Based on interview and record review, the facility failed to ensure one of three sampled resident (Resident 43), who had difficulty swallowing and was at risk for aspiration (accidentally inhaling your food or liquid into your airway), received care and monitoring of the resident's food consumption within the guidelines of the diet order by failing to: - Implement the facility's policy and procedure (P&P) titled, Food for Residents from Outside Sources, that food brought in from outside the facility for a resident would be first shown to the Charge Nurse for approval that the food was within the diet order (therapeutic and texture). …
F813 citations in California
Nutrition and Dietary Deficiencies
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
California cites F813 more often than its own record predicts
2.58 times the share F813 takes of citations nationally.
Of every deficiency written in California in 2025, this is the portion that was F813.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What California surveyors wrote
F813 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 record review, the facility failed to ensure safe food storage practices by failing to:a. Label the food items inside one of two residents' refrigerators with received date and resident's name.b. Ensure one of one sampled resident (Resident 274's) food brought in by family was labeled with the resident's name and date. These deficient practices had the potential to result in food-borne illnesses (illness caused by ingesting contaminated food or beverages) to the residents. Findings: a. During an observation and interview with the Dietary Account Manager (DAM) in the Manor building on 8/11/26 at 8:35 AM, the DAM stated the refrigerator used for the residents' food and snack was located in Station 5. …
Based on observation, interview, medical record review, and facility P&P review, the facility failed to ensure the safe food handling guidelines for the food brought in by families/visitors were implemented for one of 19 final sampled residents (Resident 95). * The facility failed to ensure the food brought in by families/visitors for Resident 95 were labeled. This failure had the potential to result in unsafe food handling and could cause foodborne illnesses in residents who received food brought in by families/visitors.Findings: Review of the facility's P&P titled Foods Brought by Family or Visitor dated 7/21/21, showed that non-perishable foods are those that do not require time and temperature control refrigeration for food safety. These may be stored in the resident's room. …
The short window
Recent years
| Year | Share of California citations | vs expected |
|---|---|---|
| 2023 | 0.37% | 2.35× |
| 2024 | 0.43% | 2.88× |
| 2025 | 0.45% | 2.58× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else California 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