Based on observation, interview, and record review, the facility failed to ensure one of two sampled residents (Resident 50) was appropriately assisted with a plate guard (a curved removable rim that clips onto dining plate to keep food from falling) during lunch. This deficient practice compromised Resident 50's ability to independently feed herself.Findings: During a review of Resident 50's admission Record, the admission Record indicated Resident 50 was admitted to the facility on [DATE] and readmitted on [DATE]. Resident 50's diagnoses included dysphagia (difficulty swallowing), dementia (a progressive state of decline in mental abilities) and hypertension (HTN- high blood pressure). …
F810 citations in California
Nutrition and Dietary Deficiencies
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
California cites F810 more often than its own record predicts
1.00 times the share F810 takes of citations nationally.
Of every deficiency written in California in 2025, this is the portion that was F810.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What California surveyors wrote
F810 findings written in California, 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 medical record review, the facility failed to ensure the plate guard (a curved metal assistive device which attaches to the plate to allow the resident to scoop food onto a fork or spoon) was provided for one of 12 final sampled residents (Resident 10). This had the potential for the resident not being able to maintain their ability to eat independently and negatively impact their quality of life. Findings: On 8/23/18 at 1210 hours, a dining room observation was conducted. Resident 10 was observed sitting up in the wheelchair in the dining room for lunch. Resident 10 drank coffee and lemonade. Resident 10 had eaten approximately 10% of the pureed food on the plate. Review of the meal ticket showed the use of a plate guard. …
The short window
Recent years
| Year | Share of California citations | vs expected |
|---|---|---|
| 2023 | 0.10% | 0.76× |
| 2024 | 0.10% | 0.79× |
| 2025 | 0.13% | 1.00× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else California surveyors cite →
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