Based on observation, interview and record review, the facility failed to ensure each resident received and the facility provided food prepared in form designed to meet individual needs for 1 of 5 residents (Resident #1) reviewed for dietary services. The facility failed to follow a mechanical soft diet order on 7/6/26 at approximately 5:40 p.m. when facility staff served Resident #1 a chopped corndog causing Resident #1 to choke. Resident #1 expired in the hospital. This failure resulted in an identification of an Immediate Jeopardy (IJ) on 7/9/26 at 2:45 p.m. The noncompliance was identified as PNC. The past noncompliance began on 7/6/26 and ended on 7/8/26. The facility had corrected the noncompliance before the survey began. …
F805 citations in Texas
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
Texas cites F805 more often than its own record predicts
1.05 times the share F805 takes of citations nationally.
Of every deficiency written in Texas 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 Texas surveyors wrote
F805 findings written in Texas, 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 observations, interviews, and reviews, the facility failed to provide food that was prepared in a form designed to meet individual needs for 1 of 3 residents (Resident #1) reviewed for nutrition status. The facility failed to ensure that Resident #1 was provided with her correct diet on 08/19/2026 when she was provided with a regular textured diet when she was ordered a pureed diet. This failure could affect residents at risk for diminished or altered nutritional status and potential weight loss.Findings included: Review of Resident #1's face sheet dated 08/19/2026 reflected a [AGE] year old female admitted to the facility on [DATE] with the following diagnoses malignant neuroleptic syndrome (a rare and life-threatening reaction to the use of any neuroleptic medication. …
Based on observation, interview, and record review, the facility failed to ensure food was prepared in a form designed to meet individual needs for 1 of 10 Residents (Resident #3) reviewed at breakfast meal in that: Resident #3 was served regular oatmeal at breakfast on 2/28/19 instead of pureed oatmeal. This deficient practice could affect residents who received pureed diet from the kitchen by placing them at risk for choking. The findings included: Review of Resident #3's face sheet revealed an admission date of [DATE]. Resident #3's [DIAGNOSES REDACTED]. Review of Admission MDS dated [DATE] indicated resident #3 had severely impaired cognitive skills for daily decision making. …
The short window
Recent years
| Year | Share of Texas citations | vs expected |
|---|---|---|
| 2023 | 0.45% | 1.26× |
| 2024 | 0.48% | 1.33× |
| 2025 | 0.32% | 1.05× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Texas surveyors cite →
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