% | F161.1% |
| No harm, potential for minimal | A— | B20.1% | C— |
In the surveyor’s words
What an F805 citation says
One finding from each severity level, most serious first.
Severity is as the surveyor wrote it. Some findings had already been corrected before the survey.
Based on interview and record review, the facility failed to ensure residents received a safe diet that met their special dietary needs for 1 out of 24 sampled residents. Specifically, Resident 1, who had a diet order for a minced and moist texture, was provided or obtained a muffin, which resulted in an airway obstruction. Resident identifier: 1Resident 1 was initially admitted to the facility on [DATE] with diagnoses including Parkinsonism, chronic obstructive pulmonary disease, dementia, acute kidney failure, and epilepsy. …
Based on observation, interview, and document review the facility failed to ensure beverages were provided in the appropriate consistency for 1 of 1 resident (R20) reviewed who required modified liquids.Findings include:R20's admission minimum data set (MDS) dated [DATE], indicated R20 had intact cognition, required supervision for intake, received mechanically altered diet of pureed texture food and mildly thickened liquids, and received speech therapy. R20's diagnoses included stroke, dysphagia (difficulty swallowing), coronary artery disease, high blood pressure, and risk for malnutrition related to therapeutic diet of altered consistency.R20's nutrition care area assessment (CAA) dated 8/8/26, indicated R20 required a mechanically altered diet and thickened liquids due to dysphagia… …
Based on observation, interview, record review, and facility document review, the facility failed to ensure one Resident (#82), out of a total sample of 23 residents received food prepared in a form to meet the resident's individual dietary needs. Specifically, the facility failed to upgrade his/her diet per the Speech Language Pathologist (SLP) order for 14 days. Findings include: Review of the facility's policy titled Therapeutic Diets and Meal Plans, dated as last revised 6/2018, indicated but was not limited to the following:-The attending physician, license non-physician provider, or registered or licensed dietician with physician approval and as allowable by State Law, prescribe therapeutic diets.-Mechanically Altered Diet means one in which the texture of a diet is altered. …
By state — 2025
Where F805 is cited more, and less, than expected
Each state is measured against its own expected share, not against other states.
- Ohio2.34× · 46 citations
- Illinois1.62× · 33 citations
- California1.39× · 67 citations
- Texas1.05× · 31 citations
Co-occurrence
Cited alongside F805
Of the 2025 surveys that cited F805, these tags appeared in the same inspection more often than chance would predict.
- F80323.3% of F805 surveys · 9.1× chance
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.
- F80610.0% of F805 surveys · 6.1× chance
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
- F80421.1% of F805 surveys · 5.5× chance
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- F8149.4% of F805 surveys · 5.2× chance
Dispose of garbage and refuse properly.
- F69219.9% of F805 surveys · 4.2× chance
Provide enough food/fluids to maintain a resident's health.
Cited in the same inspection, not caused by one another.
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