Community Care On Palm
Inspection Findings
F-Tag F0804
F 0804
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Level of Harm - Minimal harm or potential for actual harm
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on
observation, interview, and record review, the facility failed to provide food at appropriate temperatures according to the residents' preferences for three out of five sample residents, Residents 3, 4, and 5.This failure had the potential for Residents 3, 4, and 5 to be at risk for decreased nutritional intake which could cause unplanned weight loss and affect their overall nutritional status.Findings: On December 22, 2025, at 7:17 a.m., during a concurrent observation and interview, Resident 3 was sitting in his wheelchair in the dining room and was served breakfast. Resident 3 began eating his food, and stated the food was warm, but sometimes his breakfast was cold, and he had to wait 20 minutes to get his food in the dining room.On December 22, 2025, at 7:18 a.m., during an observation in the dining room, Resident 4 was served breakfast. On December 22, 2025, at 7:40 a.m., during a concurrent observation and interview, Resident 5 was sitting in her bed, and was almost finished with her breakfast. Resident 5 stated her breakfast was cold and that the food is often cold. On December 22, 2025, at 8:14 a.m., during a concurrent observation and interview, Resident 4 was in his room sitting in bed and watching television. Resident 4 stated his breakfast was lukewarm and almost cold. Resident 4 stated he thought that by eating in the dining room, which was close to the kitchen, he would receive warm food, but he did not. Resident 4 stated there were other times his food was served cold but since nothing changed after he reported it he stopped complaining about the cold food.On December 22, 2025, at 10:12 a.m., during a telephone interview, the Registered Dietitian (RD) stated the expectation is the food should be palatable (pleasant and acceptable to the taste), warm and up to the residents' expectations. On December 22, 2025, at 11:54 a.m., during an interview, the ADM stated
the residents should not be served cold food.A review of Resident 3's admission Record indicated he was admitted to the facility on [DATE REDACTED] with diagnoses which included hypertension (high blood pressure).
Resident 3's History and Physical (H&P) dated November 4, 2025, indicated he has the capacity to understand and make decisions.A review of Resident 4's admission Record indicated he was admitted to
the facility on [DATE REDACTED] with diagnoses which included diabetes mellitus (high blood sugar). Resident 4's H&P dated July 12, 2025, indicated he has the capacity to understand and make decisions.A review of Resident 5's admission Record indicated she was admitted to the facility on [DATE REDACTED], with diagnoses which included diabetes mellitus. Resident 5's H&P dated November 12, 2025, indicated she has the capacity to understand and make decisions.A review of the facility's policy and procedure titled, Food and Nutrition Services dated October 2017, indicated, .each resident is provided with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs, taking into consideration
the preferences of each resident. Food and nutrition staff will inspect food trays to ensure .the food appears palatable and attractive and it is served at a safe and appetizing temperature .
Residents Affected - Few
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date
these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE
TITLE
(X6) DATE
FORM CMS-2567 (02/99) Previous Versions Obsolete
Facility ID:
If continuation sheet
Event ID:
COMMUNITY CARE ON PALM in RIVERSIDE, CA inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
Frequently Asked Questions
- What is an F-tag violation?
- F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
- Were these violations corrected?
- Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
- How often do nursing home inspections happen?
- CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
- What should families do about these violations?
- Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in RIVERSIDE, CA, (5) Report new concerns to state authorities.
- Where can I see the full inspection report?
- Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from COMMUNITY CARE ON PALM or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.