Based on observation, record review and interview, the facility failed to provide one Resident (#25) with a therapeutic diet as ordered by the physician out of a total sample of 32 Residents. Specifically, the facility failed to ensure that Resident #25 received a Dysphagia Advanced, textured diet as prescribed by the physician.Findings includeReview of the facility policy titled Diet/Fluid/Supplement, dated as revised 4/12/25, indicated but was not limited to:According to the Academy of Nutrition and Dietetics in Massachusetts Long-Term Care regulations, Physicians shall write a diet order in the medical record for each resident, indicating whether the resident is to have a general (regular) or a therapeutic diet. …
F808 citations in Massachusetts
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
Massachusetts cites F808 more often than its own record predicts
2.12 times the share F808 takes of citations nationally.
Of every deficiency written in Massachusetts 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 Massachusetts surveyors wrote
F808 findings written in Massachusetts, 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.
The short window
Recent years
| Year | Share of Massachusetts citations | vs expected |
|---|---|---|
| 2023 | 0.34% | 1.71× |
| 2024 | 0.24% | 1.45× |
| 2025 | 0.31% | 2.12× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Massachusetts surveyors cite →
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