F805 in Utah. Pick another state for the same tag.
Against expectation — 2025
Utah cites F805 more often than its own record predicts
Versus expected share2.92×
2.92 times the share F805 takes of citations nationally.
Share of Utah citations0.89%
Of every deficiency written in Utah in 2025, this is the portion that was F805.
Utah0.89%
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 Utah surveyors wrote
F805 findings written in Utah, 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, isolatedAugust 24, 2023
Based on observation, interview and record review, it was determined for 4 out of 13 sampled residents, that the facility failed to ensure that the residents received food prepared in a form designed to meet their individual needs. Specifically, a resident received and partially consumed a meal that had not been mechanically altered per the physician orders which resulted in the resident choking on the food and requiring emergency medical attention. Additionally, 3 other residents received and/or consumed meals that were not mechanically altered per the physician orders. These identified deficient practices were found to have occurred at the Immediate Jeopardy (IJ) Level. Resident identifier: 1, 5, 6, and 14. …
Based on interview and record review, the facility failed to ensure residents received a safe diet that met their special dietary needs for 1 out of 24 sampled residents. Specifically, Resident 1, who had a diet order for a minced and moist texture, was provided or obtained a muffin, which resulted in an airway obstruction. Resident identifier: 1Resident 1 was initially admitted to the facility on [DATE] with diagnoses including Parkinsonism, chronic obstructive pulmonary disease, dementia, acute kidney failure, and epilepsy. …
D · No harm, potential for more than minimal, isolatedMay 14, 2026
Based on observation, interview, and record review, for 2 out of 54 sampled residents, the facility did not provide each resident with food prepared in a form designed to meet individual needs. Specifically, a resident was served another resident's regular texture meal and not the ordered mechanical soft diet texture. Resident identifiers: 52 and 82. Findings included:Resident 52 was admitted to the facility on [DATE] and readmitted on [DATE] with diagnoses which included hypertension, protein calorie malnutrition, depression and anxiety. On 5/7/26 at 8:56 AM, an observation was made of meal trays delivered to room [ROOM NUMBER]. Resident 52 resided in room [ROOM NUMBER] and resident 82 had been discharged from room [ROOM NUMBER]. …
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