Based on observation, interview, and document review, the facility failed to ensure residents with food allergies received the appropriate tray for 1 of 1 resident (R23) reviewed who had a listed anaphylactic reaction (a severe, potentially life threatening allergic response) to ginger. This resulted in an immediate jeopardy (IJ). The IJ began on 12/14/24, when R23 was served a meal tray which included honey ginger chicken and after a few bites experienced an anaphylactic reaction. R23 had an order for epinephrine to be used in the case of an anaphylactic reaction however, R23 was not given the epinephrine. This resulted in R23 requiring transfer to the emergency department for treatment. The administrator and director of nursing (DON) were informed of the IJ on 2/25/25 at 3:46 p.m. …
F806 citations in Minnesota
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
Minnesota cites F806 less often than its own record predicts
0.69 times the national share — cited less often here than elsewhere.
Of every deficiency written in Minnesota 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 Minnesota surveyors wrote
F806 findings written in Minnesota, 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 document review the facility failed to ensure a reliable system for identifying ingredients containing food allergens, and to ensure residents were not served items they were allergic to. In addition, the facility failed to have pre-planned menus for therapeutic diet types for 2 of 2 residents (R5, R35) reviewed for nutrition and food concerns.Findings include:R5's quarterly minimum data set (MDS) dated [DATE], identified R5 had intact cognition, a diagnosis of diabetes mellitus (DM), unplanned weight loss and needed set-up assistance with eating.R5's care plan dated 1/8/25, identified a focus statement related to DM and included interventions to have a dietary consult for nutritional regimen and ongoing monitoring, to discuss mealtimes, portion sizes,… …
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. …
The short window
Recent years
| Year | Share of Minnesota citations | vs expected |
|---|---|---|
| 2023 | 0.13% | 0.32× |
| 2024 | 0.12% | 0.30× |
| 2025 | 0.27% | 0.69× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Minnesota surveyors cite →
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