Based on interview, and record review, it was determined that the facility failed to ensure that a nourishing snacks was provided to residents consistent with the resident's plan of care for 1 of 1 residents reviewed for food and 1 of 6 residents reviewed for nutrition in a final sample of 35 residents. (Resident identifiers are #53 and #181).Findings include:Resident #53Interview on 11/18/25 at 11:23 a.m. with Resident #53 revealed that he/she was not offered snacks and the only snacks available when Resident #53 requests snacks were crackers and cookies.Review on 11/20/25 of Resident #53's care plan revealed that Resident #53 had potential for nutritional problems due to diabetes. …
F809 citations in New Hampshire
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
New Hampshire cites F809 more often than its own record predicts
3.77 times the share F809 takes of citations nationally.
Of every deficiency written in New Hampshire 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 New Hampshire surveyors wrote
F809 findings written in New Hampshire, 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 it was determined that the facility failed to provide a nourishing snack at bedtime while having 15 hours between the evening meal and the breakfast meal. Findings include: Review on 1/23/20 at approximately 9:30 a.m. of the facility document titled Meal Service Times and Truck Order revealed that breakfast is served at 7:30 a.m. and dinner is served at 4:30 p.m. which leaves a space of 15 hours between meals. Interview on 1/23/20 at approximately 10:30 a.m. with resident council revealed that there are no snacks offered at bedtime, and resident council did not approve the span of time between meals. Of the 8 residents who attended resident council 7 were in agreement that there is no snack offered at bedtime, and that they would like to have a snack at bedtime. …
The short window
Recent years
| Year | Share of New Hampshire citations | vs expected |
|---|---|---|
| 2024 | 0.30% | 1.41× |
| 2025 | 0.72% | 3.77× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else New Hampshire surveyors cite →
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