Joseph L Morse Health Center Inc the

In the surveyor’s words

From the most serious findings on record at Joseph L Morse Health Center Inc the, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF812Mar 11, 2021

  Based on observation and interview, it was determined that the facility failed to store, prepare, distribute and serve food in accordance with professional standards for food safety that included failure to hold cold foods at regulatory temperatures of 41 degrees F or below. The findings included: Subsequent observations were conducted in Satellite Kitchens on 03/09/21 and 03/10/21. Food temperatures were taken by the use of the facility's calibrated thermometer and, it was noted that cold foods were not being maintained at the regulatory requirement of 41 degrees F or below, by the following: Mack 1 on 03/09/21 at 8:15 AM: Half Pan Cottage Cheese (20 servings) = 44 degrees F Edwards -3 on 03/10/21 at 12:45 PM: Chicken Salad = 46 degrees F Cottage Cheese = 60 degrees F Salami/Turkey… […]

• No harm, potential for more than minimal, isolatedF689Apr 14, 2022

  Based on observation, interview, and record review, the facility failed to ensure supervision for 1 of 4 sampled residents (Resident #67) related to wandering, which also affected Resident #117 and Resident #15. The findings included: Resident #67 was admitted on [DATE] with diagnosis that included Alzheimer's and anxiety disorder Review of the Minimum Data Set (MDS) assessment, dated 02/24/22, documented Resident #67 as being severely cognitively impaired. Resident #67's Care Plan for Wandering Risk, effective date 10/15/21, documented interventions of offering snacks in between meals, provide reassurance and comfort when anxious, assist with calling son, check wander guard for proper placement and function, and update Code Purple folder (wanderers identification book) with resident's… […]

• No harm, potential for more than minimal, isolatedF656Mar 11, 2021

  Based on observation, interview, and record review, the facility failed to initiate a care plan for a resident with an altered airway, for 1 of 1 sampled residents reviewed for Respiratory Care (Resident #149). The findings included: Resident #149 was admitted to the facility on [DATE] with [DIAGNOSES REDACTED]. A laryngectomy is a surgical procedure to remove part or all of the larynx usually to [MEDICAL CONDITION]. A total laryngectomy implies the complete surgical removal of the larynx and therefore a disconnection of the upper airway (nose and mouth) from the lungs. A patient with a laryngectomy will have a permanent opening of the trachea to the front of the neck (stoma) to allow breathing. […]

• No harm, potential for more than minimal, isolatedF695Mar 11, 2021

  Based on observation, interview, and record review, the facility failed to ensure routine care, emergency care, and staff training for a resident with an altered airway for 1 of 1 sampled residents for Respiratory Care (Resident #149). The findings included: Resident #149 was admitted to the facility on [DATE] with [DIAGNOSES REDACTED]. A laryngectomy is a surgical procedure to remove part or all of the larynx usually to [MEDICAL CONDITION]. A total laryngectomy implies the complete surgical removal of the larynx and therefore a disconnection of the upper airway (nose and mouth) from the lungs. A patient with a laryngectomy will have a permanent opening (stoma) of the trachea to the front of the neck to allow breathing. […]