.Based on observation, interview, and record review, the facility failed to ensure residents received therapeutic diets as ordered by the physician for 2 of 10 residents (Residents 1 and 47) reviewed for dining. This failure placed the residents at risk for medical complication or nutritional deficits.Findings included .Observation of the lunch meal service on 07/18/2025 showed the primary lunch meal consisted of bratwurst, oven browned potatoes, sauerkraut, lemon chiffon pie and a dinner roll. According to the menu for Consistent Carbohydrate Diet (CCHO, a diet that aids in controlling blood sugar) residents would receive wheat bread in place of the dinner roll. Staff OO, Cook, was plating the food and was assisted by Staff C, Dietary Manager. …
F808 citations in Washington
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
Washington cites F808 more often than its own record predicts
1.20 times the share F808 takes of citations nationally.
Of every deficiency written in Washington 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 Washington surveyors wrote
F808 findings written in Washington, 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 Washington citations | vs expected |
|---|---|---|
| 2023 | 0.22% | 1.08× |
| 2024 | 0.24% | 1.44× |
| 2025 | 0.17% | 1.20× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Washington surveyors cite →
Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction