Lamun-Lusk-Sanchez Texas State Veterans Home

In the surveyor’s words

From the most serious findings on record at Lamun-Lusk-Sanchez Texas State Veterans Home, in the surveyor’s own words.

• Immediate jeopardy, patternF806Dec 18, 2024

  Based on observation, interview, and record review, the facility failed to provide food that accommodated resident allergies, intolerances, or preferences for 3 of 12 residents (Resident #1, #2, #6) reviewed for meal preferences. 1. The facility failed to ensure there was no cheese or Resident #1's sandwich, a documented allergy, resulting in Resident #1 having anaphylaxis symptoms and receiving an epi-pen (epinephrine, a medication that can help decrease a body's allergic reaction) on 12/15/2024. 2. The facility gave Resident #2, Resident #6's meal tray, and Resident #2 consumed the incorrect tray on 12/17/2024. 3. […]

• No harm, potential for more than minimal, widespreadF802Mar 25, 2021

  Based on observation, interview and record review the facility failed to employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service and provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service for 92 of 92 residents who consumed foods orally, in that: 1. Resident preferences were not met related to food palatability and timeliness of meals. Residents interviewed confidentially voiced concerns related to the palatability and timeliness of the foods served in the facility (bland, poor flavor, poor texture, cold, late). 2. Dietary staff failed to demonstrate sufficient skills related to food service functions. 3. […]

• No harm, potential for more than minimal, widespreadF812Mar 25, 2021

  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 92 of 92 residents who consumed foods orally, in that: 1. Foods and food contact equipment were not stored in a manner to prevent contamination (milk, bottled water, supplements, and drink dispenser tubing) 2. Handsanitizers and degreasers were not stored in a manner to prevent contamination of foods and food contact equipment (hand sanitizers and degreaser). 3. Three of 4 Dietary Staff failed to wash their hands in a sanitary manner and after soiled duties (Dietary staff A, B and C). 4. […]

• No harm, potential for more than minimal, patternF576Sep 17, 2026

  Based on interview and record review, the facility failed to ensure that residents received mail for 11 of 14 confidential residents reviewed for rights to forms of communication for 1 of 1 facility reviewed for mail being delivered on Saturdays. The facility failed to have a system in place to ensure that residents received their mail on all days that mail was delivered by the United States Postal Service. This failure could result in a decline in residents' psychosocial well-being and potentially cause them to feel disconnected from family, friends, and current world issues. […]

• No harm, potential for more than minimal, patternF804Sep 17, 2026

  Based on observation, interview, and record review, the facility failed to provide food that was palatable, and at a safe, and appetizing temperature for 3 of 3 food forms (Regular, Mechanical Soft, and Pureed) for 2 of 2 meals reviewed for palatability.The facility failed to provide food that was palatable for 3 of 3 food forms served (Regular, Mechanical Soft, and Pureed) at 2 of 2 meals observed on 9/15/26 for lunch and dinner.These failures could place residents at risk of decreased food intake, hunger, and unwanted weight loss.The findings included:Record review of the Resident Council Minutes dated 06/15/26 revealed resident comments related to the food served in the facility. […]