Groesbeck LTC Nursing and Rehabilitation

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812Mar 28, 2024

  Based on observation, interview, and record review, the facility failed to store, prepare, distribute, and serve food under sanitary conditions in the facility's kitchen for one out of one ice machines. The facility failed to ensure the ice machine was free of mold. This failure placed the residents at risk for foodborne illnesses. Findings included: Observation on 3/26/2024 at 09:02 am of the only ice machine had pink and black residue on the outside of the internal plastic covering over the ice drop, the level of ice was up to the bottom edge of covering. Observation on 3/26/2024 at 12:30 pm of ice machine after cleaning faint pink coloring remains, no black residue present on the internal plastic covering over the ice drop. […]

• No harm, potential for more than minimal, widespreadF812Jan 26, 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 one of one kitchen reviewed for kitchen sanitation. A. The facility failed to sanitize the oven, walk-in refrigerator and walk-in freezer located in the kitchen. B. The facility failed to properly store and label food in the facility's walk-in refrigerator and walk-in freezer. C. The facility failed to ensure Dietary Aide B wore a beard net when removing clean plates from the dishwasher and Dietary Aide C properly wore a hair net when placing residents' breakfast plates on the meal tray cart. D. […]

• No harm, potential for more than minimal, patternF689Jul 30, 2026

  Based on observation, interview, and record review the facility failed to ensure the resident environment remained as free of accident hazards as possible for 1 of 3 housekeeping carts (Housekeeping Cart #1) and for 2 of 8 tables (Table 6 and Table 5) reviewed for hazards. The facility failed to ensure HSK did not leave keys accessible on an unsupervised Housekeeping Cart #1 with cleaning chemicals inside the compartments. The facility failed to ensure that dining room furnishings (Table 6 and Table 5) were structurally sound, stable and safe, having the potential to affect all residents who use the main dining area for meals or activities. This failure could place residents at risk of injuries, illness, and hospitalization. Findings included: 1. […]

• No harm, potential for more than minimal, patternF760Jul 30, 2026

  Based on interview and record review, the facility failed to ensure residents were free of any significant medication errors for 5 of 7 residents (Resident # 22, Resident #37, Resident #23, Resident #2, and Resident #27) reviewed for medication errors.The facility failed to ensure MA D followed ordered BP parameters for administration of Atenolol Oral Tablet 50 MG (treating high blood pressure) ordered by physician for Resident #22. MA D failed to notify charge nurse to recheck BP for Resident #22 and hold administration of medication on 07/23/2026, 7/24/2026, and 7/28/2026. The facility failed to ensure MA D followed BP parameters ordered for administration of Lisinopril Oral Tablet 20 MG (treating high blood pressure) ordered by physician for Resident #37. […]

• No harm, potential for more than minimal, patternF812Jul 30, 2026

  Based on observations, interviews, and record review the facility failed to store, prepare, distribute, and serve food under sanitary conditions in 1 of 1 kitchen in the facility. The facility did not ensure that unopened packages of meat that were taken out of the original box had a date on it. The facility did not ensure that the floors in the walk-in refrigerator and the walk-in freezer were free of debris. These failures could place all residents who eat prepared food in the kitchen at risk of foodborne illnesses.Findings included: Observation on 07/28/2026 at 9:32 AM of the freezer revealed the following:There were food particles and a sticky substance on the floor underneath the bottom shelf of the freezer. […]