THIS DEFICIENCY REPRESENTS AN INCIDENT OF PAST NON-COMPLIANCE THAT WAS SUBSEQUENTLY CORRECTED PIOR TO THIS SURVEY. Based on closed medical record review, staff interview, paramedic interview, review of the Emergency Medical Services (EMS) run report, review of the hospital records and review of the facility policies, the facility failed to ensure residents were served foods in the physician ordered diet texture to meet individual needs. This resulted in Immediate Jeopardy and serious life-threatening harm, negative health outcomes and/or death on 05/02/26 for one (#09) resident when Resident #09, who had a chopped meat diet order, was able to consume a piece of chicken that was not prepared per their physician prescribed diet order. …
F805 citations in Ohio
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
Ohio cites F805 more often than its own record predicts
2.34 times the share F805 takes of citations nationally.
Of every deficiency written in Ohio 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 Ohio surveyors wrote
F805 findings written in Ohio, 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 FOLLOWING DEFICIENCY REPRESENTS AN INCIDENT OF PAST NONCOMPLIANCE THAT WAS SUBSEQUENTLY CORRECTED PRIOR TO THIS SURVEY. Based on medical record review, review of facility Self-Reported Incidents (SRIs), staff interview, and policy review, the facility failed to provide a resident's food in the correct texture to meet individual needs per physician's orders for one (Resident #1) resident. This resulted in actual harm when Resident #1 choked on the food of incorrect texture which caused the need for cardiopulmonary Resuscitation (CPR) and hospitalization. This affected one (Resident #1) of three residents reviewed for specialized diets. The facility census was 50. …
Based on record review, review of a photograph, and interview, the facility failed to serve foods at an appropriate texture for Resident #39 and Resident #124. This affected two residents (Resident #39 and #124) of four reviewed for nutrition. The facility census was 87. Findings include: 1. Review of the medical record for Resident #39 revealed he was admitted to the facility on [DATE] with diagnoses that included acute kidney failure, type 2 diabetes and chronic obstructive pulmonary disease. Review of the physician orders dated 07/21/26 revealed an order to assist with ADLs and transfers as necessary. …
The short window
Recent years
| Year | Share of Ohio citations | vs expected |
|---|---|---|
| 2023 | 0.64% | 1.81× |
| 2024 | 0.72% | 2.00× |
| 2025 | 0.71% | 2.34× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Ohio surveyors cite →
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