Munday Nursing Center

Inspectors wroteBased on observation, interview, and record review, the facility failed to provide information to residents and their representatives on their rights related to filing grievances or concerns for 7 of 15 confidential residents. The facility failed to ensure 7 of 15 confidential residents were provided, through postings in prominent locations; the Grievance Procedure, access to the Grievance form, information regarding who the facility grievance officer was, their contact information, and how to file an anonymous grievance. This failure could place the residents at risk of unresolved grievances and decreased quality of life.

Inspectors wroteBased on observation, interview, and record review, the facility failed to provide a private meeting space for residents' monthly council meetings for 7 of 15 confidential residents who were reviewed for resident rights. The facility failed to provide a private space for resident council meetings. This failure could place residents at risk of not being able to voice concerns due to a lack of privacy.

Inspectors wroteBased on observation, interview, and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety in 1 of 1 kitchen reviewed for dietary services, in that: Observed 08/11/2026, the facility failed to properly label food stored in the refrigerator. This failure could place residents at risk for foodborne illness. The following observations were made on 08/11/2026 at 09:35 A.m. during the initial tour of the kitchen:-Bowl of red gelatin with no label.-Bag of sausage patties with no label.-Two pitchers of tea with no label. During an interview on 08/13/2026 at 10:15am, the DS confirmed the gelatin, and the sausage patties were not labeled. The DS stated she did not know the tea needed to be labeled before being served at lunch in an hour and a half. [...]

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure residents who were incontinent of bladder or had a urinary catheter received appropriate treatment and services to prevent urinary tract infections and to restore continence to the extent possible for 1 of 3 Residents (Resident #18) reviewed for quality of care. CNA A failed to properly secure the foley catheter tubing (indwelling tube to empty the bladder) while providing incontinent care to Resident #18. This failure placed the residents at risk of their Foley catheters getting dislodged, unwanted pain,trauma, infections, and decreasing their quality of life.

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure all drugs and biologicals were stored properly for 1 of 1 medication carts reviewed for medication storage. The facility failed to properly store medication in the medication cart. The medication cart contained four loose pills. This failure could place residents at risk of not receiving prescribed medications as ordered and place the facility at risk of drug diversions.

Inspectors wroteBased on observation, interview, and record review, the facility failed to maintain an infection control program designed to provide a safe, comfortable, and sanitary environment to help prevent the development and transmission of diseases for 1 of 1 resident (Residents #6) reviewed for infection control. On 08/12/26 the facility failed to implement and maintain contact precautions and ensure staff utilized Personal Protective Equipment (PPE) appropriately to prevent cross contamination for Resident #6 with a wound. This failure could place residents at risk for the spread of infection and cross contamination.

Inspectors wroteBased on observation, interview, and record review, the facility failed to make information available to resident's and their representatives on filing grievances or concerns for 6 of 8 confidential residents reviewed for grievances. The facility failed to ensure 6 of 8 confidential residents were provided, through postings in prominent locations; the Grievance Procedure, access to Grievance forms, information regarding who the facility Grievance officer was with their contact information, and accommodations to file an anonymous Grievance. The facility failed to include all areas per the regulation in their Grievance Procedures policy, to include the following: This failure could place the residents at risk of unresolved Grievances and decreased quality of life.

Inspectors wroteBased on interviews, and record review, the facility failed to develop and implement a comprehensive person-centered care plan for each resident, consistent with the resident rights, that included measurable objectives and timeframes to meet a resident's medical, nursing, mental, and psychosocial needs that were identified in the comprehensive assessment for 3 of 14 residents (Residents #1, #4, #42) reviewed for care plans. The facility failed to develop an accurate, consistent, and completed care plan for Residents #1, #4 and #42 in regard to the residents being placed on hospice services. This failure could place residents at risk of not receiving the care required to meet their individualized needs.

Inspectors wroteBased on observation, interview, and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety in 1 of 1 kitchen (Kitchen A) reviewed for dietary services. 1) The DM failed to clean the food thermometer each time before placing in a food item. 2) [NAME] A failed to serve a cold food in the proper temperature for serving, below 41 degrees Fahrenheit (F). These failures could place residents at risk for food contamination and foodborne illness.

Inspectors wroteBased on observation, interview, and record review, the facility failed to maintain and ensure safe and sanitary storage of residents' food items for 7 of 7 residents rooms reviewed for food safety (room [ROOM NUMBER], #5, #9, #11, #29, #31, and #32) in that: The refrigerator located in room [ROOM NUMBER], #5, #9, #11, #29, #31, and #32 were not being monitored for internal temperature and expiration/used by dates. These failures could place residents at risk for food borne illnesses.

Inspectors wroteBased on observation, interview, and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety in 1 of 1 kitchen reviewed for dietary services. The facility failed to ensure foods were labelled and dated. These failures could place residents at risk for food-borne diseases and food contamination.

Inspectors wroteBased on interviews and record review, the facility failed to ensure all Pre-admission Screening and Resident Review (PASRR) Level I residents with mental illness were provided with a PASRR Evaluation assessment for 4 of 40 residents (Residents #7, #17, #19, and #23) reviewed for PASRR screening, in that: Residents #7, #17, #19, and #23 did not have an accurate PASRR Level 1 assessment when they have a diagnosis of mental illness. These failures could place residents with an inaccurate PASRR Level 1 and no PASRR Level 2 Evaluation at risk for not receiving care and services to meet their needs.

Inspectors wroteBased on observation, record review and interview, the facility failed to develop a comprehensive care plan that includes measurable objectives and timeframes to meet a resident's medical, nursing, mental, and psychosocial needs for 4 of 15 residents (Residents #11, #13, #14, and #23) reviewed for care plans as follows: The facility failed to develop a care plan for vision for Resident #11. The facility failed to develop a care plan for smoking and psychotropic medications for Resident #13. The facility failed to develop a care plan for advanced directives for Resident #14. The facility failed to develop a care plan for smoking for Resident #23. These failures could place residents at risk of not receiving the care required to meet their physical, mental, and psychosocial needs to attain or maintain their highest practicable physical, mental, and psychosocial outcome.

Inspectors wroteBased on interviews and record reviews the facility failed to ensure the residents had the right to participate in, his or her treatment which included the right to be informed in advance, by the physician or other practitioner or professional, of the risks and benefits of proposed care, of treatment and treatment alternatives or treatment options and to choose the alternative or option he or she preferred, for 1 of 15 residents (Residents #1) reviewed for resident rights. The facility failed to obtain a signed informed consent based on information of the benefits, risks, and options available for Residents #1 prior to administering Celexa, Lorazepam, and Seroquel, psychotropic medications, (a psychoactive drug taken to exert an effect on the chemical make-up of the brain and nervous system). [...]

Inspectors wroteBased on interview and record review, the facility failed to ensure all residents had the right to formulate an advance directive for 3 of 15 residents (Residents #5, #13, and #30) reviewed for advanced directives, in that: Residents #5, #13, and #30 were listed as a DNR (Do Not Resuscitate) but had Out-of-Hospital Do Not Resuscitate (OOH-DNR) forms that were incorrectly filled out or missing required information. These failures could place residents at risk for not having their end of life wishes honored and incomplete records.

Inspectors wroteBased on observation, interview and record review the facility failed to maintain an infection prevention and control program designed to provide a safe, sanitary and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for 1 of 16 residents (Resident #30) and 1 of 3 staff (CNA A ) reviewed for infection control. 1. CNA A failed to change gloves when providing incontinent care for Resident #30. This failure could place residents at risk for spread of infection and cross contamination.