Health inspection·January 7, 2026

F 0803 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. Based on observation, interview, and record review, the facility failed to ensure that the menus were followed for 1 of 1 meal (lunch meal) on 01/07/2026 reviewed for meal accuracy, in that: DM B failed to serve the correct portion size of spaghetti noodles, marinara sauce and tossed salad according to the prepared menu for lunch for 50 residents.Dietary Aide C failed to follow the recipe for meat marinara sauce, causing them to run out of meat marinara sauce before they finished serving the lunch meal on 01/07/2026, and 9 residents did not receive meat marinara sauce. These failures could affect residents who received food from the kitchen by contributing to dissatisfaction, poor intake, and/or weight loss.The findings include:During an observation on 01/07/2026 between 12:13 PM- 1:01 PM, DM B served the lunch meal and served spaghetti noodles with a plastic pasta utensil, tossed salad with plastic tongs and plain marinara sauce after running out of meat marinara sauce with a rubber spoon. These utensils did not have a serving size on them.During an observation on 01/07/2026 at 1:02 PM one can of marinara sauce was observed in the kitchen's pantry, and the label revealed the can contained 105 ounces of marinara sauce.During an interview on 01/07/2026 at 1:03 PM with DM B she stated she did not know the serving size portion of the spoon she used to serve the plain marinara sauce because the spoon did not have a size portion on it. She stated she did not know the serving size portion for the pasta utensil she used to serve the paste because it did not have a size on it, but that was what they always used when they served pasta. She stated she did not know the serving size portion of the tossed salad she served but it was barley a full serving or probably less than a serving. She stated that she assumed she gave the correct portions sizes even though the utensils did not have a size on them. She stated she did not prepare the food for the lunch meal that Dietary Aide C prepared the food. She stated she thought he prepared enough food for 51 residents. She stated she was not sure why they ran out of meat marinara sauce but sometimes they use two cans of marinara sauce and today they used one can. She stated there were 9 meal trays that did not receive meat marinara sauce only plain marinara sauce since they ran out. She stated she would look in the recipe book for the recipe for meat marinara sauce and then stated it was not in the book, but she could print one out. She stated she had been trained over following recipes and proper scoop size for serving portions.During an interview on 01/07/2026 at 2:00 PM, The ADM stated she was aware the kitchen ran out of meat marinara sauce during the lunch meal. She stated she had contacted DM A, and he was on his way back to the facility. She stated it was already decided that any resident that did not receive the meat marinara sauce would be provided with a protein snack. She stated DM A would in-service staff on following recipes and using the appropriate serving size portions.During an interview on 01/07/2026 at 2:18 PM, Dietary Aide C stated he cooked the meat marinara sauce for the lunch meal on 01/07/2026. He stated he cooked a whole roll of meat (10 pounds) and used one can of marinara sauce. He stated, sometimes they used the recipes and sometimes we go by how we would make it at home. He stated he did not follow a (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: 455936 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 455936 B. Wing A. Building (X3) DATE SURVEY COMPLETED 01/07/2026 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Focused Care at Lamesa 1201 N 15th St Lamesa, TX 79331 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)