Morrison Nursing Home

Inspectors wroteBased on observation, interview, and record review, it was determined that the facility failed to ensure that food was stored in accordance with professional standards for food storage temperatures for 1 out of 2 kitchen refrigerators and 1 of 3 kitchenette refrigerators observed.

Inspectors wroteBased on observation, interview, and policy review, it was determined that the facility failed to have smoking policies in regards to smoking safety for 1 out of 1 residents reviewed for accidents. (Resident identifier is #29.)

Inspectors wroteBased on interview and record review, it was determined that the facility failed to provide the resident and/or resident's representative a Notice of Medicare Non-Coverage (NOMNC) form CMS-10123 for 3 of 3 residents reviewed for Beneficiary Notification. (Resident identifiers are #3, #31, and #51).

Inspectors wroteBased on observation, interview, and record review, it was determined that the facility failed to ensure that dietary staff used hair restraints when handling food and failed to label and store food in accordance with professional standards for food safety to prevent foodborne illness for 1 of 1 kitchen observed.

Inspectors wroteBased on observation, interview, and record review, it was determined that the facility failed to ensure that medications were appropriately stored in 2 out of 3 medication carts observed (Resident Identifiers are #15 and #42).

Inspectors wroteBased on observation and interview, it was determined that the facility failed to follow their policy for labeling and dating resident food items brought in by visitors for 1 of 3 kitchenettes observed. Observation on 12/8/24 at approximately 9:50 a.m. of the B wing kitchenette revealed food that was not labeled with resident names or dates: two prepackaged pepperoni sticks, one unopened can of Low Sodium V-8 juice, one prepackaged pulled pork mac-n-cheese bowl, and two packages of ice cream sandwiches. Interview on 12/8/24 at approximately 9:50 a.m. with Staff B (Dietary Manager) confirmed that the above items were not provided by the facility and were not labeled with resident names or dates. Review on 12/8/24 of facility policy titled, Foods Brought by Family/Visitors, revised November 2017, revealed: .6. [...]

Inspectors wroteBased on observation, interview, and record review, it was determined that the facility failed to implement policies for hand hygiene for 1 of 1 resident reviewed for pressure ulcers and the use of appropriate Personal Protective Equipment (PPE) to prevent the potential spread of infection for 1 of 2 residents reviewed for catheter/urinary tract infection (Resident Identifier #1).

Inspectors wroteBased on interview and record review it was determined that the facility failed to submit complete and accurate data for Payroll Based Journal for Fiscal Year Quarter 4 (July 1, 2024 - September 30, 2024).

Inspectors wroteBased on interviews and record reviews, it was determined that the facility failed to ensure that residents remained free from resident to resident sexual abuse or from staff to resident physical and verbal abuse (Resident identifiers are #35 and #36).

Inspectors wroteBased on interview and record review, the facility failed to adequately administer in a way to ensure that when allegations of abuse were identified, that the facility's policies for reporting and investigating were followed and that appropriate corrective actions were taken to prevent further abuse and ensure the resident's highest practicable physical, mental, and psychosocial wellbeing in a facility. (Census 53 Residents)

Inspectors wroteBased on interviews, record reviews, and policy review, it was determined that the facility failed to implement the facility's abuse policy for 5 out of 5 residents and 2 out of 3 staff reviewed for abuse (Resident Identifiers are #9, #10, #20, #35 and #36).

Inspectors wroteBased on interviews and record reviews it was determined that the facility failed to ensure that alleged violations of abuse were thoroughly investigated for 5 out of 5 residents and 2 out of 3 staff members reviewed for abuse (Resident Identifiers are #9, #10, #20, #35 and #36) and (Staff Identifiers are I and M ).

Inspectors wroteBased on interviews and record reviews, it was determined that the facility failed to report an allegation of abuse immediately, but no later than 24 hours, to the State Survey Agency (SSA) and the results of the investigation to the SSA within 5 working days of the incident for 5 of 5 residents reviewed for alleged abuse (Resident Identifiers are #9, #10, #20, #35 and #36).

Inspectors wroteBased on interview and record review, it was determined that the facility failed to ensure confidentiality of medical records was maintained for 1 of 23 residents (Resident identifier is #2).

Inspectors wroteBased on interviews and record reviews, it was determined that the facility failed to develop and implement a comprehensive care plan for 2 of 53 residents reviewed for care plans (Resident Identifiers are #35 and #36).

Inspectors wroteBased on interview and record review it was determined that the facility failed to follow physician orders for 1 of 5 residents reviewed for unnecessary medications in a final sample of 23 residents (Resident Identifier is #40).

Inspectors wroteBased on interview and record review, it was determined that the facility failed to ensure that a resident with pressure ulcers had documentation of weekly assessments that contained measurements and descriptions of the pressure ulcers for 1 out of 1 resident reviewed for pressure ulcers in a final sample of 23 residents (Resident identifier is #12).

Inspectors wroteBased on observation, interview, and record review it was determined that the facility failed to provide services to a resident with a limited range of motion for 1 of 1 resident reviewed for position/mobility in a final sample of 23 residents (Resident identifier is #20).

Inspectors wroteBased on interview and record review, it was determined that the facility failed to identify indicators of trauma in order to provide trauma informed care for 1 out of 5 residents reviewed for behavioral/emotional in a final sample of 23 residents (Resident identifier is #24).

Inspectors wroteBased on interview and record review it was determined that the facility failed to ensure that the physician was involved in a resident's referral to hospice on 1 of 3 residents reviewed for hospice in a final sample of 23 residents (Resident identifier is #2).

Inspectors wroteBased on interview and record review it was determined that the facility failed to ensure that staff had the training or experience necessary to identify residents with a history of trauma in order for residents to receive trauma informed care for 1 of 5 residents reviewed for behavioral/emotional in a final sample of 23 residents (Resident identifier is #24).