Based on a review of meal service times and staff interview it was determined that the facility staff failed to ensure meals were served less than 14 hours apart. This was evident for all residents receiving a meal tray. The findings include: A review of meal service times revealed that the facility serves dinner with the last food cart having a delivery time of 5:20 PM and the first breakfast cart has a delivery time of 7:40 AM. This represents a 14 hour and 20-minute gap. The Food Service Manager (Staff #28) was interviewed on 2/11/26 at 10:30 AM. This surveyor shared the above finding with her. She stated that the time listed for the food cart that is delivered to the assisted living does not count. …
F809 citations in Maryland
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 — 2025
Maryland cites F809 less often than its own record predicts
0.52 times the national share — cited less often here than elsewhere.
Of every deficiency written in Maryland in 2025, 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 Maryland surveyors wrote
F809 findings written in Maryland, 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 review of facility records and interview with staff, it was determined that the facility failed to provide meals with no more than 14 hours between a substantial evening meal and breakfast the following day. This was evident for 1 of 3 nursing units in the facility. The findings include: The facility's meal schedule was reviewed on 9/13/18 at 9:21 AM and revealed that Haven unit breakfast was to be served at 8:00 AM, lunch at 12:00 PM and dinner at 5:00 PM. This schedule reflects 15 hours between dinner and breakfast. During an interview on 9/14/18 at 12:17 PM Staff #6 indicated that the residents on Haven unit did not have a scheduled evening snack. Staff #5 was made aware and confirmed these findings on 9/1/18 at 12:17 PM.
The short window
Recent years
| Year | Share of Maryland citations | vs expected |
|---|---|---|
| 2024 | 0.16% | 0.75× |
| 2025 | 0.10% | 0.52× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Maryland surveyors cite →
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