Based on observation, interview, and record review, the facility failed to ensure one of one sampled resident (Resident 32) received and consumed food as prescribed by the physician by failing to ensure Resident 32 consumed a mechanical soft finely chopped diet (a texture-modified diet that is prepared by finely chopping ingredients into small pieces, making it easier to chew and swallow for residents who have difficulty with regular food texture due to conditions like dysphagia [swallowing difficulties]) as ordered by the physician and did not consume a biscuit at dinner on 1/18/2025. …
F808 citations in California
Nutrition and Dietary Deficiencies
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
California cites F808 more often than its own record predicts
1.69 times the share F808 takes of citations nationally.
Of every deficiency written in California in 2025, this is the portion that was F808.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What California surveyors wrote
F808 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 assure one of three resident, (Resident 7) received a therapeutic snack based off their diet order. This deficient practice had the potential to alter the resident 7s' sugar and could have caused severe medical complications leading to hospitalization.,During a review of Resident 7's admission Record, the admission record indicated that Resident 7 was admitted on [DATE]with a diagnosis of but not limited to Type 2 Diabetes Mellitus (DM2 - a disorder characterized by difficulty in blood sugar control and poor wound healing), Hyperlipidemia (high cholesterol), Dementia (decline in mental ability sever enough to interfere with daily life). …
Based on observation, interview, medical record review, facility document review and facility P&P review, the facility failed to ensure one final sampled resident (Resident 38) and one nonsampled resident (Resident 1) received the appropriate diet as ordered by the physician. * The facility failed to ensure Resident 1 was served soup with lunch as ordered by the physician. *The facility failed to ensure Resident 38's soup was the appropriate mechanically altered diet. In addition, the facility failed to ensure the extra entree was provided with meals as ordered by the physician. …
The short window
Recent years
| Year | Share of California citations | vs expected |
|---|---|---|
| 2023 | 0.20% | 0.98× |
| 2024 | 0.25% | 1.46× |
| 2025 | 0.25% | 1.69× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else California surveyors cite →
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