Based on observation, interview, and record review, the facility did not ensure that snacks were provided to residents who want to eat at non-traditional times or outside of scheduled meal service times, consistent with the resident plan of care for 1 of 1 resident (R12) reviewed for snacks out of a sample of 19. R12 did not receive a snack at 2:00 PM as ordered. This is evidenced by: The facility's policy, titled Therapeutic Diets, undated, states the following, in part: Policy Statement: Therapeutic diets are prescribed by the attending physician to support the resident's treatment and plan of care and in accordance with his or her goals and preferences. Policy Interpretation and Implementation: 1. …
F809 citations in Wisconsin
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
Wisconsin cites F809 less often than its own record predicts
0.76 times the national share — cited less often here than elsewhere.
Of every deficiency written in Wisconsin 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 Wisconsin surveyors wrote
F809 findings written in Wisconsin, 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, Resident (R) interviews, staff interviews, and record review, the facility did not ensure meals were served at regular times. This practice had the potential to effect all 28 residents at the facility. The facility began lunch meal service more than 20 minutes after the posted service time of noon for two of two observed lunch meal services. Findings include: On 7/6/21, Surveyor observed meal time posting outside dining room which documented a lunch meal service time of noon. On 7/6/21, Surveyor began continuously observing dining room for lunch meal service at 11:55 AM. At 12:17 PM, kitchen staff pushed the lunch meal food cart into the dining room. Dietary Cook (DC)-D loaded food into steam table for service and began plating food. …
The short window
Recent years
| Year | Share of Wisconsin citations | vs expected |
|---|---|---|
| 2023 | 0.17% | 0.76× |
| 2024 | 0.21% | 0.99× |
| 2025 | 0.15% | 0.76× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Wisconsin surveyors cite →
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