Calder Woods
CALDER WOODS in BEAUMONT, TX — inspection on January 30, 2026.
Found 4 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
she felt like she was not given enough food for the residents in DR #1.
She also said she thought
table their meal tray together. He also said that from the first tray to the last tray should only be five
food is sent to the other dining rooms. He said if all the residents at the same table did not get their meal together the resident may feel left out. He said the DM and the CK monitored to ensure that enough food was sent to the other dining rooms. He said the DM and the CK monitored by doing rounds. He said he did not know why DR #1 ran out of food and Resident #28 had to wait so long for her meal tray. He said sometimes the residents change their mind after the food is served and then they had to wait. He also said the DM and CK have adjusted and sent more of the popular food to the other dining rooms so they would not run out if residents changed their mind.
Interview with CK A on 01/30/2026 at 11:05 a.m., revealed he had been trained on resident rights. He said the policy was the residents would pick what they wanted to eat for each meal. He said once the resident picks their meal they were up on a board and the CK would go by the menu and the exact amount next to the item on the menu. He said the CK was responsible for ensuring that enough food was sent to the other dining rooms. He said if a resident did not get their meal with the other residents in the dining room the resident may feel left out. He added the only time he had seen a resident not get their food with everyone else was when the resident changed their mind and wanted something different. He said a reasonable amount of time from the first tray to the last tray to be handed out in DR #1 was two to three minutes. He said the DM monitored to ensure enough food is sent to the other dining rooms. He said the DM would come to help portion the food out. He said he did not know why DR#1 ran out of food and Resident #28 had to wait twenty-two minutes for her meal tray.
Interview with the ADM on 01/30/2026 at 11:30 a.m., revealed he had been trained on resident rights. He said his expectation was when staff took food to the other dining rooms, the staff were to take the temperature of the food and log the temperatures. He said staff were to serve everyone at the same table at the same time. He said the facility dietary staff would get the resident's meal choice and give the information to the kitchen. He said then the CK would send the choices plus two extra meals in case a resident changed their mind. He said a reasonable amount of time was five to seven minutes depending on if all the residents were at the table. He said the culinary department was responsible for ensuring there was enough food sent to the other dining rooms. He said a resident may get angry and feel left out of the dining experience. He said the ADM, nursing administration and DM monitored to ensure that enough food was sent to the other dining rooms. He also said that there was a group text for the nursing staff and culinary and if there was an issue the staff could let the DM know so it could be fixed. He said the ADM, nursing administration and DM monitor through observation and ensure staff were using the proper portion size. He said that the reason Resident #28 did not get her meal tray was because almost all the residents at the table changed their mind and wanted the teriyaki chicken on the hoagie roll.
Record review of the facility's Food and Nutrition Services Policy dated 08/29/2023 revealed Optimal nutrition extends beyond providing adequate dietary intake and includes meeting an individual's social, cultural, and psychological needs where possible.
Family involvement during meal service has a very positive impact on a resident's nutritional well-being.
Record review of the Facility's Resident Rights Policy dated 01/23/2025 revealed Residents have the right to be treated with respect and dignity.
services of a licensed pharmacist.
observations, interviews, and record review, the facility failed to provide pharmaceutical services
all drugs and biologicals) to meet the needs of each resident for medication and supply storage room [ROOM NUMBER] of 1 reviewed for pharmacy services.
The facility failed to ensure expired medical supplies were removed from the singular medication and supply storage room.This failure could place residents at risk of contamination causing illness and decreased effectiveness or failure of medical supplies.
Findings included:Observation on [DATE] at 11:30 AM of the singular medication room revealed the following:Three enteral feeding bags with attached gravity set 1200mL capacity with an expiration date of [DATE].One enteral feeding bag with attached gravity set 1200mL capacity with an expiration date of [DATE].Two Aspira drainage kits with use by date [DATE].In an interview on [DATE] at 11:30 AM MA D, stated she is in serviced on Infection control and medication/supply storage and labeling.
She stated that the MAs are responsible for checking expiration dates of the medications in the medication and storage room.
She stated the nurses are responsible for ensuring that all medical supplies stored in the medication and storage room and free of expired supplies.
She stated that if expired supplies are used for resident care, they could be ineffective or cause infection.In an interview on [DATE] at 10:12 AM LVN I stated she was in serviced on Infection control and medication/supply storage and labeling.
She stated that MAs are responsible for ensuring medication stored in the medication room and medication carts are within date.
She stated that the nurses are responsible for ensuring the supplies are within date and removed once expired from supply.
She stated if medical supplies are expired it could have potentially lost its sterility and if used it could cause infections.In an interview on [DATE] at 10:17 AM MA F stated she is frequently in serviced on Infection control and medication/supply storage and labeling.
She stated that nurses are responsible for ensuring supplies remain in date.
She stated that if expired supplies are used, they could potentially cause an infection.In an interview on [DATE] at 10:30 AM LVN J stated she was in-serviced on Infection control and medication/supply storage and labeling.
She stated that it is the responsibility of each nurse on each shift to ensure all medications and supplies are stored within date and removed if expired.
She stated that if medical supplies are used after the expiration date it could cause bacteria growth and infections. In an interview on [DATE] at 11:00 AM with DON she stated the staff are frequently in serviced on infection control, medication/supply storage and labeling.
She stated that it is her expectation that expired medication, or supplies are removed to ensure they are not used for resident care.
She stated that they have a pharmacy consultant that comes and ensures that the disposal of any expired medication.
She stated it is ultimately her responsibility to ensure that there are no expired supplies in the supply room or in the treatment carts.
She stated that if medical supplies are expired and utilized on the residents they could cause damage, not work properly, and could have bacteria from sitting so long.In an interview with ADM on [DATE] at 11:04 AM. He stated that the staff are frequently in serviced on infection control, medication/biological storage and labeling. He stated that he expected expired medication or supplies to be disposed of and not used on the residents. He stated that it is ultimately everyone who has access to supplies responsibility to ensure expired items are removed. He stated he was not sure what could happen if expired supplies were used but that he would expect that they could degrade over time and fluids would not flow well through tubing.Review of facility policy and procedure titled Storage of Medications, dated [DATE], revised on [DATE], reflected Service standard, [the facility] stores all drugs and biologicals in a safe, secure, and orderly manner. 2.
The nursing staff is responsible for maintaining medication storage preparation areas in a clean, safe, and sanitary manner. 4.
The facility may not use medication that has been discontinued, outdated, or has deteriorated.
676109 01/30/2026
Calder Woods 7080 Calder Beaumont, TX 77706
to assure the freshness and highest quality of all foods.a.ˆˆOld stock is always used first (first in -
regulation.c.ˆˆDate marking should be visible on all high risk food to indicate the date by which a
maintain the integrity of the packaging until ready for use.
Food stored in bins may be removed from its original packaging.8.ˆˆPlastic containers with tight fitting covers or sealable plastic bags must be used for storing grain products, sugar, dried vegetables and broken lots of bulk foods or opened packages.
All containers or storage bags must be legible and accurately labeled and dated.Record review of the facility's policy revised January 23, 2025, named Sanitation revealed: Procedure:1.
Food is prepared, distributed, and served to residents under sanitary conditions.2.
Food is obtained for resident consumption from sources approved or considered satisfactory by Federal, State, or Local Authorities; and3.
Follow proper sanitation and food handling practices to prevent the outbreak of foodborne illness.4.
Safe food handling the prevention of foodborne illnesses begins when food is received from the vendor and continues throughout the facility's food handling processes.Record review of the FDA Food Code and Texas Administrative Code (26 TAC S554.1111), reflected the following must be met: Hands-Free Operation: Trash cans located near handwashing sinks or in food prep areas should ideally be hands-free (foot-pedal operated) to prevent cross-contamination.
Material: Receptacles must be durable, cleanable, non-absorbent, and leak-proof.
Plastic liners (trash bags) are required for wet waste.
Covering: Trash cans must be covered when not in continuous use.
If they contain food residue, they must have a tight-fitting lid to prevent pests and odors.
676109 01/30/2026
Calder Woods 7080 Calder Beaumont, TX 77706
help to prevent the development and transmission of communicable diseases and infections for 3 out
pressure cuff between residents (R#5, R #18, R #32, R #21) while performing medication pass.
The failure placed residents at risk for cross contamination and the development of infections.Findings include:In observation of medication administration on 1/29/2026 at 8:12 AM MA D utilized the blood pressure cuff on Resident #5, Resident #18, Resident #32, and Resident #21 and failed to disinfect the blood pressure cuff between the residents.In an interview on 1/29/2026 at 8:50AM with MA D, she stated that it is proper practice to cleanse the blood pressure cuff between residents with a Sani-wipe and wait 2 minutes for it to dry before using the equipment again.
She stated that if the cuff is not cleaned between residents, it could take germs one patient has to another resident.
She stated that the blood pressure cuff should be cleansed between residents to help prevent the spread of germs and infection.
She stated she is frequently in serviced on infection control, hand hygiene, abuse, neglect, and cleaning reusable medical equipment.
She stated she was nervous and forgot to clean the blood pressure cuff.In an interview on 1/29/2026 at 10:30 AM with LVN H, she stated they are frequently in serviced on infection control, hand hygiene, and how to clean reusable medical equipment.
She stated that all equipment should be cleansed between each resident.
She stated if the equipment is not cleaned between residents germs can be spread causing infections or illness.In an interview on 1/29/2026 at 10:50 AM with MA E, she stated they are frequently in serviced on infection control, hand hygiene, and how to clean reusable medical equipment.
She stated that all equipment such as a blood pressure cuff should be cleansed between each resident.In an interview on 1/29/2026 at 11:11 AM with CNA G stated she has is frequently in serviced on infection control, hand hygiene, and the cleaning of reusable medical equipment.
She stated that a blood pressure cuff should always be cleansed with a Sani-cloth and allowed to dry before using it on another resident.
She stated that if reusable medical equipment is not cleaned between each resident germs can be spread from one resident to another, and they could get sick.In an interview on 1/30/2026 at 10:12 AM LVN I, stated she is In serviced on infection control and cleaning reusable medical equipment.
She stated that all reusable equipment should be disinfected between residents.
She stated that if reusable medical equipment is not cleaned between residents, it can spread infectious diseases from one resident to another one.In an interview on 1/30/2026 at 11:00 AM with DON, she stated the staff are frequently in serviced on infection control, disinfection of reusable medical equipment.
She stated that she expected all staff to clean and disinfect all reusable medical equipment and allow them to dry before using on another resident.
She stated that if the staff do not disinfect reusable equipment between residents they could be spreading germs and illness between patients.In an interview with ADM on 1/30/2026 at 11:04 AM. He stated that the staff are frequently in serviced on infection control, disinfection of reusable medical equipment. He stated he expects the staff to disinfect reusable equipment between residents following the manufacturer's instructions and that if the items are not disinfected they could spread skin infections from resident to resident.Review of facility policy and procedure titled Environmental Cleaning, dated April 6. 2020 and revised October 21, 2025, reflected: Service standard, Care and cleaning of the Community will perform in a way that is consistent with CMS requirements to provide a safe, sanitary, and comfortable environment and help to prevent the development and transmission of communicable diseases and infections. 7.
Properly clean, disinfect and limit sharing of medical equipment between residents and areas of community.
676109 01/30/2026
Calder Woods 7080 Calder Beaumont, TX 77706