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Cedar Creek Nursing: Food Safety Violations - TX

Federal inspectors found the facility's food storage policies from 2012 did not include requirements for dating food products with expiration dates, a violation of 2022 FDA Food Code standards. The outdated policies left residents vulnerable to consuming expired or unsafe food items.

Cedar Creek Nursing and Rehabilitation Center facility inspection

The facility's temperature control policy required staff to record hot and cold food temperatures before every meal service to ensure food safety. However, inspectors documented broader food safety failures beyond temperature monitoring.

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Storage violations put residents at additional risk. Federal food safety standards require facilities to store food in clean, dry locations where items are protected from splash, dust, and other contamination. The inspection revealed the nursing home failed to meet these basic protection requirements.

Ready-to-eat foods presented particular concerns. FDA guidelines mandate that refrigerated, ready-to-eat foods requiring temperature control must be clearly marked with consumption dates when original containers are opened and held for more than 24 hours. Cedar Creek's policies failed to address this critical safety measure.

The facility also violated cross-contamination prevention standards. Federal regulations require nursing homes to separate raw animal foods from other items during storage, preparation, holding, and display to prevent dangerous bacterial spread. Only frozen, commercially processed raw animal foods may be stored with ready-to-eat items under specific conditions.

Temperature control failures compounded the safety risks. FDA standards require facilities to maintain hot foods at 135 degrees Fahrenheit or above, with limited exceptions for certain roasts that may be held at 130 degrees. Cold foods must remain at 41 degrees or below. These temperature ranges prevent bacterial growth that causes serious illness in vulnerable elderly populations.

The inspection occurred following a complaint, suggesting residents or family members raised concerns about food safety conditions at the 159 Montague Avenue facility. Federal investigators classified the violations as causing minimal harm or potential for actual harm, affecting some residents.

Cedar Creek's policy shortcomings reflected a broader failure to update safety protocols. The facility relied on food storage and temperature policies dating to 2012, more than a decade before the current FDA Food Code standards took effect in 2022. This gap left residents exposed to preventable food safety risks.

The violations encompassed the full spectrum of food handling from storage through service. Improper dating systems meant staff could not identify when products became unsafe to consume. Inadequate storage protections exposed food to contamination from environmental hazards. Cross-contamination risks increased the likelihood of dangerous bacterial spread between raw and ready-to-eat items.

Federal food safety standards exist specifically to protect nursing home residents, who face heightened risks from foodborne illness due to age and medical conditions. Weakened immune systems make elderly residents more susceptible to severe complications from bacterial infections that healthy adults might easily overcome.

The December 21 inspection documented systematic failures across multiple food safety categories rather than isolated incidents. The facility's outdated policies and inadequate protections created ongoing risks for residents who depend on the nursing home for safe, properly handled meals.

Cedar Creek Nursing and Rehabilitation Center must address these food safety violations to protect its vulnerable resident population from preventable illness and contamination risks that federal standards are designed to eliminate.

Full Inspection Report

The details above represent a summary of key findings. View the complete inspection report for Cedar Creek Nursing and Rehabilitation Center from 2025-12-21 including all violations, facility responses, and corrective action plans.

Additional Resources

🏥 Editorial Standards & Professional Oversight

Data Source: This report is based on official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).

Editorial Process: Content generated using AI (Claude) to synthesize complex regulatory data, then reviewed and verified for accuracy by our editorial team.

Professional Review: All content undergoes standards and compliance oversight by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal, using professional regulatory data auditing protocols.

Medical Perspective: As emergency medical professionals, we understand how nursing home violations can escalate to health emergencies requiring ambulance transport. This analysis contextualizes regulatory findings within real-world patient safety implications.

Last verified: April 22, 2026 | Learn more about our methodology

📋 Quick Answer

CEDAR CREEK NURSING AND REHABILITATION CENTER in BANDERA, TX was cited for violations during a health inspection on December 21, 2025.

The outdated policies left residents vulnerable to consuming expired or unsafe food items.

What this means: 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.

Frequently Asked Questions

What happened at CEDAR CREEK NURSING AND REHABILITATION CENTER?
The outdated policies left residents vulnerable to consuming expired or unsafe food items.
How serious are these violations?
Violation severity varies from minor documentation issues to serious safety concerns. Review the inspection report for specific deficiency codes and scope. All violations must be corrected within required timeframes and are subject to follow-up verification inspections.
What should families do?
Families should: (1) Ask facility administration about specific corrective actions taken, (2) Request to see the follow-up inspection report verifying corrections, (3) Check if this represents a pattern by reviewing prior inspection reports, (4) Compare this facility's ratings with other nursing homes in BANDERA, TX, (5) Report any new concerns directly to state authorities.
Where can I see the full inspection report?
The complete inspection report is available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request a copy directly from CEDAR CREEK NURSING AND REHABILITATION CENTER or from the state Department of Health. The report includes specific deficiency codes, facility responses, and correction timelines. This facility's federal provider number is 675929.
Has this facility had violations before?
To check CEDAR CREEK NURSING AND REHABILITATION CENTER's history, visit Medicare.gov's Care Compare and review their inspection history, quality ratings, and staffing levels. Look for patterns of repeated violations, especially in critical areas like abuse prevention, medication management, infection control, and resident safety.