Based on observations, interviews, record reviews, and review of pertinent documentation, it was determined that the facility failed to a.) ensure a cognitively impaired resident (Resident #222) with a history of aspiration (inhaling food and liquids into the lungs) without a sensory response (reaction to a stimuli) and who was at risk for aspiration, received the appropriate physician ordered nectar thickened liquids (liquid thickened with an agent for a nectar-like consistency) and b.) ensure special dietary instructions of no straws were followed according to Resident # 171's treatment plan. This deficient practice was identified for 2 of 2 residents reviewed for food (Resident #171 and Resident #222). 1. …
F808 citations in New Jersey
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
New Jersey cites F808 less often than its own record predicts
0.63 times the national share — cited less often here than elsewhere.
Of every deficiency written in New Jersey 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 New Jersey surveyors wrote
F808 findings written in New Jersey, 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.
C#: NJ 1, NJ 5 Based on observations, interviews, medical record review, and review of other pertinent facility documents on [DATE] & [DATE], it was determined that the facility failed to (a) prepare a mechanical soft diet at the correct texture and consistency, (b) obtain a Physician's Order and notify the Physician of a change in diet and (c) follow the residents plan of care for a resident who had a history of Dysphagia. The facility also failed to follow its policies titled Care Plans, Therapeutic and Mechanically Altered Diets, the 2018 DHCC (Dietetics in Health Care Communities) Manual of NJ (New Jersey), Textured Modified Diets, Resident Nutrition Services, Change in Resident Condition and Physician Orders. …
Based on observation, interview and record review it was determined that the facility failed to ensure a physician ordered diet for a resident with dysphagia was provided per physician order for 1 of 1 Resident (Resident #14) reviewed for therapeutic diet order. The evidence was as follows: On 04/20/26 at 8:29 AM, surveyor completed a test tray observation on the [NAME] Unit and requested a replacement tray for Resident #14 from a Dietary Staff (DS) that was present and the DS stated the diet was wrong as the resident came in over the weekend and the kitchen did not get the diet order.The Meal Tray ticket for Resident #14 documented the following diet: Regular Texture, CCD (Controlled Carbohydrate) No Added Salt, Thin Fluid Diet. …
The short window
Recent years
| Year | Share of New Jersey citations | vs expected |
|---|---|---|
| 2023 | 0.06% | 0.31× |
| 2024 | 0.30% | 1.79× |
| 2025 | 0.09% | 0.63× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else New Jersey surveyors cite →
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