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 food in accordance with
professional standards for food service safety for 1 of 1-unit refrigerators (resident refrigerator RR #1), 1 of
1 resident freezer (resident freezer RF #1) and 1 of 1 resident walk in pantry (walk in pantry WP#1)
reviewed for storage, preparation and sanitation. -The facility failed to ensure a bag of chicken taquito were
properly sealed and a loaf of bread wrapped in plastic wrap that was expired dated 11-21-25 was left in
refrigerators beyond safe use by dates. -The facility failed to ensure bags of grapes, herbs, and celery were
stored in the resident's refrigerator were placed in sealed containers protected from cross contamination
and exposure to splash, dust, or other contamination. -The facility failed to ensure the coffee left on counter
and sugar in the resident's dry food pantry were placed in sealed containers protected from contamination
and exposure to splash, dust, or other contamination which compromises the integrity of the food until food
is ready to use. -The facility failed to ensure DA #4, DA #5, DA#6, DA #7 and the chef wore and placed
beard restraints correctly to prevent hair from contaminating food being prepared and ready for
consumption. -The facility failed to ensure and maintain the safety of a cooking pan surface which had
contact with food to prevent cross-contamination of pan coating particles in food ready for consumption.
These failures could place residents who receive meals and/or snacks from the kitchen at risk for food
contamination and food borne illness. Findings included: Observations during the initial tour of the kitchen
on 12/02/25 at 8:00 am revealed one bag of sugar in the dry storage pantry, a package of coffee pouches
on the counter opened and exposed to air. In the walking in refrigerator a container of celery opened was
not properly sealed closed, a bag of fresh herbs was opened not properly sealed closed, a container full of
bags of grapes were opened not properly sealed closed and in the freezer a bag of chicken taquitos and a
loaf of bread was wrapped in plastic wrap dated 11/21/25 and was expired. In an interview and with DA#1
on 12/02/25 at 9:32 AM she said all kitchen staff were responsible for cleaning the refrigerator and made
sure that all food was labeled, sealed, had not expired and had a use by date. DA#1 stated the refrigerator,
and freezer were cleaned, and all expired food was thrown out daily. DA#1 could not explain why the
grapes, celery, herbs, and chicken taquitos were not sealed correctly just that the staff must have thought
they were sealed properly. DA#1 said the loaf of bread must have been pushed to the back of the rack
when it was restocked and not was not notice so the expiration date of 11/21/25 was never checked. DA#1
said she did not know why the sugar and coffee was left open only the person might have been in hurry and
did not properly store the items correctly. In an interview on 12/02/25 at 10:01 AM with DA#2 she stated she
could not recall when the open bags of grapes, celery, herbs and chicken taquitos were not sealed correctly
and placed in the refrigerator but knew that all items put in the refrigerator were to be sealed with a use by
date. DA#2 stated the staff throw away all expired food daily and clean refrigerator and freezer weekly and
did not know or see the expired bread. DA#2
(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
12/04/2025
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
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Few
FORM CMS-2567 (02/99)
Previous Versions Obsolete
stated the sugar and coffee were always store correctly but the person who last used them did not store
them correctly, so the items were exposed and contaminated. In an observation and interview on 12/02/25
at 10:17 AM with DA #4 he stated he forgot to put on his beard restraint this morning but normally has it
every day and he knows that hair can fall and contaminate the food.In an observation and interview on
12/02/25 at 10:25 AM with DA #5 he stated he forgot to put on his beard restraint this morning but has it on
every day and he knew that hair could fall into the food and harm the residents. In an observation interview
on 12/02/25 at 10:33 AM with DA #6 he stated he had just started working this morning and forgot to ask
for a beard restraint but knew through his training he had to have it every day so hair cannot fall and
contaminate the food. In an observation and interview on 12/02/25 at 10:42 AM with the chef he stated he
did not realize his beard restraint was not over the rest of his beard this morning but normally has it on
correctly every day and he knew that hair could fall and contaminate the food. The chef also stated he did
not realize how bad the condition of the cooking pan had gotten. The Chef stated it was not safe to use a
pan all scratched up and was rarely used but will have it replaced with a new one. The chef also stated he
made sure all food was stored properly after use, so it did not become contaminated for the next use. The
chef stated he made sure all employees had on the proper hair restraint when the staff are preparing food.
In an interview with on 12/03/25 at 5:33 PM with the DM she said the supervisors, and the staff clean out
the refrigerator daily and the celery, herbs, and bags of grapes must have been overlooked by staff
therefore remained open. The DM said these open items had not been used in the menu recently for them
to have been left open in the refrigerator. The DM said the chicken taquitos were in a bag place in a box
with no lid and seemed protected but at closer inspection the bag inside the box was not sealed properly
and the box was not enough protection from food being contaminated and was overlooked. The DM said
the sugar and the coffee were used that morning and staff in rush did not ensure the proper closure of the
sugar bag or put coffee away in a sealed container. The DM said she will do a retraining on dating items
and making sure they are all covered and throwing out expired foods for all forms of storage. The DM also
stated there will be an inventory of cooking utensils, pots and pans to inspect and replace any worn out or
damage cookware. The DM said she will do an in-service on the importance of wearing hairnets and being
hygienic in the kitchen. Record review of the facility's Dress Guidelines for good service management and
clinical nutrition staff dated 01/2025 stated:Dress for food service management and clinical nutrition staff
must be professional in appearance and function to portray a positive image of the department. -Hair
restraints are worn by all when in the kitchen. Sanitation and Infection Prevention Control Policy: To prevent
the contamination of food with infectious microorganism. Food and Nutrition Services associates are
expected to observe the following Infection Prevention and Control PracticesFood Contact
Surfaces:-Discard any food contact surfaces with chips, nicks or broken pieces etc. FDA Food Code 2022
Ch. 3-501.17 Ready-to-Eat, Time/Temperature Control for Safety Food, Date Marking. to (E) and (F) of this
section, refrigerated, ready-to-eat, time/temperature control for safety food prepared and held in a food
establishment for more than 24 hours shall be clearly marked to indicate the date or day by which the food
shall be consumed on the premises, sold, or discarded when held at a temperature of 5 C (41 F) or less for
a maximum of 7 days. The day of preparation shall be counted as Day 1.
Event ID:
Facility ID:
675268
If continuation sheet
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