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F811: Ensure that residents are assessed for appropriateness for a feeding assistant program, receive services as per their plan of care, and feeding assistants are trained and supervised

F811 is one of the federal requirements every Medicare and Medicaid certified nursing home must meet. CMS describes it as: Ensure that residents are assessed for appropriateness for a feeding assistant program, receive services as per their plan of care, and feeding assistants are trained and supervised. It sits in CMS's nutrition and dietary category.

51citations in the CMS files
50homes cited at least once
8in the 12 months to September 2026
0.0%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). 13.7% of F811 citations came from a complaint visit rather than a routine inspection.

  • Immediate jeopardy (J, K, L)0 (0.0%)
  • Actual harm (G, H, I)0 (0.0%)
  • Potential for more than minimal harm (D, E, F)51 (100.0%)
  • Potential for minimal harm (A, B, C)0 (0.0%)

By letter: D 42, E 9.

What inspectors wrote

Three recent F811 citations from different states, quoted from the inspectors' statements of deficiencies (CMS form 2567). Names are removed by CMS.

Inspectors wrote, April 24, 2026, scope and severity DBased on observation, interview and record review, the facility failed to ensure staff had successfully completed a State-approved training course for feeding assistance before feeding resident who required staff to feed them for 3 of 7 unknown residents in the dining room over 3-day period of observations. The facility did not ensure that the Administrator and the Medical Records clerk completed a state approved training course for feeding assistance before assisting residents to eat. This failure could place residents who require assistance with eating at risk of aspiration and choking.

Avir at San Knoll, San Antonio, TX

Inspectors wrote, March 26, 2026, scope and severity DBased on record review and staff interview, the facility failed to ensure that a resident with a high risk of aspiration and difficulty swallowing was fed only by licensed or certified staff for 1 of 2 residents reviewed (Resident #20). Specifically, the facility allowed Paid Nutritional Assistants (PNAs) to assist a resident who exhibited active coughing during meals. The facility reported a census of 51 residents.

Oelwein Health Care Center, Oelwein, IA

Inspectors wrote, December 4, 2025, scope and severity DBased on staff interview and record review, the facility did not ensure 2 residents (R) (R8 and R13) of 2 sampled residents were assessed for safety and had care plans to guide assistance by Paid Feeding Assistants (PFAs). The facility did not assess if R8 and R13 were appropriate to be assisted by PFAs prior to using PFAs to assist R8 and R13 with dining. In addition, R8 and R13 did not have care plans that indicated they could be fed by PFAs.

Montello Care Center, Montello, WI

Most recent F811 citations

InspectionHomeTownLetter
May 29, 2026St. Catherine of SienaCaldwell, NJ E
April 24, 2026Avir at San KnollSan Antonio, TX D
March 26, 2026Oelwein Health Care CenterOelwein, IA D
March 11, 2026Santa Monica Rehabilitation CenterSanta Monica, CA D
December 4, 2025Montello Care CenterMontello, WI D
November 20, 2025The Villas at the ParkSaint Louis Park, MN D
September 18, 2025Heritage Hills Nursing & Rehabilitation CenterSmithfield, RI D
September 10, 2025St. Ann's CommunityWebster, NY D
May 23, 2025Maplewood Nursing Home IncWebster, NY D
May 5, 2025Bailey-Boushay HouseSeattle, WA D
April 23, 2025Putnam RidgeBrewster, NY D
April 11, 2025Pine Creek Care CenterRoseville, CA D
April 3, 2025Thornton Manor Nursing and Care CenterLansing, IA D
March 26, 2025Bedford Wellness & RehabilitationBedford, TX D
March 21, 2025Hart Care CenterHartwell, GA D
February 13, 2025Valley Vue Care CenterArmstrong, IA D
January 30, 2025Jenkin's Living CenterWatertown, SD E
January 16, 2025Fairview Care CenterDodge Center, MN D
January 16, 2025Mount Olivet Careview HomeMinneapolis, MN D
January 7, 2025St. Catherine of SienaCaldwell, NJ D
December 20, 2024Axiom Gardens of NashvilleNashville, IL D
December 19, 2024Victory Health and Rehabilitation CenterMinneapolis, MN D
October 24, 2024The Pines at Placerville Healthcare CenterPlacerville, CA D
September 28, 2024Tarrytown Hall Care CenterTarrytown, NY E
August 30, 2024View Ridge Care CenterEverett, WA D

F811 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
Iowa5
Minnesota5
New York5
California4
Utah4
Wisconsin4
Texas3
Washington3
Illinois2
Missouri2
New Jersey2
Rhode Island2
South Dakota2
Virginia2
Georgia1
Hawaii1
Indiana1
Maine1
North Carolina1
New Hampshire1

By inspection year: 2019 1, 2021 2, 2022 3, 2023 12, 2024 13, 2025 16, 2026 4.

Common questions

What is F811 in a nursing home inspection?
F811 is the federal requirement to "ensure that residents are assessed for appropriateness for a feeding assistant program, receive services as per their plan of care, and feeding assistants are trained and supervised". CMS files it under nutrition and dietary. A home cited under F811 did not meet that requirement at the inspection.
How often is F811 cited?
The CMS files as of September 1, 2026 list 51 F811 citations at 50 nursing homes, 8 of them in the 12 months to that date. 0.0% were rated as actual harm or immediate jeopardy.
Is a F811 citation serious?
It depends on the letter. Most F811 citations (100.0%) were rated as potential for more than minimal harm, D to F. None in the current files is at the immediate jeopardy 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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