Based on observation, review of resident council minutes, and resident and staff interviews, the facility failed to provide snacks to residents within the facility. Failure to provide snacks may result in hunger, weight loss, and hypoglycemia (low blood sugar) for diabetic residents. Findings include: Upon request on the afternoon of 02/11/25, the facility failed to provide a policy on snacks. Review of the resident council meeting minutes, dated November 2024-February 2025, identified the following resident concerns: *11/27/24, Evening snack pass is happening more often but still not consistently. *12/18/24, Evening snack pass is inconsistent; residents still need to ask for evening snack. *01/14/25, The snack cart remains problematic. …
F809 citations in North Dakota
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
North Dakota cites F809 more often than its own record predicts
1.45 times the share F809 takes of citations nationally.
Of every deficiency written in North Dakota 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 North Dakota surveyors wrote
F809 findings written in North Dakota, 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.
What else North Dakota surveyors cite →
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