Truman Healthcare: Food Safety Violations Found - MO
Inspectors documented the sequence in detail. The dietary manager changed her gloves without washing her hands first. Then she touched the top bun of a hamburger. Then a cook handed her a plate with two grilled cheese sandwiches, and she touched both of them with those same gloves and cut them in half. She touched the hamburger bun again. She gave both plates to a dining assistant, who brought them to residents.
Everyone in the kitchen knew this was wrong.
The cook who handed her the plate said that if staff took off gloves and put on new ones without washing their hands in between, the new gloves would be contaminated and could contaminate the food. He said if he saw a staff member skip the handwash, he corrected them and told the dietary manager. If it was the dietary manager herself doing it, he went to the administrator.
The dining assistant said the same thing, almost word for word.
So did a third kitchen worker.
When inspectors interviewed the dietary manager that afternoon, she did not dispute what had happened. She said staff should wash their hands when entering the kitchen, between tasks, when moving from a dirty process to a clean one, and every time they change gloves. She said staff should not take off gloves and put on a new pair without washing their hands because the new gloves would be contaminated. She said she expected her staff to correct each other, and to correct her, if they saw someone skip the handwash.
Then she said she had not washed her hands between the glove change, but she should have.
She said she should not have touched the hamburger bun or the grilled cheese with those gloves because they were contaminated.
She said she was responsible for making sure her staff washed their hands between glove changes.
The director of nursing confirmed the same standard applied to the dietary manager and everyone else in the kitchen.
What the inspection report does not say is whether anyone stopped the plates before they reached residents. The dining assistant received both plates from the dietary manager and brought them out for service. There is no indication in the report that anyone intervened between the moment the dietary manager handed off the food and the moment it arrived at the table.
The dietary manager was the person whose job it was to catch this kind of mistake. She was the one her staff said they would report to if they saw someone else do exactly what she did. She described her own role in enforcing the standard, and then described, in the same interview, how she had violated it.
Inspectors cited the facility under F0812, which covers sanitary conditions in food preparation. The violation was tagged at the level of minimal harm or potential for actual harm, and inspectors noted some residents were affected.
The complaint that prompted the inspection was filed under case number 2690751.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Truman Healthcare & Rehabilitation Center from 2025-12-19 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 19, 2026 · Our methodology
TRUMAN HEALTHCARE & REHABILITATION CENTER in LAMAR, MO was cited for violations during a health inspection on December 19, 2025.
Inspectors documented the sequence in detail.
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.