Villa Health Care East
Inspection Findings
F-Tag F0805
F 0805 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Based on observation, interview, and record review, the facility failed to prepare and provide food according to physician orders for 1 of 3 residents (Resident R3) reviewed for diet consistency in the sample of 9. Findings Include:Resident R3's admission Record document, print date of 1/22/26, documented Resident R3 has diagnoses including Alzheimer's disease, atrial fibrillation, gastro-esophageal reflux disease, hypertension, spinal stenosis, aphasia following cerebral infarction, and glaucoma.Resident R3's MDS (Minimum Data Set), dated 12/4/25, documented Resident R3 is moderately cognitively impaired and requires setup assistance with meals. Resident R3's Physician Order Summary Report, print date of 1/22/26, documented Resident R3's physician order for a pureed texture diet with moderately thick (honey) consistency liquids. On 1/22/26 at 12:39 PM Resident R3 was observed
during the lunch meal. Resident R3 was served pureed meat, peas, and carrots in a 3-compartment divided plate. Resident R3 was also served pears with whipped topping in a small plastic bowl. The pears appeared to be diced rather than pureed. On 1/22/26 at 1:00 PM V9 CNA (Certified Nurse Assistant) was observed sitting next to Resident R3 and was cutting Resident R3's pears up with a butter knife. Surveyor asked V9 if the pears were pureed and V9 stated yes. Surveyor then requested V9 to get a scoop of the pears onto a spoon. Chunks of pear pieces were observed on the spoon which V9 continued to leave for Resident R3. On 1/22/26 at 1:05 PM Resident R3 was observed reaching into her mouth and then Resident R3 placed a piece of pear on her plate. On 1/22/26 at 1:47 PM V8 Food Services Supervisor stated a pureed diet is to be the consistency of baby food and there should not have been any chunks in Resident R3's pears. On 1/28/26 at 1:51 PM V1 Administrator stated she expects the residents to be served food according to each resident's physician's orders. The facility's Menus and Meal Service policy, dated 11/22, documented guest tickets should be printed for each resident at every meal to ensure diet accuracy. A system needs to be established to ensure each resident receives their food at every meal.
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:
VILLA HEALTH CARE EAST in SHERMAN, IL 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 SHERMAN, IL, (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 VILLA HEALTH CARE EAST or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.