De Leon Nursing and Rehabilitation

In the surveyor’s words

From the most serious findings on record at De Leon Nursing and Rehabilitation, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Nov 19, 2025

  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 stored in the kitchen was sealed and/or labeled properly in the facility's freezers #1 and #2. This failure could place residents that eat out of the kitchen at risk for contamination and food borne illnesses.During an observation on 9/23/25 at 9:45 AM, the facility kitchen revealed Freezer #1:1 bag of chicken legs was unsealed and opened to air.,1 bar of butter was unsealed/not dated and open to air. […]

• No harm, potential for more than minimal, widespreadF812Aug 20, 2024

  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 reviewed for food safety. The facility failed to provide paper towels at the kitchen hand washing sink. The facility failed to label stored foods with a description and/or open date. The facility failed to store foods with lids that covered the food. These failures could place residents that eat out of the kitchen at risk for food borne illnesses. The findings included: During an observation on 08/18/2024 between 02:10 PM and 2:30 of the kitchen revealed: 1. The hand washing sink in the kitchen did not have paper towels available to dry hands. 2. […]

• No harm, potential for more than minimal, widespreadF812Jun 28, 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 for 1 of 1 kitchen reviewed for kitchen sanitation. The facility failed to ensure kitchen staff practiced proper hand hygiene. This deficient practice could place residents at risk for food borne illness and cross-contamination. Findings include: During an observation on 06/26/2023 at 11:20 AM, DA B exited the kitchen without removing gloves. DA B then reentered the kitchen with gloves on hands while holding a bowl of pudding. DA B did not wash her hands or change gloves. DA B then opened the refrigerator with gloved hands, placed the bowl of pudding into the refrigerator. […]

• No harm, potential for more than minimal, widespreadF812Apr 26, 2022

  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 for 1 of 1 kitchen reviewed. 1. The facility failed to label, date and properly seal food items. 2. The facility failed to discard rancid food items. 3. The facility's kitchen staff failed to practice proper hand hygiene. These deficient practices could place residents at risk for food borne illness and cross-contamination. Findings include: Observation of the kitchen on [DATE] at 9:05 a.m., during an initial tour and inspection of refrigerator, revealed the following: -Imitation bacon bits box was opened, not labeled and not properly sealed. […]

• No harm, potential for more than minimal, patternF644Aug 20, 2024

  48883 Based on interview and record review, the facility failed to refer all level II residents and all residents with newly evident or possible serious mental disorder, intellectual disability, or a related condition for level II resident review upon a significant change in status assessment for 3 of 14 residents (Resident #5, Resident #12, and Resident #37) reviewed for PASRR. The facility failed to follow up with the LA for PASRR Level II determination when Resident #5, Resident #12, and Resident #37s PASRR Level 1 Screening reflected they were positive for mental illness. This failure could place the residents with a documented mental illness, intellectual and/or developmental disability at risk for not receiving needed services. […]