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, interviews, and record reviews, the facility failed to store, prepare, distribute, and
serve food in accordance with professional standards for food service safety for one of one kitchen
reviewed for expired foods.
The facility failed dispose of perishable foods after use in the walk-in fridge.
This failure could place residents at risk for consuming hazardous expired food and developing foodborne
illnesses who received food from the kitchen.
Findings Included:
Observation on 06/17/2025 at 10:48 AM revealed the following:
*a bottle of Bay Leaves with use by date of 05/31/2025.
* a package of Pork with use by date of 06/14/2025;
*a package of Beef with use by date of 06/15/2025;
*a package of Beef Tips with use by date of 06/10/2025;
*a package of Brisket with use by date of 06/03/2025; and
*a container of Chocolate Fudge Icing with use by date of 04/27/2025.
An interview on 06/19/2025 at 11:22 AM with [NAME] A who revealed they have been trained on kitchen
processes including discarding expired foods. [NAME] A stated that if there are expired foods in the facility it
should be thrown away. [NAME] A stated there should not be any expired foods in the facility. [NAME] A
stated a negative impact this could have on residents was the potential for illness.
An interview on 06/19/2025 at 11:45AM with DM who revealed he has received training on topics including
kitchen storage. DM stated the process for checking expired foods was done two times a day, once in the
morning and once in the evening. DM stated this was monitored by the DM and shift manager on duty. DM
stated if there are expired foods it should be thrown away. DM stated a negative impact this could have on
residents was the potential for illness.
(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:
675834
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
675834
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
06/19/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Brookdale Galleria
2929 Post Oak Blvd
Houston, TX 77056
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 - Some
An interview was conducted on 06/19/2025 at 12:00PM with DSD who revealed he has received training in
topics including kitchen storage as well as labeling and dating system. DSD stated the process for checking
for expired food was completed in the AM and PM. DSD stated if foods are expired, they should be thrown
away. DSD stated a negative impact this could have on residents could be detrimental illness.
An interview was conducted on 06/19/2025 at 12:05PM with EC who revealed he has received training on
topics including kitchen storage and labeling. EC stated the expectation for expired foods is to throw it out
immediately. EC stated himself and the sous chef monitor the expiration of food items. EC stated a negative
impact this could have on residents was it could make them sick.
An interview was conducted on 06/19/2025 at 1:15PM with ADM who revealed the dietary services
manager provides the training to kitchen staff. ADM stated the policy for dated foods was to throw them
away when they are expired. ADM stated the DSD was in charge of the functionality in the kitchen. ADM
stated that the kitchen should be checking for expired foods two times a day, once in the AM and in the PM.
ADM stated this could cause a negative impact on residents if they consumed the expired foods.
Record Review of facility policy titled Labeling Safety and Sanitization dated November 2024 stated,
1.Upon receipt from vendors, all non-perishable food items must be labeled with the received date (month
and year) before putting in dry storage. This should be done even if the food item has a use by or sell by
date marked by the manufacturer.
2.All prepared items must have a label with the name of item, date and time prepared, by whom, and
discard/use by date. Discard/use by dates should be no more than 3 days for leftovers/hazardous foods and
7 days for all other prepared food. Supervisors are responsible for ensuring food items in pantry,
refrigerators, and freezers are not past use by or expiration dates.
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
675834
If continuation sheet
Page 2 of 2