Deer Creek Nursing: Food Preparation Violation - TX
That was the finding at the center of a complaint inspection completed December 1, 2025, at the 555 Ranch Road facility in this small Hill Country town. Federal inspectors cited the home under tag F0804, which covers adequate nutrition, and rated the violation at the lowest level of harm — minimal harm or potential for actual harm. A few residents were affected.
The facility did have documentation of a staff in-service on menus, adequate nutrition, and thickener use, dated June 29, 2025. That training record noted that staff should "add liquid: incorporate broth, milk, or juice to adjust thickness as needed" when preparing pureed foods. But when inspectors went looking for the specific preparation directions for pureed chicken tenders, staff could not produce them.
For residents who require pureed or mechanically altered diets, the preparation method is not a minor detail. Texture-modified diets are typically ordered for people with swallowing difficulties, a condition that can cause food or liquid to enter the airway rather than the stomach. Getting the consistency wrong — too thick, too thin, too lumpy — carries real consequences for those residents. The June training acknowledged as much, giving staff general guidance on how to adjust thickness. But general guidance and specific preparation directions for a specific menu item are not the same thing, and on the day inspectors arrived, the specific directions were nowhere to be found.
The inspection report does not describe a resident who was harmed. It does not say a meal was prepared incorrectly, or that anyone choked, or that a resident refused food because of texture problems. What it documents is a gap in the paper trail — the instructions that should have been available to whoever was preparing that day's chicken tenders were not there when someone went to look.
That kind of gap is the quiet version of a food safety problem. The dramatic version is a resident in distress. The quiet version is a kitchen where the right information isn't where it needs to be, and nobody knows whether the person doing the cooking knew what they were doing or was guessing.
Deer Creek Nursing and Rehabilitation is a small facility by Texas standards, operating in a community of roughly 3,000 people southeast of Austin. The inspection was triggered by a complaint, not a routine survey, which means someone — a resident, a family member, or a staff member — contacted regulators before inspectors arrived.
The report covers only this single deficiency. There is no indication of broader staffing concerns, no pattern of nutrition violations documented in this inspection, and no higher-level citations. The facility's plan of correction was not included in the materials reviewed.
What the record shows is a staff that had sat through a training on pureed foods six months before inspectors arrived, and a kitchen that still didn't have the preparation directions on hand when it mattered.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Deer Creek Nursing and Rehabilitation from 2025-12-01 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: August 24, 2026 · Our methodology
Deer Creek Nursing and Rehabilitation in Wimberley, TX was cited for violations during a health inspection on December 1, 2025.
That was the finding at the center of a complaint inspection completed December 1, 2025, at the 555 Ranch Road facility in this small Hill Country town.
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.