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 observation, interviews and record review, the facility failed to store, prepare, distribute, and
serve food in accordance with professional standards for food service safety for 1 of 1 kitchen reviewed for
dietary services.
1.
The facility failed to ensure that the food items in the refrigerator were not expired.
2.
The facility failed to ensure that the equipment used to prepare food was in good condition.
These failures could place all residents who received their meals from the kitchen at risk for foodborne
illnesses.
The findings include:
During an observation of the kitchen on 09/03/24 at 3:16 p.m. revealed 11 six-packs of 8 oz tomato juice
cans that were expired in February of 2023. The DM said they did not use tomato juice that often and she
thought they might have ordered the tomato juice for making drinks during a New Years Eve party and they
forgot it was there.
During an observation of the refrigerator on 09/03/24 at 3:17 p.m. revealed 40 one- gallon containers of
various salad dressings with the expiration date of February 2024.
During an interview on 09/03/24 at 3:20 PM the DM said the dressings should have been used before the
new merchandise was used. The DM said it was the responsibility of the storeroom clerk to rotate the stock
so that the older foods were used before the new foods. The DM said the storeroom clerk should know to
rotate the food to reflect first in and first out, however the storeroom clerk quit. The DM said she did not
know why the storeroom clerk did not dispose of the expired containers of salad dressing. The DM said
they had a new storeroom clerk, but he was still in training. The DM said if they used food that was past its
expiration date it could get a lot of people sick. The DM said the person in charge of the salad bar used
salad dressing and she would be the one to know if the salad dressing was used on the salad bar.
During an interview on 09/03/24 at 3:24 p.m., the DA A said she did not use the large containers of salad
dressing; she used the small bottles for the salad bar. The Dietary Aide said she had not
(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:
675268
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
675268
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
09/05/2024
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Laredo Medical Center
1700 E Saunders St
Laredo, TX 78044
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
used the large containers of salad dressing in a long time.
Level of Harm - Minimal harm
or potential for actual harm
During an observation of the dishwashing area on 09/03/24 at 3:26 p.m. revealed two manual food mills
(chinois) with mangled rims hanging on hooks on the wall. The food mills were bent and mangled.
Residents Affected - Few
In an interview on 09/03/24 at 3:28 p.m. the Chef said the mills looked as if someone had banged them and
they were no longer of use. The Chef said the mills were brand new and they could not use them. The Chef
said little pieces of metal could be broken off into the food and hurt someone, or even cut whoever was
using it because of the sharp edges. The Chef said he would throw them away.
In an interview on 09/03/24 at 3:30 p.m. the DM said she would review the in-service the staff on food and
supply storage, first in, first out and expiration dates.
Record review of facility's Food and Supply Storage revised January 2024 revealed:
Most, but not all, products contain an expiration date. do no sell products in retail areas or place on patient
trays/resident trays past the date on product. Food past the use by, sell by, best by, or enjoy by date should
be discarded.
Date and rotate items; first in, first out (FIFO). Discard food past the use-by or expiration date.
References: FDA Food Code 2022 Ch. 4, Part 4-2, Subpart 4-202 Cleanability, Section 4-202.11
Food-Contact Surfaces. (A) Multiuse food-contact surfaces shall be: (1) Smooth (2) Free of breaks, open
seams, cracks, chips, inclusions, pits, and similar imperfections (3) Free of sharp internal angles, corners,
and crevices (4) Finished to have smooth welds and joints.
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
675268
If continuation sheet
Page 2 of 2