Inspection·February 6, 2024

F 0812 Level of Harm - Minimal harm or potential for actual harm 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 store, prepare, distribute and serve food in accordance with professional standards for food service safety in 1 of 1 kitchen observed. Residents Affected - Few The facility failed to ensure that all staff were wearing proper protective hair restraints in the kitchen. This failure placed residents who ate food served by the kitchen at risk of food contamination caused by fallen hair. Findings included: An observation and interview on 02/06/2024 at 11:35 AM revealed the DM was in the kitchen prep area without a hair restraint; her hair was long and went past her shoulders. The DM stated that she was in her office and heard State was at the kitchen door and got nervous and forgot to put on her hair restraint. The DM's hair was down past her shoulders, the front half was pulled back in a hair tie. The DM stated everyone was supposed to wear a hair restraint while in the kitchen. The DM did not have an answer about a possible negative outcome. During an observation and interview on 02/06/2024 at 3:35 PM, the DA was in the kitchen prep area without a hair restraint. The DA stated that he did not think he had to wear a restraint because his hair was short . The DA said he did not always wear a hair restraint. Observation of DA's hair was short, close to his scalp. The DA stated that a possible negative outcome for staff not wearing hair restraints would be that hair would get into the residents food. During an interview with the ADON on 02/06/2024 at 4:40 PM, the ADON stated that a possible negative outcome for staff in the kitchen not wearing hair restraints would be that hair could get into the resident's food and that would be gross. During an interview with the DON on 02/06/2024 at 4:40 PM, the DON stated that a possible negative outcome for staff in the kitchen not wearing hair restraints would be that if a staff member had lice or any other types of bugs in their hair that it could get into the resident's food. Record Review of Dietary Service Policy and Procedure Manual 2012 revealed the following: Sanitation and Food Handling: (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: 455675 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 455675 B. Wing A. Building (X3) DATE SURVEY COMPLETED 02/06/2024 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Landmark of Amarillo Rehabilitation and Nursing Ce 5601 Plum Creek Dr Amarillo, TX 79124 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)