Based on record review, observations and interviews, the facility failed to ensure three (#4, #22, and #23) of six residents of 24 sample residents received food prepared in the form designed to meet their individual needs. Resident #4 diagnoses of dysphagia, oropharyngeal phase (difficulty swallowing), cerebral infarction (stroke), cognitive communication deficit, and unspecified dementia was admitted on [DATE]. Resident #4 had a physician's order for minced and moist diet texture (cannot bite off pieces of food but does have basic chewing ability). Resident #22 had diagnoses of dysphagia oropharyngeal phase, cognitive communication deficit, and other symptoms and signs involving cognitive functions and awareness was admitted on [DATE]. …
F805 citations in Colorado
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.
Against expectation — 2025
Colorado cites F805 more often than its own record predicts
2.20 times the share F805 takes of citations nationally.
Of every deficiency written in Colorado in 2025, this is the portion that was F805.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Colorado surveyors wrote
F805 findings written in Colorado, 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 observations, record review and interviews, the facility failed to ensure two (#58 and #70) of four residents reviewed received food and fluids prepared in a form designed to meet his or her needs out of 39 sample residents.Specifically, the facility failed to:-Ensure Resident #58 was served a mechanically altered diet per physician's orders; and,-Ensure Resident #70 received nothing by mouth (NPO) per physician's orders.Findings include:I. Professional referenceThe International Dysphagia (difficulty swallowing) Diet Standardization Initiative (IDDSI) (atool to standardize mechanically altered diets and liquids) (January 2019), retrieved on 6/29/26from https://iddsi.org/Resources/Patient-Handouts read in pertinent part, Soft and bite sized foods: soft, tender and moist, but with… …
The short window
Recent years
| Year | Share of Colorado citations | vs expected |
|---|---|---|
| 2023 | 0.17% | 0.48× |
| 2024 | 0.75% | 2.07× |
| 2025 | 0.67% | 2.20× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Colorado surveyors cite →
Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction