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Inspection visit

Inspection

Focused Care at Summer PlaceCMS #6762101 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

This survey cited 1 deficiency. The full statement and the facility’s plan of correction follow, verbatim from the federal record.

F 0812 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Many 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 properly store, prepare, distribute, and serve food in accordance with the professional standards for food service safety 1 of 1 kitchen reviewed for safety requirements.1. The facility failed to ensure spoiled strawberries were not stored in the walk-in cooler. 2. The facility failed to ensure raw meat was not stored on top of ready to eat green apples in the walk-in cooler. 3. The facility failed to ensure food items in the freezer #1, #2 and dry pantry were labeled, dated and sealed. These failures could place residents, who received food and beverages from the kitchen, at risk for health complications, foodborne illnesses, and decreased quality of life.Findings included:During observation and interview in the kitchen on 07/22/25 with the DM at 10:20 a.m. of the walk-in cooler indicated there were:on the first shelf were four unopened, clear 30-ounce containers, each containing strawberries that had a gray hairy like coating. The DM said she did not know when the strawberries arrived, and it looked like the strawberries were growing mold. The DM stated she had not yet made rounds in the kitchen for her daily inspection due to surveyor entrance.On the second shelf, an open, undated, original cardboard box containing an opened clear plastic bag of exposed raw chicken thighs(approximately 30-40 thighs) thawing on top of an opened cardboard box of ready to eat green apples(approximately 15-20 apples) which were located on the third shelf, directly under the raw thawing thighs.Also, on the second shelf, on top of the ready to eat green apples was an opened, undated clear plastic bag of exposed raw bacon.DM said she did not know when or who put the raw chicken and raw bacon on the shelf on top of the apple and said she would move the raw meat to another area in the walk-in cooler. The DM said storing raw meat on top of ready to eat foods can cause cross contamination.During an observation and interview on 07/22/25 at 10:15 a.m. of the walk-in freezer #1 with the DM indicated there were:an undated, unlabeled, original packaged, vacuum-sealed clear plastic bag of frozen pork loin.an original packaged, ripped open, exposed to the elements, half-full gallon bag of shredded parmesan cheese without a date indicating when opened or due to expire.The DM said she did not know when or who opened the parmesan bag of cheese that should be labeled and sealed and the pork loin should have a label on it of what it was and dated. The DM stated this can cause decreased quality and taste.During an observation and interview on 07/22/25 at 10:40 a.m. of freezer #2 with the DM indicated there were:an undated, clear plastic 5-pound bag that contained frozen breakfast sausage patties that was ripped open, not properly sealed and exposed to the elements. The DM said it was breakfast sausage patties.An undated and unlabeled box of frozen yellowish pudding looking substance with a brown bottom crust. The DM said it was lemon bars.When asked about the lemon bars and frozen breakfast sausage patties, the DM tied the plastic bag and said it should be labeled, sealed and dated because anything can leak on it, could taste freezer burnt and all items needed to be labeled with name of item and date it was opened.During an observation and interview on 07/22/25 at 11:00 a.m. of the dry storage/pantry with the DM indicated there were:one, (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: 676210 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 676210 B. Wing A. Building (X3) DATE SURVEY COMPLETED 07/24/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Focused Care at Summer Place 2485 S Major Dr Beaumont, TX 77707 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 - Many FORM CMS-2567 (02/99) Previous Versions Obsolete original container, 5-pound bag of grits opened and used, not dated when opened. one, original container, 4-ounce bag of potato pearls opened and used, not dated when opened.one, original container, 1-pound bag of vanilla instant pudding ripped opened in a quart sized ziplock bag, not dated when opened and used.one, original container, 20-ounce bag of peppered biscuit gravy ripped opened in a quart sized ziplock bag and used, not dated when opened.The DM said she did not know when or who opened the items and would discard them. She said it can cause decreased quality and taste. The DM said if used, residents could get sick.During an interview on 07/22/25 at 11:25 a.m. with the DM, she said she expected all products in the kitchen to be stored correctly. She said packages of food items should be sealed so as not to expose food to the elements. The DM said it was the responsibility of all the dietary staff to ensure products were labeled and stored correctly. The DM said she could not explain why the expired or spoiled foods had not been removed from the walk-in cooler. The DM said all kitchen staff completed the required food preparation and food storage trainings. The DM said the potential harm to residents would be food poisoning, diarrhea, sickness, and bacteria on food. The DM said the failure occurred due to staff not paying attention. During an interview on 07/30/25 at 4:30 p.m., the Administrator said her expectation was for kitchen staff to follow policies on food storage, preparation, and that everything was dated. She said the DM monitored that kitchen staff were following the facility's policy. The Administrator said not storing and preparing food appropriately could cause residents to be given food beyond the expiration date and not the correct time frame. The Administrator said it could also affect the freshness and quality of resident's food. Record review of facility policy revised dated 10/2017 titled, Food Receiving and Storage: Policy: 7. Dry foods that are stored in bins will be removed from original packing, labeled and dated (use by date).8. All food stored in the refrigerator or freezer will be covered, labeled and dated (used by date). 11. Uncooked and raw animal products and fish will be stored separate in drip proof containers and below fruits, vegetables and other ready to eat foods.Record review of the Food and Drug Administration Food Code, dated 2022, reflected, . 3-201.11 Safe, Unadulterated, and Honestly Presented. Compliance with Food Law. FDA considers food in hermetically sealed containers that are swelled or leaking to be adulterated and actionable under the Federal Food, Drug, and Cosmetic Act .3-302.12 Food Storage Containers, Identified with Common Name of Food. Except for containers holding food that can be readily and unmistakably recognized such as dry pasta, working containers holding food, or food ingredients that are removed from their original packages for use in the food establishment, such as cooking oils, flour, herbs, potato flakes, salt, spices, and sugar shall be identified with the common name of the food 3-305.11 Food Storage.(B) .refrigerated, ready-to eat time/temperature control for safety food prepared and packaged by a food processing plant shall be clearly marked, at the time the original container is opened in a food establishment and if the food is held for more than 24 hours, to indicate the date or day by which the food shall be consumed on the premises, sold, or discarded, based on the temperature and time combinations specified in (A) of this section and: (1) The day the original container is opened in the food establishment shall be counted as Day 1; and (2) The day or date marked by the food establishment may not exceed a manufacturer's use-by date if the manufacturer determined the use-by date based on food safety Event ID: Facility ID: 676210 If continuation sheet Page 2 of 2

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Citations

1 citation recorded*CMS

What do CMS severity letters mean?

Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.

General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.

Each letter combines severity with scope: how many residents the deficiency affected.

  • 0812GeneralS&S Fpotential for harm

    F812 - Food safety requirements

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

FAQ · About this visit

Common questions about this visit

What happened during the July 24, 2025 survey of Focused Care at Summer Place?

This was a inspection survey of Focused Care at Summer Place on July 24, 2025. The surveyor cited 1 deficiency, recorded on the federal Form 2567 statement of deficiencies.

Were any deficiencies cited at Focused Care at Summer Place on July 24, 2025?

Yes, 1 deficiency was cited, each with a CMS Scope and Severity grade. The first was: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordanc..."

What type of survey was this?

This was a inspection survey conducted by state surveyors under federal Centers for Medicare & Medicaid Services (CMS) oversight. Findings are published on CMS Care Compare.

SourceView on CMS Care Compare

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Data from CMS Care Compare public records. Dataset last refreshed . If you believe any information is inaccurate, report it here.