J. Michael Morrow Memorial Nursing Home

Inspectors wroteBased on observations, interview and record review, the facility failed to provide a clean, comfortable and homelike environment. This was evidenced by failing to clean 4 (#81, #91, #95, and #121) of 4 (#81, #91, #95, and #121) residents' wheelchairs who were reviewed for environment out of a total sample of 47 Residents.

Inspectors wroteBased on record review and interviews, the facility failed to ensure that a Level II PASARR (Pre-admission Screening and Resident Review) was obtained for 1 (Resident #76) out of 2 (Resident #5, Resident #76) residents who were investigated for PASARR out of a total sample of 47 residents.

Inspectors wroteBased on record reviews, observations and interviews the facility failed to ensure resident's CPAP (Continuous Positive Airway Pressure) machines were clean and sanitary for 2 (#32, #73) of 2 (#32, #73) residents investigated for respiratory care.

Inspectors wroteBased on policy review, observations, and interviews, the facility failed to store food in accordance with professional standards for food service and ensure sanitary conditions were maintained in the kitchen by failing to: 1. ensure staff practiced appropriate hand hygiene and glove use; 2. maintain the appropriate temperature on the line for liquids. This deficient practice had the potential to affect the 142 residents who consumed food and beverages from the kitchen.

Inspectors wroteBased on observation, interviews and record review, the facility failed to ensure S12LPN immediately reported, but no later than 2 hours, an allegation of resident mistreatment to Administration made by a resident for 1 (#105) out of 48 final sampled residents. This deficient practice has the potential to affect all the residents that reside in the facility. The total census was 143 residents.

Inspectors wroteBased on observation and interview, the facility failed to maintain an infection prevention and control program designed to help prevent the development and transmission of communicable diseases and infections, as evidenced by failing to ensure biohazard soiled laundry were not stored on the floor of the contaminated side of the laundry department.

Inspectors wroteBased on record review and interview, the facility failed to complete a new Level 1 PASARR (Preadmission Screening and Resident Review) for a resident with a newly diagnosed mental disorder for 1 (#26) of 1 (#26) resident investigated for PASARR in a final sample of 48 residents.

Inspectors wroteBased on observations, record review, and interviews, the facility failed to provide necessary care and services that is in accordance with professional standards of practice by facility to ensure oxygen was delivered at the ordered rate for 1 (Resident #28) out of 1 resident investigated for respiratory care.

Inspectors wroteBased on observations, interviews, and record reviews, the facility failed to ensure the nursing staff demonstrated specific competencies and skill sets necessary to provide care to meet the residents' needs safely to attain or maintain the highest practicable physical well-being for 1 (#83) of 48 sampled residents. This was evidenced when S10LPN (Licensed Practical Nurse) left Resident #83's medication at the bedside and did not confirm the resident swallowed the medication.

Inspectors wroteBased on observations, interviews, and record review, the facility failed to ensure staff prepared food in a form to meet individual needs of the residents who were on a pureed diet. This had the potential to affect the 21 residents who were on a pureed diet.

Inspectors wroteBased on record review and interviews, the facility failed provide adequate supervision to prevent accidents and ensure the resident environment remained free of hazards for residents diagnosed with Dementia as evidenced by 1 (#1) of 3 (#1, #2,#3) sampled residents ingesting liquid shower gel. The deficient practice had the potential to affect 48 residents with a diagnoses of Dementia residing in the facility.

Inspectors wroteBased on record review and interview, the facility failed to implement a comprehensive person-centered care plan by failing to: 1. Conduct monitoring for bleeding abnormalities for 1 (#19) of 4 (#19, 101, 129, 132) sampled residents investigated for anticoagulant medication; 2. Check gastric residual prior to administering a bolus peg tube feeding for Resident # 149; and 3. Ensure Resident #13's bilateral heel protectors were in place daily. The total sample was 48.

Inspectors wroteBased on observations, interviews and record reviews, the facility failed to maintain an effective infection control and prevention program by: 1. Failing to apply PPE (Personal Protective Equipment) before entering Resident #7's room who was on contact precautions; 2. Failing to conduct yearly review and updates of the infection program policies and procedures; 3. Failing to wear gloves while handling soiled laundry for Resident #51; and 4. Failing to wear gloves while cleaning a toilet. This deficient practice had the potential to affect the 152 residents residing in the facility.

Inspectors wroteBased on records reviewed and interviews, the facility failed to ensure their grievance policy and procedure was followed. The facility failed to initiate grievances that were voiced for 1 out of 1 (#1) resident investigated for grievances. The facility census was 152.

Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure each resident with pressure ulcers received the necessary treatment and services to promote healing as evidence by the staff failing to follow physician's orders for wound care for 1 (#95) out of 6 ( #46, #67, #81, #95, #109 and #119) residents investigated with pressure ulcers.

Inspectors wroteBased on observations, record reviews, and interviews, the facility failed to ensure nursing staff had the appropriate skills and demonstrated competency to maintain the residents' highest practicable well-being as identified in the residents' plan of care as evidenced by: 1. The nursing staff failed to competently identify that a resident (#109) had wounds and report issues as required by the plan of care; and 2. Nursing staff failed to competently monitor a resident's (#113's) skin and report any issues, for 2 (#109 and 113) sampled residents of a total sample of 48 residents.

Inspectors wroteBased on interviews and record review, the facility failed to maintain accurately documented medical record in accordance with accepted professional standards and practices. The facility failed to accurately document a weight in the resident's EHR (Electronic Health, Record) for 1 (#7) out 4 (#7, #27, #81, and #119) residents investigated for weight loss. The total sample was 48.

Inspectors wroteBased on observations and interviews, the facility failed to provide a safe, functional, sanitary, and comfortable environment for residents as evidenced by failing to ensure proper cleaning of a resident's bathroom and ensuring the toilet bowl was secure to the floor for 1 (Resident #69) of 48 sampled residents.