F0814 F814: Dispose of garbage and refuse properly.
D

Improper Garbage Disposal and Damaged Dumpster Plug

Arbor View Nursing & RehabilitationKerrville, Texas Survey Completed on 06-14-2024

Summary

The facility failed to properly dispose of garbage and refuse, as observed in the condition of three dumpsters. Specifically, the middle dumpster (#2) had a damaged drain plug, which allowed ants to enter. Additionally, there was garbage and debris, including paper items, a face mask, a gasoline can, and a discarded water sprayer, scattered around the vicinity of the dumpsters. This situation was noted during an observation conducted on the morning of June 11, 2024. Interviews with the facility's Administrator and Maintenance Supervisor revealed acknowledgment of the issues. The Administrator admitted that the plug for the second dumpster needed replacement and attributed the scattered garbage to a recent storm. The Maintenance Supervisor, responsible for maintaining the cleanliness of the dumpster area, confirmed the presence of garbage and the need for cleaning. He also acknowledged the necessity of a working plug for the middle dumpster to prevent pest and rodent access. The facility's policy on food-related garbage and refuse disposal, revised in October 2017, mandates that garbage be stored in a manner inaccessible to pests and that storage areas remain clean, although it does not specifically address dumpster plugs.

Penalty

Inspection fine: $11,389
tooltip icon
The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Resources

Below are regulatory guidelines relevant to this citation:

See other F0814 citations
Improper Dumpster Waste Disposal
E
F0814 F814: Dispose of garbage and refuse properly.
Short Summary

Improper Dumpster Waste Disposal: The dumpster area behind the kitchen had open doors on 2 dumpsters and trash left on the ground behind them, including iron bars and black trash bags. The MM stated anyone using the dumpsters was responsible for placing trash properly and closing the doors, but he had not been trained and had not seen a waste disposal policy. The ADM stated no one was assigned to monitor the issue and staff had not been trained on the task or reviewed the facility's dumpster use and waste disposal policy.

No penalty information released
tooltip icon
The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.
Improper Garbage and Refuse Disposal
D
F0814 F814: Dispose of garbage and refuse properly.
Short Summary

Improper Garbage and Refuse Disposal: Surveyors observed a large lidless dumpster containing exposed facility trash bags and a small dumpster with an open lid exposing its contents to pests and wildlife. The Kitchen Manager acknowledged the conditions, and the Interim Certified Dietary Manager stated the large dumpster was a construction dumpster and should not have contained facility trash.

No penalty information released
tooltip icon
The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.
Uncovered Trash Can in Food Prep Area
D
F0814 F814: Dispose of garbage and refuse properly.
Short Summary

Uncovered Trash Can in Food Prep Area: A 50-gallon trash can in the food prep area was observed about half full and without a lid while not in use. The Food Service Supervisor stated she was not aware the garbage can required a lid but would get one.

No penalty information released
tooltip icon
The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.
Improper Dumpster Waste Disposal and Open Dumpster Doors
E
F0814 F814: Dispose of garbage and refuse properly.
Short Summary

Improper dumpster waste disposal and open dumpster doors were cited after surveyors observed two commercial dumpsters with their doors left open and an improperly trashed recliner chair left on the ground behind them. The HKS, MM, and ADM each described responsibility for keeping the area clean and closing the doors, and the facility policy required waste to be placed fully inside the dumpster and doors or lids to remain closed when not in use.

No penalty information released
tooltip icon
The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.
Improperly Covered Outdoor Trash Receptacle
C
F0814 F814: Dispose of garbage and refuse properly.
Short Summary

Improperly Covered Outdoor Trash Receptacle: During a kitchen tour, the outside garbage receptacle was observed with three of eight lids open. Dietary staff, maintenance staff, and administrative staff all stated the dumpster lids should be closed when not in use, and the facility policy documented that outdoor trash receptacles would be kept covered.

No penalty information released
tooltip icon
The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.
Unsanitary Outside Dumpster Area
F
F0814 F814: Dispose of garbage and refuse properly.
Short Summary

Unsanitary Outside Dumpster Area: Surveyors observed two outside dumpsters with litter and debris on the ground beneath them, including a soiled disposable brief, eggshells, an empty hand sanitizer container, and piles of brown debris. The DM stated they did not know which department was responsible for cleaning the dumpster area and acknowledged there should not be litter on the ground. A facility policy stated the area around outside dumpsters should be free from litter.

No penalty information released
tooltip icon
The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.
Citation search

Search every citation & Plan of Correction

Go to search
Citation watch

Track new serious citations across Texas

Get a heads-up on the newest immediate-jeopardy (J–L) citations in Texas — where surveyors are focused right now.

Free · about one email a month

Trusted data from CMS and state health departments

Every citation, penalty and Plan of Correction is sourced from public CMS records (latest release July 29, 2026) and official state health department websites — never guesswork.

In your survey window? See what surveyors are citing.

The Survey-Prep Report maps your facility's risk from 12 months of CMS and state citation data — what's being cited around you and what to check first. $129 one-time.

Get the Survey-Prep Report
An unhandled error has occurred. Reload 🗙