Based on clinical record review, facility documentation review, facility policy review, and interviews for one of three residents (Resident #5) reviewed for dining, the facility failed to ensure staff provided the correct diet texture and failed to ensure staff knew or verified what the diet orders were, resulting in a choking episode. The failures resulted in a finding of Immediate Jeopardy. Resident #5 was admitted with diagnoses that included dysphagia (difficulty swallowing), dementia and end stage renal disease. The nursing admission note dated 10/4/2024 at 9:26 PM identified Resident #5 was oriented to person. The Resident Care Plan (RCP) dated 10/4/2024 identified a potential for alteration in kidney function due to dialysis and nutritional status. …
F805 citations in Connecticut
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
Connecticut cites F805 less often than its own record predicts
0.20 times the national share — cited less often here than elsewhere.
Of every deficiency written in Connecticut 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 Connecticut surveyors wrote
F805 findings written in Connecticut, 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 clinical record review, facility documentation review, facility policy review, and interviews for one of three residents (Resident #1) reviewed accidents, the facility failed to ensure a resident with dysphagia was provided the correct liquid consistency in accordance with physician orders, resulting in respiratory distress and hospitalization . The findings include: Resident #1's diagnoses included cerebrovascular infarction with hemiplegia and hemiparesis, dysphagia (difficulty swallowing) and vascular dementia. The RCP dated 5/12/2024 identified Resident #1 was at risk for impaired swallowing related to cerebrovascular accident and dementia. …
Based on clinical record review, facility documentation/policy, observation, and interviews for one (1) of three (3) sampled residents (Resident #3) reviewed for diet consistency, the facility failed to ensure food provided to a severely cognitively impaired resident was consistent with the physician-ordered mechanically altered diet. Specifically, Resident #3, who had dysphagia and was prescribed a mechanical soft diet, was observed consuming a lollipop, while reclined to approximately 45 degrees in a wheelchair, which was not compatible with the prescribed diet, placing the resident at risk for choking or aspiration. …
The short window
Recent years
| Year | Share of Connecticut citations | vs expected |
|---|---|---|
| 2023 | 0.34% | 0.95× |
| 2024 | 0.44% | 1.22× |
| 2025 | 0.06% | 0.20× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Connecticut surveyors cite →
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