On 02/18/20 an immediate jeopardy (IJ) situation was determined to exist related to the facility's failure to provide the correct therapeutic diet as ordered by the physician. The facility failed to follow a menu for a resident on a mechanical soft diet. The wrong texture of diet was provided which resulted in a choking incident for the resident. A hospital transfer form for resident #94 documented the resident was to be transferred to another facility to be admitted to the intensive care unit for aspiration pneumonia and acute hypoxic respiratory failure. …
F805 citations in Oklahoma
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
Oklahoma cites F805 less often than its own record predicts
0.26 times the national share — cited less often here than elsewhere.
Of every deficiency written in Oklahoma 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 Oklahoma surveyors wrote
F805 findings written in Oklahoma, 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 record review and interview, the facility failed to ensure a resident received food prepared to meet the resident's needs, which resulted in hospitalization , for one (#1) of four residents reviewed for therapeutic diets. The administrator reported a census of 84 residents. Findings: A Menu Planning policy, dated 11/01/17, documented in part, .Nutrition Services will be responsible to prepare and serve the diet as ordered .Nursing staff will notify the NSM of needed consistency changes .Resident response to special and modified diets will be evaluated. Ineffective or inappropriate diets, including texture modifications, will be referred .to the attending physician, dietitian, and/or therapy department for evaluation . …
Based on observation, record review, and interview, the facility failed to ensure pureed foods were prepared to meet the needs of the residents for 1 (noon meal) of 1 meal observed during meal preparation.The dietary manger identified seven residents with a pureed diet.Findings:On 07/01/26 at 11:33 a.m., [NAME] #1 was observed to add seven pork chops, two slices of wheat bread, and beef broth to a blender.On 07/01/26 at 11 :36 a.m., [NAME] #1 blended the seven pork chops, two slices of wheat bread, and added two more slices of wheat bread to the blender.On 07/01/26 at 11:43 a.m., [NAME] #1 was observed to puree eight, four-ounce scoops of butter noodles and one slice of wheat bread.On 07/01/26 at 11 :54 a.m., [NAME] #1 was observed to puree eight, four-ounce scoops of mixed vegetables and… …
The short window
Recent years
| Year | Share of Oklahoma citations | vs expected |
|---|---|---|
| 2023 | 0.28% | 0.80× |
| 2024 | 0.20% | 0.54× |
| 2025 | 0.08% | 0.26× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Oklahoma surveyors cite →
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