Based on observation, record review and interview, the facility failed to provide breakfast or a nourishing snack to residents who dialyze on the first/early shift three times a week. This failure affected two of nine residents identified by the facility as receiving [CONDITION(S)]. Findings include: During an interview with Resident (RI) #62 on 04/27/21 at 2:00 PM, during a Resident Council Meeting, stated I don't get no breakfast before [CONDITION(S)] and I am a diabetic. RI #62 said that he/she undergoes [CONDITION(S)] three times a week on the first shift (6:30 AM to 10:30 AM). During an interview with RI #120 on 04/27/21 at 11:05 AM, he/she stated he/she was not provided anything to eat prior to going to [CONDITION(S)]. …
F809 citations in Alabama
Nutrition and Dietary Deficiencies
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2024
Alabama cites F809 more often than its own record predicts
1.72 times the share F809 takes of citations nationally.
Of every deficiency written in Alabama in 2024, this is the portion that was F809.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Alabama surveyors wrote
F809 findings written in Alabama, 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 interview, the Resident Council Meeting, the facility's MEAL SERVICE TIMES, and the facility's policy for FREQUENCY OF MEALS; the facility failed to ensure cart deliveries of meals were not scheduled to exceed 14 hours between service from Dinner to Breakfast for Rehab/West Hall, North Hall, South Hall, and Meal Assist. This had the potential to affect 84 of 84 residents receiving meals at the facility.Findings Include: The facility's policy for FREQUENCY OF MEALS, last revised 6/2017 and last reviewed 12/2023, included the following: . POLICY: . There is no more than a fourteen (14) hour span between a substantial evening meal and breakfast. …
The short window
Recent years
| Year | Share of Alabama citations | vs expected |
|---|---|---|
| 2023 | 1.04% | 4.70× |
| 2024 | 0.36% | 1.72× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Alabama surveyors cite →
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