The Village at Incarnate Word

In the surveyor’s words

From the most serious findings on record at The Village at Incarnate Word, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Sep 27, 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 for 1 of 1 kitchen reviewed in that: 1. A fire extinguisher inspector was not wearing a beard guard or full hair net in the kitchen during food preparation. 2. Pudding cups in Refrigerator #1 were neither labeled nor dated. 3. Chili in Refrigerator #2 was neither labeled nor dated. 4. Pie crusts in Freezer #1 were unsealed. These deficient practices could result in foodborne illness for those who consume snacks and meals prepared in the kitchen. The findings were: 1. Observation on 10/27/2024 at 10:32 a.m., revealed a man was inspecting the fire extinguisher in the kitchen. […]

• No harm, potential for more than minimal, patternF812Dec 12, 2025

  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 facility. The facility failed to ensure food safety was maintained during a potluck event hosted by Volunteer D on 12/09/2025. This failure could place residents who participated in potluck events hosted by family and visitors at risk for food borne illness. The findings included:Observation on 12/09/2025 at 11:50 PM revealed a table at the end of A Hall with three trays of hot food; one tray had white and wild rice with pieces of chicken covered with cheese, one tray had small pieces of cooked ham and one tray had a vegetable medley of broccoli, carrots and cauliflower. […]

• No harm, potential for more than minimal, patternF813Dec 12, 2025

  Based on observation, interview and record review, the facility failed to have a policy regarding use and storage of foods brought to residents by family and other visitors to ensure safe and sanitary storage, handling, and consumption. The facility failed to provide a policy regarding use and storage of foods brought to residents by family and other visitors and failed to explain safe food handling practices to Volunteer D, who brought hot food items to the facility on [DATE]. […]

• No harm, potential for more than minimal, patternF657Sep 27, 2024

  Based on interview and record review, the facility failed to ensure that the comprehensive care plan was reviewed and revised by the interdisciplinary team after each assessment for 1 of 18 residents (Resident #10) reviewed for care plans. The facility failed to ensure Resident #10's care plan dated 08/20/2024 reflected the resident's current diet texture order which had been updated/changed 08/30/2024. This failure could place residents at risk of not receiving appropriate care to meet their current needs. […]

• No harm, potential for more than minimal, patternF813Sep 27, 2024

  Based on observation, interview, and record review, the facility failed to maintain and ensure safe and sanitary storage of residents' food items for 2 of 5 (Rooms #13 and room [ROOM NUMBER]) residents' refrigerators reviewed in that: The personal refrigerators in Rooms #13 and #14 contained food items which were unlabeled and undated. This deficient practice could place residents at risk of foodborne illness due to consuming foods which are spoiled. The findings were: Observation on [DATE] at 9:25 a.m. revealed the personal refrigerator in Resident room [ROOM NUMBER] contained chicken tenders, which was unlabeled and undated. Observation on [DATE] at 11:20 a.m. revealed a container with chicken tenders was still present in Rooms #13's personal refrigerator. […]