Sterling Nursing And Rehab
Sterling Nursing and Rehab in STERLING CITY, TX — inspection on September 11, 2025.
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
During an interview on 09/11/2025 at 2:02 PM, the DON said it was expected for oxygen signs be posted outside of resident rooms that were using oxygen.
The DON said she was not sure why there were no signs on the 2 rooms as they usually had them posted.
She said the signs might have fallen off.
The DON said the signs were supposed to be posted for safety of the residents or fires.
During an interview on 09/11/2025 at 2:22 PM, the Administrator was made aware of the observation of the resident rooms without oxygen signs posted outside of the doors.
The Administrator said it was expected for those resident rooms to have the signs and that they must have forgotten to post them.
Record review of the facility undated policy, titled Oxygen administration, indicated in part: Supplies/equipment - appropriate oxygen signs for door and room.
Place appropriate oxygen signs per facility policy.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
09/11/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Sterling County Nursing Home
309 Fifth St Sterling City, TX 76951
SUMMARY STATEMENT OF DEFICIENCIES
Review of the Diet Guide for the cooks, undated revealed:Soft Chopped Diet is food cut by hand into even bite sized pieces or as prescribed by a doctor.
Food must be moist throughout and cannot include any food that is hard, sticky, or crunchy.
Ground Diet - is food that is moist, soft-textured and easily formed in a rounded ball in the mouth.
Meats are ground or minced into pieces no larger than a quarter inch; all pieces are moist and stick together slightly (cohesively).Pureed Diet is food with very smooth consistency or foods that have been well processed in a food processor or blender to a very smooth consistency or texture. No solid pieces or parts can be noticed in the food.
Pureed food has no lumps and feels very soft and smooth in the mouth.
Review of the Meal Service Report, dated 9/9/25, revealed there were 5 residents on a chopped meats diet, 2 residents on a mechanical soft diet, and 2 residents on a puree diet.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
09/11/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Sterling County Nursing Home
309 Fifth St Sterling City, TX 76951
SUMMARY STATEMENT OF DEFICIENCIES
Federal health inspectors cited STERLING COUNTY NURSING HOME in STERLING CITY, TX for a deficiency under regulatory tag F-F0880 during a standard health inspection conducted on 2025-09-11.
Category: Infection Control Deficiencies
The facility was found deficient in the following area: Provide and implement an infection prevention and control program.
Scope/Severity Level F: widespread, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 4 deficiencies cited during this inspection of STERLING COUNTY NURSING HOME.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-10.
Based on observation and interview, the facility failed to maintain all mechanical, electrical, and patient care equipment in safe operating condition for 1 of 1 kitchen reviewed for physical environment.
The facility failed to ensure the dishwasher met manufacturer's recommendation of 120 degrees Fahrenheit for the wash and sanitize cycle.
This failure could place residents at risk of foodborne illnesses and residents and staff.
Findings included: Observation and interview on 9/10/25 at 1:38 p.m. revealed DA H said the dish machine was supposed to get up to 120 degrees. DA H ran the machine three times, and the wash temperature got to 100 degrees, the sanitizer level reached 114 degrees.
After reading the posted machine instructions DA H stated he needed to report the dish machine not reaching temperature to the Dietary Manager.
Observation on 9/10/25 at 1:51 p.m. revealed Dietary Manager verified the machine was not reaching the correct temperature, took a picture of the dial and sent it to the Maintenance Director.
Interview on 09/11/2025 at 2:41 PM, DA H stated the dish machine was brand new and he thought they turned down the water temperature because it had not worked correctly since the weekend. DA H said he did not tell anyone because he did not realize it needed to be reported.
Interview on 09/11/2025 at 2:51 PM, the Administrator said the dish machine was just changed out.
The Administrator said the thought maintenance lowered the temperature to raise the sanitization level. He said he did not know, he was not there.
Surveyor requested the policy on dish sanitization if there was one.
There was no policy provided.
Review of the Dish Machine Logbook for September 2025 (9/1/25 - 9/10/25) revealed: AM Wash Temp AM Final Rinse9/1/25 95 degrees 114 degrees9/2/25 110 degrees 122 degrees 9/3/25 110 degrees 120 degrees 9/4/25 112 degrees 123 degrees 9/5/25 114 degrees 123 degrees9/6/24 115 degrees 120 degrees9/7/25 116 degrees 120 degrees9/8/25 115 degrees 120 degrees9/9/25 116 degrees 120 degrees9/10/25 112 degrees 121 degrees Noon Wash Temp Noon Final Rinse Temp 9/1/25 100 degrees 123 degrees9/2/25 105 degrees 121 degrees9/3/25 110 degrees 120 degrees9/4/25 106 degrees 120 degrees9/5/25 110 degrees 120 degrees9/6/25 110 degrees 121 degrees9/7/25 111 degrees 120 degrees9/8/25 116 degrees 120 degrees9/9/25 115 degrees 120 degrees 9/10/25 114 degrees 119 degrees PM Wash Temp PM Final Rinse Temp9/1/25 105 degrees 125 degrees9/2/25 110 degrees 122 degrees9/3/25 110 degrees 120 degrees9/4/25 111 degrees 120 degrees9/5/25 115 degrees 122 degrees9/6/25 114 degrees 120 degrees9/7/25 115 degrees 122 degrees9/8/25 114 degrees 120 degrees9/9/25 116 degrees 120 degrees Review of the posted General Operating Instructions, undated, by the manufacturer revealed:It is recommended that 140 degrees water be used.
Report to your supervisor if it is lower than 120 degrees or higher than 160 degrees.
Facility ID: