Based on staff interview and record review, the facility did not ensure food was prepared and served in a form designed to meet individual needs for 1 resident (R) (R1) of 4 residents who had an order for a mechanically-altered diet. R1 was admitted to the facility on [DATE] following a hospitalization . R1's hospital discharge orders indicated R1 should receive a pureed diet, however, staff transcribed R1's diet order as mechanical soft with nectar-thickened liquids. On 3/13/24, R1 received the wrong meal tray and was served food that was not in accordance with R1's diet order. …
F805 citations in Wisconsin
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
Wisconsin cites F805 less often than its own record predicts
0.72 times the national share — cited less often here than elsewhere.
Of every deficiency written in Wisconsin 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 Wisconsin surveyors wrote
F805 findings written in Wisconsin, 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 observation, interview, and record review, the facility did not ensure food was prepared in a form to meet the needs of 1 resident (R) (R19) of 1 sampled resident.R19 had an order for a dysphagia level 2 (smaller than bite-sized pieces/chopped) diet. R19 was served broccoli florets, noodles, a roll, and cake that were not chopped or in bite-sized pieces.Findings include:The facility's Available Diets policy, dated 7/13/22, indicates: Nursing staff and/or the Registered Dietitian Nutritionist (RDN) or designee will notify physicians of the diets that are offered on the facility's menu. When necessary, the facility will provide a therapeutic diet that is individualized to meet the clinical needs and desires of a resident to achieve outcomes/goals of care. …
The short window
Recent years
| Year | Share of Wisconsin citations | vs expected |
|---|---|---|
| 2023 | 0.33% | 0.94× |
| 2024 | 0.04% | 0.10× |
| 2025 | 0.22% | 0.72× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Wisconsin surveyors cite →
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