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.
F809 in Illinois. Pick another state for the same tag.
Against expectation — 2025
Illinois cites F809 more often than its own record predicts
Versus expected share2.27×
2.27 times the share F809 takes of citations nationally.
Share of Illinois citations0.43%
Of every deficiency written in Illinois in 2025, this is the portion that was F809.
Illinois0.43%
National0.19%
Share of all citations that were F809.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Illinois surveyors wrote
F809 findings written in Illinois, 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.
G · Actual harm, isolatedAugust 26, 2025
Based on observation, interview, and record review the facility failed to provide a bedtime snack and breakfast for two (R1, R3) of three residents reviewed for food services on a sample list of six. Findings include:The facility's undated Passing Meal Trays policy provided by the facility documents that nursing will be responsible for delivering all trays to residents whether the resident is eating in the dining room or in the resident room. Nursing will advise Food Service of residents not eating in their usual location. The facility's Meal Schedule undated policy provided by the facility documents that three meals will be served daily at similar times as served in the community. …
D · No harm, potential for more than minimal, isolatedAugust 20, 2026
Based on observation and interview, the facility failed to serve timely lunch meals to two residents (R21, R60) of ten reviewed for mealtimes on the sample list of 44 residents. On 8/17/2026 at 11:08AM, V6 Dietary Manager reported the following resident mealtimes in the facility dining room: breakfast at 7:30AM, lunch at 11:30AM, and supper at 5:30PM. On 8/17/2026 at 12:10PM, Resident Mealtimes (undated) was posted in the hallway immediately outside of the facility dining room. The sign listed the following mealtimes for residents: Breakfast at 7:30AM, Lunch at 11:30AM, and Supper at 5:30PM.On 8/17/2024 at 12:14PM, facility staff were assembling resident lunch meal trays at a steam table located in the corner of the facility dining room. …
C · No harm, potential for minimal, widespreadMarch 12, 2020
Based on interviews and record review, the facility failed to provide a nutritious late evening snack when more than 14 hours occurred between the evening meal and breakfast meal.
This applies to all 45 residents that consume meals orally in the facility.
Findings include the following:
According to the facility's Resident Census and Conditions of Residents, this effects 45 of the 47 residents in the facility who take nutrition by mouth.
In the resident group meeting all 9 residents (R1, R13, R24, R25, R36, R44, R146, R147, and R149) attending stated they are not offered evening snacks. Two of the residents (R24 and R36) stated they are diabetic and are not offered a meal between dinner and breakfast.
The facility provided the mealtimes for the facility. …
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