Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
of F806 citations were written at actual harm or above. The mark is the share across all tags, 5.4%.
Citations in 2025429
Every F806 citation surveyors wrote nationally that year.
Facilities cited419
Distinct nursing homes with at least one F806 finding.
The harm level
How severely F806 is cited
2.0% of citations found actual harm or worse (level G and above).
Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
J221.3%
K20.1%
L—
Actual harm
G100.6%
H—
I—
No harm, potential for more than minimal
D1,24273.9%
E32219.2%
F643.8%
No harm, potential for minimal
A—
B120.7%
C70.4%
Every recorded F806 citation, by the harm level and scope the surveyor assigned.
In the surveyor’s words
What an F806 citation says
One finding from each severity level, most serious first.
Severity is as the surveyor wrote it. Some findings had already been corrected before the survey.
J · Immediate jeopardy, isolatedJuly 17, 2026
Based on observation, interview and record review it was determined that for one (R1) out of three residents reviewed for allergies, the facility failed to ensure a resident with severe food allergy was not served food containing an allergen. The facility's failure placed the residents at risk for a serious adverse outcome including respiratory depression, anaphylaxis or even death from consuming food with a severe allergy. Due to this failure an Immediate Jeopardy (IJ) was called on 7/15/26 at 3:00 PM. The IJ was abated on 7/16/26 at 12:00 AM. Findings include: Cross refer F656;Review of R1's clinical record revealed:2/12/26 - R1 was admitted to the facility with a diagnosis of Cerebral Palsy. …
Based on observation, interview, and record review, the facility failed to ensure that food served to a resident did not contain food/contents the resident was allergic to, given the resident's documented banana allergy. After consuming several bites of food, resident #6 developed symptoms consistent with an allergic reaction, including tongue swelling and tingling, labored breathing, and required administration of Benadryl and transfer to the emergency department for further evaluation and treatment for 1 (#6) of 16 sampled residents. Findings include:During an interview on 8/25/26 at 1:38 p.m., staff member Q said resident #6 was allergic to bananas and had consumed bananas in yogurt. …
D · No harm, potential for more than minimal, isolatedSeptember 3, 2026
Based on select facility policy, observation, a review of clinical records, review of planned menus, and interviews with residents and staff, it was determined the facility failed to provide food that accommodated residents' preferences for one resident out of 31 residents reviewed (Resident 15).Findings include: Review of the facility policy titled Resident Food Preferences last reviewed by the facility on January 29, 2026, indicated that individual food preferences will be assessed upon admission and communicated to the interdisciplinary team. The policy stated that upon admission, dietary or nursing staff will identify a resident's food preferences. …
C · No harm, potential for minimal, widespreadJuly 22, 2026
Based on interview and document review the facility failed to communicate residents' food preferences to the interdisciplinary team (IDT) and failed honor residents' food preferences once those preferences were known. This had to potential to affect all 13 residents currently residing at the facility.Findings include:During an interview on 7/15/26 at 12:03 p.m., R2 stated the facility served cold cereal with water on it for breakfast that morning and no fruit. R2 stated she is diabetic; she did not wish to each sugary cereal. She stated that is not what was on the menu and the facility frequently did not follow the menu.During an interview on 7/15/26 at 12:04 p.m., R3 stated pork is frequently served, but you won't see it on the menu. R3 stated, They never serve what's on the menu. …
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Cited in the same inspection, not caused by one another.
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