Inspection·January 23, 2026

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 remove expired items, store, prepare, distribute and serve food in accordance with professional standards for food service safety for 1 of 1 kitchen reviewed for food and nutrition services.1. The facility failed to ensure expired items were disposed of properly. 2. The facility failed to ensure pans, strainers, pitchers, cooking and serving utensils, and measuring cups were covered; not open to air.3. The facility failed to ensure drawers, containing cooking and serving utensils and plastic lids, were clean and without food crumbs in the bottom.4. The facility failed to reseal food items that were opened.5. The facility failed to ensure food was frozen or discarded after 48 hours (2 days) after preparation per facility policy.6. The facility failed to ensure foods were labeled properly. These failures could place residents at risk for food borne illnesses.Findings include: During an observation of the kitchen on 01/21/2026 at approximately 9:10 AM, the following were revealed: Dry Storage:1. 5 boxes of corn starch with an expiration date of 12/03/2024. 2. 4 boxes of baking soda with an expiration date of 11/27/2025. Three Door Refrigerator:1. 1 bag of boiled eggs opened 01/17/2026 did not have an expiration date.2. 1 bag of sliced onion dated 01/14/2026 did not have an expiration date. 3. 1 bag of sliced turkey opened 01/17/2026 did not have an expiration date. Items on Dessert Preparation Table:1. A box of opened corn starch was not sealed and did not have an open date or expiration date.2. A plastic container, with a lid, containing breadcrumbs was out of the original package and labeled without a use by date. 3. A plastic container, with a lid, containing mashed potato flakes was out of the original package and labeled without a use by date. 4. A plastic container, with a lid, containing corn bread mix was out of the original package and labeled without a use by date. 5. A plastic container, with a lid, containing oatmeal was out of the original package and labeled without a use by date. 6. A plastic container, with a lid, containing cream of wheat was out of the original package and labeled without a use by date. 7. A plastic container, with a lid, containing sugar was out of the original package and labeled without a use by date. 8. A plastic container, with a lid, containing flour was out of the original package and labeled without a use by date. 9. A bottle of onion powder, opened 11/18, was not labeled with the year it was opened or the use by date.10. Several plastic drawers, containing cooking and serving utensils and plastic lids had food particles at the bottom of the drawers. Items Above Microwave:1. A plastic container, with a lid, containing fruit loops cereal was out of the original package and labeled without a use by date. 2. A plastic container, with a lid, containing special k cereal was out of the original package and labeled without a use by date. 3. A plastic container, with a lid, containing raisin bran cereal was out of the original package and labeled without a use by date. 4. A plastic container, with a lid, containing frosted flakes cereal was out of the original package and labeled without a use by date. 5. A plastic container, with a lid, containing honey nut cereal was out of the original package and labeled without a use by date. 6. A plastic container, with a lid, containing frosted mini wheats cereal was out of the original package and labeled without a use by date. Wall Shelf Inside Kitchen Entrance:1. An opened box of plastic forks was open to air and not (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 675681 If continuation sheet Page 2 of 3 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 675681 B. Wing A. Building (X3) DATE SURVEY COMPLETED 01/23/2026 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Bronte Health and Rehab Center 900 S State St Bronte, TX 76933 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 covered. 2. An opened box of plastic spoons was open to air and not covered.3. An opened box of plastic knives was open to air and not covered. Above Food Preparation Table:1. Several pans, strainers, pitchers, cooking and serving utensils, and measuring cups were hanging above the steam table, not covered, and open to air. Residents Affected - Some During an interview on 01/23/2026 at 9:27 AM, the DM said her expectation was for opened food in the refrigerators to be used or disposed of within 3 days. The DM stated if items were stored out of original container, then they needed to be labeled with a food description, open date, and use by date. The DM said she had not thought about adding the use by date to the labels on the plastic containers on the dessert table and above the microwave. The DM said all dietary staff were responsible to ensure food was labeled correctly and disposed of when needed. The DM said the effect on residents could have been residents receiving food that was spoiled or past its freshness. Record review of the facility's procedures titled, Food Production-Leftovers dated 04/2008, revealed: Left-over foods shall be refrigerated and used within 2 days or frozen for later use. Re-heat leftovers to 165 degrees F for a minimum of 15 seconds. Any left-over food items refrigerated over 2 days must be discarded. Any foods that have a manufacturer's expiration or use-by-date should be left in the original container and should be discarded according to that date. Review of the FDA Food Code 2022 https://www.fda.gov/food/retail-food-protection/fda-food-code accessed 06/19/2025 revealed: 3-602.11 Food Labels. (A) FOOD PACKAGED in a FOOD ESTABLISHMENT, shall be labeled as specified in LAW, including 21 CFR 101 - Food labeling, and 9 CFR 317 Labeling, marking devices, and containers .(B) Label information shall include: (1) The common name of the FOOD, or absent a common name, an adequately descriptive identity statement .Time/temperature control for safety refrigerated foods must be consumed, sold or discarded by the expiration date. FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 675681 If continuation sheet Page 3 of 3