F805 in Massachusetts. Pick another state for the same tag.
Against expectation — 2025
Massachusetts cites F805 less often than its own record predicts
Versus expected share0.88×
0.88 times the national share — cited less often here than elsewhere.
Share of Massachusetts citations0.27%
Of every deficiency written in Massachusetts in 2025, this is the portion that was F805.
Massachusetts0.27%
National0.31%
Share of all citations that were F805.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Massachusetts surveyors wrote
F805 findings written in Massachusetts, 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.
J · Immediate jeopardy, isolatedApril 12, 2024
Based on observation, record review and interview, the facility failed to ensure diets as ordered by the physician were served in proper form for one Resident (#68) out of a total of 29 sampled residents. Specifically, on 1/22/24, Resident #68 was served a lunch meal, not in accordance with the diet order, resulting in Resident #68 choking and requiring the Heimlich maneuver (an emergency procedure which involves abdominal thrusts to dislodge foreign bodies or food from the throats of choking victims).
Findings include:
Review of the facility's Therapeutic Diets Policy, dated November 2022 indicated: Therapeutic diets shall be prescribed by the attending physician. …
D · No harm, potential for more than minimal, isolatedMarch 25, 2026
Based on records reviewed and interviews, for one of three sampled residents, (Resident #1), who had a history of dysphagia (difficulty swallowing) and required an altered (ground) texture diet, the Facility failed to ensure meals prepared and served to him/her met his/her individual needs and physicians order for diet, when on 03/04/26 dietary staff preparing his/her lunch time meal tray did not put the correct texture of food on his/her tray, he/she tried to consume it and experienced a choking episode.Findings Include: Review of the Facility's Policy titled Food and Nutrition Services, dated as revised October 2017, indicated the following:-Each resident is provided with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs-food… …
B · No harm, potential for minimal, patternFebruary 9, 2026
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. …
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