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F803: Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident

F803 is one of the federal requirements every Medicare and Medicaid certified nursing home must meet. CMS describes it as: Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. It sits in CMS's nutrition and dietary category.

2,958citations in the CMS files
2,442homes cited at least once
572in the 12 months to September 2026
1.3%rated actual harm or immediate jeopardy

CMS Health Deficiencies file, data as of September 1, 2026. The files hold each home's last three standard inspections and three years of complaint visits.

How seriously inspectors rate it

Every citation gets a letter for how much harm inspectors found and how many residents it touched (how to read the letters). 20.0% of F803 citations came from a complaint visit rather than a routine inspection.

  • Immediate jeopardy (J, K, L)33 (1.1%)
  • Actual harm (G, H, I)6 (0.2%)
  • Potential for more than minimal harm (D, E, F)2,870 (97.0%)
  • Potential for minimal harm (A, B, C)49 (1.7%)

By letter: B 23, C 26, D 912, E 1,453, F 505, G 4, H 1, I 1, J 29, K 4.

What inspectors wrote

Three recent F803 citations from different states, quoted from the inspectors' statements of deficiencies (CMS form 2567). Names are removed by CMS.

Inspectors wrote, August 6, 2026, scope and severity DBased on observations, interviews, and record reviews, the facility failed to ensure menus were followed for 1 of 2 meals observed. (Lunch meal 8/4/26) The facility failed to follow the week 5 menu for pureed lunch meals served at the facility on Tuesday 8/4/26 by not serving or substituting all food items listed on the menu. This failure could place residents that eat food from the kitchen at risk of poor intake, and/or weight loss.

Parkview Skilled Care and Rehabilitation, Big Spring, TX

Inspectors wrote, July 31, 2026, scope and severity DBased on observations, interviews, and record review, the facility failed to serve the dietician approved pureed menu for 1 of 2 meals observed for staff following the correct menu. This deficient practice was identified for 2 (Resident #R4, Resident #R8) of the 5 residents who had orders for a pureed diet.

St. Bernard Nursing & Rehab, New Orleans, LA

Inspectors wrote, July 31, 2026, scope and severity FBased on observation, interview and record review, the facility failed to ensure residents receive nutritionally adequate meals and follow recipes. These failures have the potential to affect all 172 residents receiving food prepared in the facility's kitchen.

Austin Oasis, the, Chicago, IL

Most recent F803 citations at the harm or jeopardy level

Newest first, all 39 in the current files. Each home's page shows the citation in full context, with its correction status.

InspectionHomeTownLetterVisit
July 1, 2026Good Samaritan Society - BlackduckBlackduck, MN JComplaint
June 25, 2026Eventide Lincoln Care CenterLincoln, NE GComplaint
April 13, 2026Rochester Restorative Care CenterRochester, MN JComplaint
March 25, 2026Shanoan Springs Nursing and RehabilitationChickasha, OK JComplaint
March 9, 2026Wurtland Nursing and RehabilitationWurtland, KY GStandard
February 19, 2026Avantara Lake NordenLake Norden, SD JComplaint
December 13, 2025Chestnut Ridge Health & RehabilitationLouisville, KY JComplaint
August 29, 2025New Haven Center for Nursing & Rehabilitation LLCNew Haven, CT JStandard
August 22, 2025Edgebrook Care CenterEdgerton, MN JComplaint
August 8, 2025El Paso Rehabilitation and Health Care CenterEl Paso, IL KComplaint
August 7, 2025Havenwood Care CenterBemidji, MN JComplaint
July 1, 2025Axiom Gardens of FloraFlora, IL GComplaint
March 27, 2025Good Samaritan Society - ComforcareAustin, MN JComplaint
January 13, 2025Edenbrook of RochesterRochester, MN JComplaint
January 6, 2025Meadowlake EstatesOklahoma City, OK JComplaint
August 29, 2024Cedar Ridge CenterSissonville, WV JComplaint
July 26, 2024Countryside Care CenterMacomb, IL JComplaint
June 18, 2024Port Washington Post AcuteBremerton, WA JComplaint
June 13, 2024Warroad Care CenterWarroad, MN JComplaint
June 7, 2024Pearl of Elk Grove, theElk Grove Village, IL HComplaint
June 6, 2024Claridge Healthcare CenterLake Bluff, IL KStandard
April 25, 2024Knollwood HealthcareMobile, AL IComplaint
April 19, 2024Alhambra Healthcare & Wellness Centre, LPAlhambra, CA JComplaint
March 22, 2024The Emeralds at Grand Rapids LLCGrand Rapids, MN JComplaint
February 23, 2024Wellbrooke of CarmelCarmel, IN JComplaint
February 6, 2024Medicalodges Great BendGreat Bend, KS JComplaint
January 25, 2024Four Chaplains Nursing Care CenterWestland, MI JComplaint
November 21, 2023Axiom Healthcare of Mount VernonMount Vernon, IL JStandard
November 7, 2023Adviniacare NewburyportNewburyport, MA JStandard
November 6, 2023Cornerstone Rehabilitation and Healthcare CenterCorinth, MS JComplaint
October 27, 2023Spring Creek Post-Acute Rehabilitation CenterMurray, KY JComplaint
September 8, 2023Cheviot Hills Post AcuteLos Angeles, CA JComplaint
May 19, 2023Aviata at Shoal CreekCrestview, FL JStandard
March 10, 2023Capitol City Rehab and Healthcare CenterWashington, DC JStandard
December 12, 2022North Auburn CareAuburn, WA KStandard
August 12, 2022Alaris Health at West OrangeWest Orange, NJ KStandard
February 2, 2022Willowcreek Wellness & RehabilitationFlorissant, MO JStandard
December 16, 2021Manor of the PlainsDodge City, KS JStandard
October 12, 2018Greensville Health and Rehabilitation CenterEmporia, VA GStandard

Most recent F803 citations

InspectionHomeTownLetter
August 6, 2026Parkview Skilled Care and RehabilitationBig Spring, TX D
July 31, 2026St. Bernard Nursing & RehabNew Orleans, LA D
July 31, 2026Austin Oasis, theChicago, IL F
July 31, 2026The Californian Pasadena HealthcarePasadena, CA D
July 30, 2026Ussery Roan Texas State Veterans HomeAmarillo, TX E
July 29, 2026Morgantown Healthcare CenterMorgantown, WV E
July 24, 2026Eastwood ManorCommerce, OK F
July 23, 2026Grand Park Convalescent HospitalLos Angeles, CA E
July 22, 2026Southside Care CenterMinneapolis, MN C
July 21, 2026Hagerstown Healthcare CenterHagerstown, MD D
July 17, 2026The Gardens Healthcare CenterNorthridge, CA E
July 16, 2026Caprock Nursing & RehabilitationBorger, TX D
July 16, 2026Avir at GranburyGranbury, TX D
July 16, 2026Stoney Point Healthcare CenterChatsworth, CA E
July 16, 2026Cedars of Lebanon Care CenterLebanon, OH E
July 16, 2026Divine Rehabilitation and Nursing at SylvaniaSylvania, OH F
July 16, 2026Arbors at PomeroyPomeroy, OH D
July 16, 2026Accura Healthcare of Le MarsLe Mars, IA D
July 15, 2026Vidor Health & Rehabilitation CenterVidor, TX D
July 15, 2026Hudson Memorial Nursing HomeEl Dorado, AR C
July 14, 2026Heritage Health Care CenterOakwood Village, OH D
July 14, 2026Complete Care at HagerstownHagerstown, MD D
July 10, 2026Golden Rose Care CenterPasadena, CA E
July 9, 2026Greenville Health & Rehabilitation CenterGreenville, TX D
July 9, 2026Rossmoor Post AcuteWalnut Creek, CA D

F803 citations by state

Counts depend on how many homes a state has and how often its inspectors visit, so a larger number is not by itself a worse record.

StateCitations
California650
Ohio312
Illinois271
Texas182
Missouri129
Arkansas123
Pennsylvania110
Iowa107
Florida104
Louisiana67
Maryland61
New York58
Oklahoma58
West Virginia55
Virginia52
Michigan45
Washington41
Wisconsin41
New Jersey40
Alabama34
North Carolina34
Colorado33
Indiana32
New Mexico31
Georgia26
Minnesota23
Connecticut20
Nebraska20
Kentucky19
Massachusetts18
South Carolina18
Kansas15
Oregon14
South Dakota14
Delaware12
Tennessee11
Utah10
Hawaii8
Mississippi7
Montana7
Nevada7
Rhode Island6
Wyoming6
Arizona5
District of Columbia5
Puerto Rico5
Idaho4
Alaska3
Maine3
North Dakota2

By inspection year: 2018 13, 2019 67, 2020 30, 2021 82, 2022 252, 2023 533, 2024 878, 2025 671, 2026 432.

Common questions

What is F803 in a nursing home inspection?
F803 is the federal requirement to "ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident". CMS files it under nutrition and dietary. A home cited under F803 did not meet that requirement at the inspection.
How often is F803 cited?
The CMS files as of September 1, 2026 list 2,958 F803 citations at 2,442 nursing homes, 572 of them in the 12 months to that date. 1.3% were rated as actual harm or immediate jeopardy.
Is a F803 citation serious?
It depends on the letter. Most F803 citations (97.0%) were rated as potential for more than minimal harm, D to F. 33 were immediate jeopardy, the most serious level.

The interpretive guidance inspectors use for each F-tag is CMS's State Operations Manual, Appendix PP. NursingHomeClear reports the citations as CMS records them and is not affiliated with CMS. All F-tags · Methodology

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