Big Spring Care Center for Rehab and Healthcare

In the surveyor’s words

From the most serious findings on record at Big Spring Care Center for Rehab and Healthcare, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Mar 4, 2026

  Based on observation, record review, and interview, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety and in manner that protects if from possible contamination when multiple staff failed to wear hair nets and facial hair nets while in the kitchen during meal preparation and meal service. The facility census was 37.Review of the facility policy, dated 06/30/25, titled Dietary Employee Personal Hygiene, showed the following:-All dietary staff must wear hair restraints to prevent hair from contacting food;-Hair restraints include hair net, hat, and/or beard restraint.Review of the most recent revision, dated 01/18/23, of the United States Food and Drug Administration (FDA) Food Code 2022, showed food employees… […]

• No harm, potential for more than minimal, widespreadF801Jan 31, 2025

  Based on interview and record review, the facility failed to employ a qualified dietary manager for food and nutrition services with accredited education in food service management. The facility census was 44. Review of the facility's policy titled, Director of Food and Nutrition Services, undated, showed the following: -The Director of Food and Nutrition Services (DFNS) will be responsible for all aspects of the food and nutrition services department including, but not limited to food safety, staff safety, cost management, and meeting nutritional needs of patients/residents served; -The DFNS will be hired by corporate staff, the Administrator, or by the immediate supervisor of the position as deemed appropriate by the facility; -The DFNS will be qualified according to the position's job… […]

• No harm, potential for more than minimal, widespreadF802Jan 31, 2025

  Based on observation, interview, and record review, facility staff failed to ensure dietary staff had the appropriate competencies and skills to safely and effectively carry out the functions of food and nutrition services. The facility census was 44. Review showed the facility did not provide a policy regarding new employee training. 1. Review showed the facility did not provide completed training documents or skills test for the current kitchen staff. During an interview on 01/29/25, at 2:25 P.M., Dietary Aide (DA) P said the following: -DA P started in the kitchen on 01/24/25; -DA P was still in training and the Dietary Manager (DM) had not gone over any kitchen policies with him/her; -DA P did not feel that he/she had enough training to be serving lunch to residents ,but was told to do… […]

• No harm, potential for more than minimal, widespreadF812Jan 31, 2025

  Based on observation, interview, and record review, the facility failed store, prepare, distribute, and serve food in accordance with professional standards when staff failed to use effective hair restraints; failed to remove dented cans from use; failed to consistently label and date food; failed to ensure the dishwasher machine sanitation was at the appropriate level; failed to keep trash covered when not in use; failed to wash hands and equipment appropriately during food prep and service; and when staff failed to ensure non-food contact surfaces were clean and maintained in good repair. The facility census was 44. 1. […]

• No harm, potential for more than minimal, widespreadF835Jan 31, 2025

  Based on observation, interview, and record review, the facility failed to ensure the home was administered in an effective and efficient manner to ensure the highest practical well-being of all residents when the facility failed pay their bills in a timely manner. The facility census was 44. 1. Review of the facility's laboratory service invoices showed the following: -An invoice, dated 07/08/24, showed an amount owed of $2664.31. The invoice showed a note of terms of net 30 days; -An invoice, dated 08/08/24, showed an amount owed of $241.41. The invoice showed a note of terms of net 30 days; -An invoice, dated 09/05/24, showed an amount owed of $3466.70. The invoice showed a note of terms of net 30 days; -An invoice, dated 10/28/24, showed an amount owed of $2880.47. […]