Health inspection·January 28, 2026

F 0803 Level of Harm - Potential for minimal harm Residents Affected - Many 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 provide each resident with a nourishing, palatable, well-balanced diet that met his or her daily nutritional and special dietary needs, taking into consideration the preferences of each resident for 8 of 35 days for the Fall/Winter 2025 menu. This facility failed to ensure their menu met the nutritional needs of residents in accordance with established national guidelines. This failure could place residents at risk for a decline in health status due to inadequate or inappropriate nutritional intake.The findings include:Record review of a complaint from an anonymous complainant reflected The complainant feels the facility does not serve a good variety of foods for residents .The food does not meet the nutritional guidelines for each resident.Observation on 01/27/26 at 06:17PM of the requested dinner sample tray for dinner did not include an option of fruit from a dessert cart and observation of residents during this dinner service did not reveal a dessert cart or anyone passing out fruits to residents.Interview on 01/28/26 at 09:46 AM, the CDM revealed she followed the menus and wondered sometimes why food items like fruit were missing, however, she followed the menus that had been approved by [food company] and the RD. Interview and record review on 01/28/26 at 12:39PM revealed the facility's Fall/Winter 2025 Menu reflected the Day 6 menu included for the day: choice of juice, cereal, eggs, meat, bread, margarine/jelly, chicken rice pilaf, sweet peas, ice cream, shrimp po' boy, French fries, pickle slices, and cake. The menu reflected 1 serving of vegetable (sweet peas) and 1 serving of fruit (juice). Interview with the RD revealed potatoes and cucumbers were considered vegetables on that day. She further revealed she was going to contact the CDM to further investigate the fruit and vegetable servings per day for the facility and call back. The RD revealed that for a balanced diet, they ensured there were 5 servings of fruits and vegetables per day. During the interview, this Surveyor shared that an email would be sent to the RD later about other days we could discuss about that did not have enough fruits and vegetables for the day. On 01/28/26 at 01:40 PM an email was sent to the RD expressing concerns about Days 12, 14, 16, 20, 22, 25, and 30 (in addition to Day 6) on the Fall/Winter 2025 menu of not having enough fruits and vegetables for the day. Record review of the facility's Fall/Winter 2025 Menu reflected the Day 12 menu included for the day: choice of juice, cereal, eggs, meat, bread, margarine/jelly, [Barbecue] pork, potato salad, cole slaw, cookie, ravioli, sliced zucchini, garlic bread, and poke cake. Record review of the facility's Fall/Winter 2025 Menu reflected the Day 14 menu included for the day: choice of juice, cereal, eggs, meat, bread, margarine/jelly, garlic pork cubes, herbed orzo, seasoned peas, fudge rounds, vegetable soup, deli sandwich, potato chips, and fresh fruit. Record review of the facility's Fall/Winter 2025 Menu reflected the Day 16 menu included for the day: choice of juice, cereal, eggs, meat, bread, margarine/jelly, crusted fish, cheesy broccoli rice, cornbread, ice cream, polish sausage, parsley new potatoes, sauerkraut, and cake. Record review of the facility's Fall/Winter 2025 Menu reflected the Day 20 menu included for the day: choice of juice, (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: 676138 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 676138 B. Wing A. Building (X3) DATE SURVEY COMPLETED 01/28/2026 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE The Heights of Gonzales 701 N Sarah Dewitt Gonzales, TX 78629 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)