San Antonio West Nursing: Food Safety Violations - TX
The facility's July food temperature log showed lunch temperatures went unrecorded from July 9 through July 21, then again from July 23 through July 31. Breakfast temperatures disappeared from the record entirely during the final week of July, from July 24 through July 31. Dinner temperatures also vanished for the month's final two days.
When inspectors interviewed the food service supervisor on August 15, she confirmed the missing documentation but offered no explanation for the widespread gaps in safety monitoring.
The facility's own dietary policies acknowledge the critical nature of temperature control, noting that the "danger zone" between 41 and 135 degrees Fahrenheit "promotes the rapid growth of pathogenic microorganisms that cause foodborne illnesses."
Yet for weeks, nobody tracked whether meals served to residents fell within that dangerous range.
The dietitian told inspectors by phone that she was aware of the documentation failures. She said she had verbally counseled kitchen staff and provided training on proper temperature logging. Her August 13 sanitation report to the facility rated the kitchen's performance as unsatisfactory due to the incomplete temperature records.
A separate quality assurance evaluation from August 6, also authored by the dietitian, gave the facility another unsatisfactory rating specifically for the incomplete food temperature logs.
The pattern of missing documentation was extensive. Out of 31 days in July, lunch temperatures were recorded on just nine days. Breakfast fared even worse, with temperatures documented for only the first 23 days of the month. Dinner temperatures disappeared entirely for the final 48 hours of July.
When inspectors asked the administrator on August 15 for the facility's policy on documenting food temperatures, they received nothing. Three days later, at the inspection's conclusion, the administrator still had not provided any written policy governing daily temperature documentation for meals.
The facility's own 2001 food preparation guidelines emphasize the importance of temperature control in preventing foodborne illness, yet the kitchen operated for weeks without the basic safety monitoring those guidelines describe as essential.
Federal regulations require nursing homes to procure food from approved sources and store, prepare, distribute and serve meals according to professional standards. The systematic failure to document temperatures meant the facility could not demonstrate it was meeting those standards during a significant portion of July.
The missing temperature logs created a blind spot in food safety oversight precisely when residents were most vulnerable. Elderly nursing home residents often have compromised immune systems that make them particularly susceptible to foodborne pathogens that multiply rapidly in improperly stored or prepared food.
Without temperature documentation, there was no way to verify that hot foods stayed hot enough to prevent bacterial growth or that cold foods remained cold enough to inhibit contamination during the preparation and serving process.
The facility's quality assurance process detected the problem, with the dietitian's August reports documenting the failures. But the systematic nature of the missing records suggests the lapses went unaddressed for weeks while residents continued eating meals from an unmonitored kitchen.
The food service supervisor's inability to explain the documentation gaps during her August 15 interview highlighted the breakdown in basic safety protocols. Temperature logging represents one of the most fundamental aspects of commercial food safety, yet staff could not account for why it stopped happening across multiple meal periods for most of a month.
The inspection revealed a facility that understood the importance of food temperature control in theory, with written policies acknowledging the dangers of the temperature danger zone, but failed to implement those protections in practice when it mattered most for resident safety.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for San Antonio West Nursing and Rehabilitation from 2025-08-18 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: Official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).
Editorial process: AI-synthesized regulatory data, reviewed for accuracy by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: June 20, 2026 · Our methodology
San Antonio West Nursing and Rehabilitation in San Antonio, TX was cited for violations during a health inspection on August 18, 2025.
The facility's July food temperature log showed lunch temperatures went unrecorded from July 9 through July 21, then again from July 23 through July 31.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.