F 0812
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Some
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve
food in accordance with professional standards.
Based on observation, interview and record review, the facility failed to ensure 3 of 3 staff (the KD, CO B
and CO C) prepared, distributed and served food in accordance with professional standards for food
service safety when reviewed for food procurement, store/prepare/serve-sanitary. The KD, CO B and CO C
were observed with exposed mustaches while preparing lunch and handling food. The KD and CO B were
observed touching multiple surfaces (food, clothing, books, cellphones) without changing their
gloves.Findings included: Observation on 01/06/25 at 11:05 AM revealed the KD, CO A and CO B wearing
face coverings that did not cover their mustaches while preparing lunch. Observation also revealed the KD
and CO A touching multiple surfaces (clothing, cell phone, books) and preparing lunch while wearing
gloves and did not change them. In an interview with the KD on 01/06/26 at 11:05 AM, he stated the policy
on hair restraints reflected staff was to have no visible hair exposed. He stated facial hair was also included.
The KD stated hair falling in the food was a risk that led to resident sickness, cross contamination and
choking. He added it was unsanitary. The KD stated the most recent training on hair restraints was in, or
around September 2024, and added he was responsible for all training. The KD stated gloves were to be
changed when something spilled on them, when they got dirty, or when switching tasks. He included lack of
glove changes could also lead to resident illness. In an interview with CO B on 01/06/26 at 11:15 AM, he
stated he was unaware his mustache had to be covered. He stated he started nearly 2 months ago, and he
did not recall if hair restraints was covered in his food handlers training. CO B stated hair falling in the food
could affect residents by getting them sick. When asked about the policy, CO B stated he was not sure what
it stated. In an interview with CO C on 01/06/26 at 11:18 AM, he stated he started in August of 2023. He
stated facility policy was that beards and mustaches were to be kept covered. CO C stated a risk to resident
health was spreading germs getting them sick. He stated his food handler's training was taken in August of
2025, when he started. In an interview with the ADM on 01/06/26 at 02:45 PM, he stated the KD was
responsible for training kitchen staff. He stated all facility hair was to be covered in hair restraints. The ADM
stated residents could become exposed to hair in their food causing sickness. He stated there was a facility
policy related to hair restraints. In an interview with the DON on 01/06/26 at 02:45 PM, she stated the KD
conducted in-service trainings with staff about hygiene. She stated a recent in-service had been conducted
by him so staff knew what they should have been doing. The DON stated residents could get sick from
having hair in their food. Record review of the facility policy Preventing Foodborne Illness - Employee
Hygiene and Sanitary Practices dated 10/2017 reflected, Policy Statement: Food and nutrition employees
will follow appropriate hygiene and sanitary procedures to prevent the spread of foodborne illness. Policy
Interpretation and Implementation: 6. Employees must wash their hands: g. During food preparation, as
often as necessary to remove soil and contamination and to prevent cross contamination when changing
tasks; and/or h. After engaging in other activities that contaminate the hands. 9. Food
(continued on next page)
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 2
Event ID:
455554
Printed: 05/15/2026
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
455554
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
01/06/2026
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Coral Rehabilitation and Nursing of McGregor
414 Johnson Dr
MC Gregor, TX 76657
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)
F 0812
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Some
FORM CMS-2567 (02/99)
Previous Versions Obsolete
service employees will be trained in the proper use of utensils such as tongs, gloves, deli paper and
spatulas as tools to prevent foodborne illness. 10 Gloves are considered single-use items and must be
discarded after completing the task for which they are used. The use of disposable gloves does not
substitute for proper handwashing. 12. Hair nets or caps and/or beard restraints must be worn to keep hair
from contacting exposed food, clean equipment, utensils and linens. Record review of facility in-service
dated 10/08/25 and given by the KD, reflected: Subject: Infection Control, Inspection Report with a Kitchen
Safety Quiz. CO C signed the in-service and completed the quiz. Neither CO B's signature nor quiz were
attached.
Event ID:
Facility ID:
455554
If continuation sheet
Page 2 of 2