Based on interview and observation, the facility failed to offer and/or provide a suitable and nourishing snack after dinner and before bedtime for 5 of 7 residents (R23, R32, R39, R48, R107) who voiced concern at resident council meeting. This deficient practice had the potential to affect residents who would like or required an evening snack. Findings include:R23's quarterly Minimum Data Set (MDS) assessment dated [DATE], indicated intact cognition, clear speech, could understand and be understood.R32's quarterly MDS assessment dated [DATE], indicated intact cognition, clear speech, could understand and be understood.R39's quarterly MDS assessment dated [DATE], indicated intact cognition, clear speech, could understand and be understood.R48's annual MDS assessment dated [DATE], indicated… …
F809 citations in Minnesota
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
Minnesota cites F809 less often than its own record predicts
0.41 times the national share — cited less often here than elsewhere.
Of every deficiency written in Minnesota 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 Minnesota surveyors wrote
F809 findings written in Minnesota, 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 observation, interview, and record review the facility failed to ensure meals were served timely and in accordance with resident's requests and preferences, which had the potential to affect all 106 residents residing in the facility. Findings include: During observation on 7/1/19, at 6:53 p.m. station 3, the first supper tray was served, the last supper tray was served at 7:13 p.m. Supper was scheduled to have been served at 6:05 p.m. This was a delay of 48 minutes. During interview on 7/1/19, at 7:03 p.m. R11 revealed, we were supposed to have barbequed chicken, but they changed the menu about an hour ago, and we got cold cut sandwiches instead. …
The short window
Recent years
| Year | Share of Minnesota citations | vs expected |
|---|---|---|
| 2023 | 0.26% | 1.17× |
| 2024 | 0.32% | 1.48× |
| 2025 | 0.08% | 0.41× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Minnesota surveyors cite →
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