Coleman Healthcare Center

In the surveyor’s words

From the most serious findings on record at Coleman Healthcare Center, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Sep 27, 2023

  Based on observation, interview, and record review, the facility failed to store, prepare, distribute and serve food in accordance with professional standards for food service safety in 1 of 1 kitchen. The facility failed to: A. dispose of food items after the use by or expiration date. B. Store, seal and date food items. These failures could place residents receiving oral nutritional intake at risk for foodborne illness and a decline in health status. The findings included: During observation on [DATE] from 9:47am to 10:30am of the kitchen Dry Storage: o One unsealed open 10 pounds plastic bag containing graham cracker crust with open date [DATE], o Four 32-ounce bottles of lemon juice with manufactures expire date of [DATE], and o Box with approximately eight individual cheese… […]

• No harm, potential for more than minimal, widespreadF812Jul 28, 2022

  Based on observations, interviews, and record reviews the facility failed to properly store, prepare, distribute, and serve food in accordance with professional standards for food service safety for 1 of 1 kitchen reviewed. The facility failed to ensure food was not kept in the refrigerator longer than 7 days or past the expiration date. The facility failed to adequately sanitize the food temperature testing device prior to, in between, and after taking temperatures of foods. The facility failed to ensure proper sanitation and food handling by not performing hand hygiene and changing gloves when contaminated. […]

• No harm, potential for more than minimal, widespreadF812May 13, 2021

  Based on observations, interviews, and record reviews the facility failed to properly store, prepare, distribute, and serve food in accordance with professional standards for food service safety for 1 of 1 kitchen's reviewed. 1. Foods not sealed and/or labeled properly in freezers, dry food storage, refrigerators. 2. Cook J did not use proper hand hygiene while preparing pureed meal items and/or recording temperatures for meal items. These failures could place all 29 residents that eat out of the 1 kitchen at risk for food borne illnesses. Findings included: In an observation and interview on 05/11/21 at 10:20 AM of the 1 kitchen with the Dietary Manager (DM) revealed: Freezer 1. 2 packages of Sliced Fully cooked Turkey Breast with no received/best by date. […]

• No harm, potential for more than minimal, patternF812Mar 6, 2026

  Based on observations, interviews, and record review the facility failed to properly store, prepare, distribute, and serve food in accordance with professional standards for food service safety for 1 of 1 kitchen reviewed. 1. The facility failed to ensure DA wore a hair net when he entered the kitchen.2. The facility failed to ensure the cook wore gloves while touching bread when serving food. These failures could place residents at risk for contamination and foodborne illnesses. Findings included: During an observation on 03/03/2026 at 9:59 AM the DA was wearing a baseball cap with hair pulled through the back (ponytail), without the use of a hair net . The [NAME] was observed touching the bread with her bare hand. […]

• No harm, potential for more than minimal, patternF837Mar 6, 2026

  Based on interview and record review, the facility failed to ensure that the facility had an Administrator licensed by the state that was responsible for management for 1 of 1 facility's reviewed for governing body. The facility failed to ensure the Assistant Administrator, who was acting as the facility Administrator, had an active Texas Administrator license. The facility had not had a licensed administrator since 06/20/2025. This deficient practice could result in decreased quality of life and quality of care due to a lack of staff oversight and monitoring of care.The findings include:During Interview on 3/06/2026 at 3:30 p.m. The Assistant administrator stated she had failed her test to be a licensed Administrator. […]