Silver Spring
Silver Spring in Abilene, TX — inspection on January 30, 2026.
Found 2 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
During an
pureed cornbread placed on Resident #14's meal tray.
The kitchen staff gave the dining room staff the
DM make the pureed food tray for Resident #79. On the tray there was pureed beef stew, pureed mixed vegetables, and pureed baked apples.
There was no pureed cornbread placed on Resident #79's meal tray.
The tray was placed on a cart for residents who ate in their rooms.
During an observation on 01/30/2026 at 5:57 p.m., observed the DW pushed the cart with Resident #79's tray out of the kitchen and into the hallway area for distribution. CNA A and CNA B were observed as handing out the food trays to residents.
During an interview on 01/30/2026 at 5:57 pm, CNA B stated she checked the trays for menu items and the right consistency of the food such as pureed or regular diets but did not catch the cornbread was not on the resident tray.
During an interview and observation on 01/28/2026 at 5:58 p.m., the DM stated there should have been pureed cornbread provided to the two residents who had pureed diets.
She left the kitchen and went down the hall to obtain Resident #79's tray.
She came back and placed the pureed cornbread on the tray after surveyor intervention.
She stated Resident #14 was no longer in the dining room eating.
The DM stated she overlooked the cornbread since it was not in the same location as the other prepared pureed foods.
She stated all residents should have been given all items that were listed on the menu.
During an interview on 01/28/2026 at 6:00 p.m., the contracted company's Director of Healthcare Operations stated, residents on a pureed diet should have received all the menu items on the menu.
She stated not providing all items could have led to weigh loss.
During a telephone interview on 01/29/2026 at 4:13 p.m., the dietician stated she expected residents to be offered all foods on the menu.
She stated the person plating the food was the first check that all menu items were provided and then nurse would be a second check.
She stated not giving residents the opportunity to consume pureed cornbread could lead to calorie deficiency.
During an interview on 01/30/2026 at 10:04 am, Resident #14 stated she liked cornbread and if it were on her tray she would have eaten it.
During an interview on 01/30/2026 at 10:10 am, the DON stated that the ADMN monitored dietary overall.
She stated that as the trays were being delivered to residents, the nurses should have been checking the trays and making sure residents had received what was listed on the menu.
She stated her expectations were for residents to be provided what was on the menu.
The DON stated for one of the missed resident puree's, the resident had not been eating anyway, so it did not matter whether he had gotten his cornbread or not.
She stated she felt there was no negative effect on the residents in not receiving their cornbread.
During an interview on 01/30/2026 at 2:45 pm, the ADMN stated all residents should get what was provided on the menu.
He stated the first line of checking trays should be monitored by dietary prior to going to the resident, and if going to the hallway, a second check should have been performed. He stated that all trays from the ticket should have matched the food that was being delivered.
The ADMN stated his expectations was that all items were placed appropriately on resident trays.The ADMN stated he thought the negative impact for residents was, if this failure consistently occurred in dietary and nursing staff, the residents that had not received an item could turn to a decrease in nutrients.
Record review on 01/30/2026 of the facility's' undated policy Meal Service and Distribution Policy and Procedure, revealed; .4.
Verification of Meal Delivery; The nursing staff is tasked with checking that meals are accurate to the resident's/patients' diet order and that delivery is both prompt and correct.5.
Point-or-Service Dining Assembly; Under the supervision of licensed nursing personnel, Dietary Services staff will prepare meals according to each resident'/patient's individual meal card at the point of service, thereafter, presenting it directly to the resident/patient or to care staff for delivery.
676376 01/30/2026
Silver Spring 1690 N.
Treadway Blvd.
Abilene, TX 79601
During an interview on 01/30/2026 at 2:30 p.m., the ADMN stated his expectation would be for foods to be stored, labeled, and discarded per the dietary policy. He stated the DM was responsible for making sure the policy was followed. He stated the dietary staff were contracted as well as the dietitian. He stated the contracted company had corporate supervision that occurred weekly and the dietitian monitored monthly. He stated if the policy for food storage, labeling, and disposal was not followed it could cause residents to have GI discomfort and possible infection.
Record review of the facility document titled MDS Resident Matrix, dated 01/28/2026, reflected no residents received enteral feeding (a method of delivering nutrition directly into the gastrointestinal tract through a feeding tube, used when oral intake is insufficient or unsafe).
Record review of the facility policy titled Dry Goods Storage Policy and Procedure, no date, reflected: Storage areas shall be organized and maintained in a manner that allows for easy identification and access to items, with all goods appropriately date labeled.
Record review of the facility policy titled Cold Food storage Policy and Procedure, no date, reflected: To prevent cross-contamination, all foods must be stored in a manner that is wrapped, covered, or contained within labeled and dated packages or containers.
Review of the Food Code 2022 https://www.fda.gov/food/retail-food-protection/fda-food-code, accessed 1/14/2026 reflected 3-602.11 Food Labels. (A) FOOD PACKAGED in a FOOD ESTABLISHMENT, shall be labeled as specified in LAW, including 21 CFR 101 - Food labeling, and 9 CFR 317 Labeling, marking devices, and containers. (B) Label information shall include: (1) The common name of the FOOD, or absent a common name, an adequately descriptive identity statement .refrigerated foods must be consumed, sold or discarded by the expiration date.