Based on observation, interview, and record review, the facility failed to ensure one of three sampled residents (Resident 71) with known food allergies (a substance that causes an allergic reaction [a condition that causes illness when someone eats certain foods or touches or breathes in certain substances]), was not served food containing allergens, by: 1. Serving for breakfast, on 4/8/2025, cream of wheat (a type of hot cereal that contains gluten [a protein found in the wheat plant and some other grains]; wheat is commonly used in breads, baked goods, and pastas) to Resident 71, who was known to be allergic to gluten as indicated in Resident 71's Physician's Order, Care Plan (a form where you can summarize a person's health conditions, specific care needs, and current treatments),… …
F806 citations in California
Allergies and food preferences · Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
California cites F806 more often than its own record predicts
1.55 times the share F806 takes of citations nationally.
Of every deficiency written in California in 2025, this is the portion that was F806.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What California surveyors wrote
F806 findings written in California, 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 failed to ensure resident's food preference were honored for one of 50 sampled residents (Resident 49) when Resident 49 and her family told staff that Resident 49 disliked chopped foods. No food upgrade options were provided for Resident 49, despite informing the staff that she did not want tomatoes soup, yet she still received it on 4/12/23 during dinner. This failure resulted in Resident 49 decreased food intake with an unplanned 1.6-pound weight loss from 1/31/23 until 4/9/23 which further compromised Resident 49's nutritional and medical status. …
Based on observation, interview, and record review, the facility failed to honor residents' food preferences for one of three sampled residents, Resident 2. This failure affected residents' ability to receive meals consistent with their stated likes/dislikes. During a phone interview on 8/25/26 at 4:54 p.m., County Ombudsman stated she had attended multiple resident council meetings in recent months where residents had verbalized the residents' preferences were not honored, including the meeting she just attended today (8/25/26).During an observation and concurrent interview on 8/26/26 at 1:15 p.m., staff were delivering lunch trays for Station 4 residents. …
The short window
Recent years
| Year | Share of California citations | vs expected |
|---|---|---|
| 2023 | 0.64% | 1.59× |
| 2024 | 0.63% | 1.61× |
| 2025 | 0.61% | 1.55× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else California surveyors cite →
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