Life Care Center of Morehead

Inspectors wroteBased on observation, interview, record review, and review of facility policies, the facility failed to develop and implement a comprehensive person-centered care plan for each resident that included measurable objectives and timeframes to meet a resident's medical, nursing, and mental and psychosocial needs, that were identified in the comprehensive assessment for 1 of 19 sampled residents, Resident (R) 1. The facility admitted R1 on 01/05/2026 with a documented diagnosis of post-traumatic stress disorder (PTSD); however, the facility failed to include trauma-informed care and interventions for that care on R1's care plan.

Inspectors wroteBased on observation, interview, record review, and review of facility policy, the facility failed to ensure residents who were trauma survivors received trauma-informed care based on professional standards and residents' experiences to eliminate or lessen triggers that could cause re-traumatization for 1 of 1 resident sampled for trauma informed care, Resident (R) 1. The facility admitted R1 on 01/05/2026 with a documented diagnosis of post-traumatic stress disorder (PTSD); however, the facility failed to include trauma-informed care and interventions for that care on R1's care plan.

Inspectors wroteBased on observation, interview, record review, review of the glucometer's (device used to calculate a finger-stick blood glucose level) manufacturer's instructions, review of disinfectant wipe instructions, review of the Centers for Disease Control and Prevention (CDC) document, and review of the facility's policies, the facility failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent and control the development and transmission of communicable diseases and to implement interventions to protect the residents. The deficient practice had the potential to affect 34 of 34 residents, to who received fingersticks for blood glucose testing, with observations to include (Resident (R)7, R45, R37, and R244 ). [...]

Inspectors wroteBased on observation, interview, and review of the facility's policies, the facility failed to store food in accordance with professional standards for food service safety. This had the potential to affect 87 of 90 residents who consumed food from the kitchen and snacks from the North and South Units.

Inspectors wroteBased on interview, record review, and review of the facility's policy, the facility failed to provide the necessary activity of daily living, bathing, to maintain good personal hygiene for 1 of 27 sampled residents, Resident (R) 51.

Inspectors wroteBased on observation, interview, record review, review of the manufacturer's guidelines, review of a journal article, and review of the facility's policy, the facility failed to provide the services to prevent possible complications of enteral feeding including but not limited to diarrhea, vomiting, and dehydration for 1 of 2 residents sampled for tube feeding care, Resident (R) 244.

Inspectors wroteBased on observation, interview, record review, and review of the facility's policy, it was determined the facility failed to provide effective pain management for 2 of 5 residents investigated for pain management, Resident (R) 5 and R59.

Inspectors wroteBased on interview, record review, and review of the facility's policy, the facility failed to provide pre-and post-dialysis communication documentation for 1 of 6 dialysis residents, Resident (R) 42.

Inspectors wrote1. Review of R50's admission Record revealed the facility admitted R50 on 07/08/2024 with diagnoses including [NAME]-[NAME] syndrome (a rare, autoimmune disorder in which the immune system attacked the neuromuscular junctions), type 2 diabetes, and carcinoma-in-situ of the lung. Review of R50's annual Minimum Data Set (MDS), with an Assessment Reference Date (ARD) of 03/13/2025, revealed the facility assessed the resident to have a Brief Interview for Mental Status (BIMS) score of 15 out of 15, indicating her cognitive status was intact. Review of R50's Physician Orders, initiated on 12/13/2022, revealed an order for Pyridostigmine Bromide ER(used to improve muscle strength in patients with certain muscle diseases), 180 milligrams (mg) daily by mouth. Further review revealed it was ordered to manage the effects of [NAME]-[NAME] syndrome. [...]

Inspectors wroteBased on observation, interview, and review of the facility's policy, it was determined the facility failed to ensure drugs and biologicals stored in the facility were not expired; were labeled and stored in accordance with currently accepted professional principles; and, included the appropriate accessory and cautionary instructions and the expiration date, when applicable, for three (3) of six (6) observed medication carts.

Inspectors wroteBased on observation, interview, and review of the facility's policies, it was determined the facility failed to prepare, store, and serve food under sanitary conditions. Observations, on 03/16/2021 and 03/17/2021, revealed food not labeled and dated, cleaning cloths not in sanitizer buckets, and an incomplete dish machine temperature log.

Inspectors wroteBased on observation, interview, and review of the facility's policy, it was determined the facility failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent and control the development and transmission of communicable diseases and to implement interventions per the Centers for Medicare and Medicaid Services (CMS), the Centers for Disease Control and Prevention (CDC), and the Kentucky Department for Public Health (Health Department) state guidelines for COVID-19. Observations, on 03/17/2021 at 9:45 AM, revealed State Registered Nurse Aide (SRNA) #1, on the North Wing Unit, failed to properly change Personal Protective Equipment (PPE), dispose of PPE, and perform hand hygiene. [...]

Inspectors wroteBased on observation, interview, record review, review of [NAME] Nutrition manufacturer's instructions, and review of the facility's policy, it was determined the facility failed to ensure residents received appropriate treatment and services to prevent complications of enteral feeding for a subset of one (1) of one (1) sampled residents with an enteral feeding, Resident #21. Total number of sampled residents was eighteen (18).