Based on interview and record review, the facility failed to ensure that HS (evening/nighttime) snacks were provided on a regular basis for a Confidential Group of Residents, resulting in residents verbalizing feelings of anger, and frustration. Findings Include: On 5/05/2026 at 11:01 AM, during a meeting with a Confidential Group of Residents, they said they were upset about the process for receiving a snack in the evening at bedtime. They said you had to fill out a blue form, that came on their meal tray, but you had to have the form returned to the kitchen by 2:00 PM or you didn't get a snack. …
F809 citations in Michigan
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
Michigan cites F809 more often than its own record predicts
1.39 times the share F809 takes of citations nationally.
Of every deficiency written in Michigan 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 Michigan surveyors wrote
F809 findings written in Michigan, 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 and record review, the facility failed to consistently offer HS snacks to 5 residents out of 5 residents who attended the Confidential Group meeting, resulting in Residents verbalizing anger and stating they are going to bed hungry. Findings include: During a Resident Confidential Group meeting, that was conducted in the facility on 2/27/18 at 1:00 PM, 5 out of 5 residents who attended the meeting, stated they were not consistently offered a snack at night on a regular basis. 5 out of 5 residents verbalized that staff do not come to their rooms at night and offer them a snack. They verbalized it is done occasionally on the Rehab Unit,(Manor), but not all the time. …
The short window
Recent years
| Year | Share of Michigan citations | vs expected |
|---|---|---|
| 2023 | 0.36% | 1.63× |
| 2024 | 0.32% | 1.51× |
| 2025 | 0.27% | 1.39× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Michigan surveyors cite →
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