Based on observation, interview and record review, the facility failed to provide food in the consistency ordered by the physician to meet the needs of 2 of 2 residents (Resident (R) 13 and R69) sampled for appropriate preparation of food. This deficient practice increases the risk of aspiration for residents who have a modified consistency diet order for dysphagia (difficulty swallowing). Findings include: 1) On 04/28/25 at 11:31 AM, observation of R13's meal ticket noted it stated diet as chopped, regular diet with thin liquids. Observation of the beef tomato entrée on his meal tray noted the tomato was not chopped, and the beef and vegetables were of varying sizes. …
F805 citations in Hawaii
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
Hawaii cites F805 more often than its own record predicts
1.11 times the share F805 takes of citations nationally.
Of every deficiency written in Hawaii 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 Hawaii surveyors wrote
F805 findings written in Hawaii, 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.
The short window
Recent years
| Year | Share of Hawaii citations | vs expected |
|---|---|---|
| 2023 | 0.21% | 0.60× |
| 2025 | 0.34% | 1.11× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Hawaii 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