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Nutrition & Dietary42 CFR §483.60(c)
F0803 — Menus Meet Resident Needs/Preferences
F0803 requires menus to meet the nutritional needs of residents in accordance with recognized dietary allowances, reflect resident preferences and cultural/religious needs, and be prepared in advance and followed.
Common Deficiency Examples
- Planned menu not followed on the day of survey without documented substitution rationale
- Menu not reflecting resident council input or documented preferences
- Menu lacking nutritional analysis supporting adequacy
- Substitutions not nutritionally equivalent to the planned item
What Your Plan of Correction Needs
F0803 PoCs typically center on menu planning and substitution process:
Gap identifiedspecific menu deviation or missing preference accommodation
Immediate actioncorrection for the current menu cycle
Systemic fixmenu planning process, dietitian review, and substitution tracking
Monitoring planmenu-vs-service audits at a defined frequency
Frequently Asked Questions
Are substitutions always a citation risk?+
Not inherently — the concern is whether substitutions remain nutritionally equivalent and are documented, not whether substitutions happen at all.
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