Inspection·September 11, 2025

F 0812 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Based on observations, interviews and record review the facility failed to store, prepare, distribute and serve food in accordance with professional standards for food service safety as evidenced by kitchen staff (Cook) not wearing a beard restraint while in the kitchen assisting with food services. There were 53 residents who ate by mouth residing in the facility at the time of survey. The findings included: Record review of the facility's policy titled Food and Nutrition dated 4/1/2015 revised 1/1/2021 indicate-Policy: Defines Food Service personnel standards regarding personal hygiene. Procedure: 7. Wear hair restraints such as hats, hair coverings or nets, beard restraints, and clothing that cover all hair, including body hair. Wearing false eyelashes is not permitted, as they may become a physical contaminant. Observation on 09/10/25 at 11:04 AM during the kitchen tour revealed Staff A (Cook) pushing a cart in the kitchen. He wore a surgical mask and a hat, and parts of his beard was visible. When asked about the beard net, he stated, I don't wear a beard net because it makes me allergic. He then walked to the back of the kitchen, took off the mask, and put on a beard net. On 09/10/25 at 11:09 AM, the Kitchen Director stated, I have been the Director for a month. Anyone who enters the kitchen is required to wear a hairnet or beard net. Wearing a mask as opposed to the beard net is acceptable. Interview on 09/10/25 at 2:51 PM Staff A, stated: I have been The [NAME] for 18 years. I have received in-service about wearing hairnets and beard nets. The purpose of wearing it is to prevent contamination of the food and any possible infection transmission. It is appropriate to wear a mask and not a beard net if it is clean and covers my beard. The reason I did not wear a beard net is because it causes allergies and brings Asthmatic episodes. I reported my allergy to my previous supervisor, and he told me it was fine to wear a mask as long as my mouth and beard are covered.On 9/10/25 at 4:38 PM the Kitchen Director stated, I was aware that Staff A, [NAME] had an allergy to the beard restraint. If a mask is worn; that covers facial hair it is ok. I believe the mask prevents any hair from falling into the food.On 9/10/25 at 4:42 PM, the Administrator was notified about identified concern and stated, It is okay to wear the mask to prevent any hair from falling into the food.On 09/11/25 at 2:38 PM The Registered Dietician stated, I have been employed for about a year. I do rounds in the kitchen that include sanitation audits, expiration dates, temperature logs, and storage. I observe the passing of the trays on the floors to ensure all supplements and diet orders are correct. I looked at the vents and noticed condensation and the employee wiped the vents. Before entering the kitchen, hair nets, hats, beard guards and sanitize hands. 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 Page 1 of 3 Event ID: 105623 Printed: 05/28/2026 Form Approved OMB No. 0938-0391 Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION (X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER: (X2) MULTIPLE CONSTRUCTION 105623 B. Wing A. Building (X3) DATE SURVEY COMPLETED 09/11/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE West Gables Health Care Center 2525 SW 75th Avenue Miami, FL 33155 For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)