Based on observation, staff interview and record review during an abbreviated survey (NY00373760), the facility failed to ensure food was prepared in a form designed to meet the resident's needs as documented on a hospital discharge summary for one (1) (Resident #1) of three (3) residents reviewed. Specifically, Resident #1 was admitted with a modified consistency diet of minced moist consistency and thickened liquids. The facility diet order documented chopped consistency with thin liquids. Resident # 1 was found unresponsive in the dining room during breakfast on 09/10/2024. This resulted in Resident #1 being transported to the hospital with upper airway obstruction from food and subsequently expired. …
F805 citations in New York
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
New York cites F805 less often than its own record predicts
0.48 times the national share — cited less often here than elsewhere.
Of every deficiency written in New York 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 New York surveyors wrote
F805 findings written in New York, 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 interviews and record review conducted during an Abbreviated Survey (NY00348559) for one (1) (Resident #4) of three (3) residents reviewed, the facility did not ensure food was prepared in a form designed to meet the residents needs as recommended by the speech-language pathologist and physician's orders. Specifically, Resident #4 had a diagnosis of dysphagia (difficulty swallowing) with a history of choking, was on a ground/soft diet (food that is ground or minced into pieces no larger than a quarter inch and are moist) and had a choking episode related to incorrect food consistency, which resulted in hospitalization . …
Based on record reviews, and interviews, the facility failed to ensure each resident received food prepared in a form designed to meet individual needs. This was identified for one (Resident #10) of three residents reviewed for Nutrition. Specifically, on 07/06/2026, Resident #10 was not served chopped textured consistency diet as ordered by the physician.Complaint # 2806371The findings includeThe facility's Diet Manual dated March 2026 documented that the chopped diet is based on the regular diet, but all hard-to-chew foods are eliminated. All foods that require more than minimal chewing or are not soft are chopped into pieces. …
The short window
Recent years
| Year | Share of New York citations | vs expected |
|---|---|---|
| 2023 | 0.16% | 0.44× |
| 2024 | 0.18% | 0.48× |
| 2025 | 0.15% | 0.48× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else New York surveyors cite →
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