Mary Ann Morse Nursing & Rehabilitation

In the surveyor’s words

From the most serious findings on record at Mary Ann Morse Nursing & Rehabilitation, in the surveyor’s own words.

• Actual harm, isolatedF684Jun 27, 2023

  Based on policy review, observation, record review and interview, the facility failed to ensure its staff provided treatments in accordance with professional standards of practice for three Residents (#203, #204 and #207) out of a total sample of 21 residents. Specifically, 1. For Resident #203, the facility failed to ensure that its staff removed a post operative dressing in a timely manner, as ordered by the Physician, which resulted in a deterioration of the surgical incision. 2. For Resident #204, the facility failed to ensure that its staff obtained Physician's orders for the application of an ace wrap bandage to the right lower extremity, and the frequency of which to change it. 3. […]

• No harm, potential for more than minimal, widespreadF812Jun 27, 2023

  Based on observation, document review and interview, the facility failed to ensure that staff: 1. Maintained appropriate sanitation of dishware as evidenced by the dish machine not having the required final rinse temperatures. 2. Stored food in accordance with professional standards for food service safety. Findings include: 1. Review of the facility's Cleaning Dishes/ Dish Machine policy, dated 2021, indicated the following: -Staff should check the dish machine gauges throughout the cycle to assure proper temperatures for sanitation. -High Temperature Dishwasher: Wash temperature 150 to 165 degrees Fahrenheit (F), final rinse temperature or sanitization 180 degrees F. […]

• No harm, potential for more than minimal, patternF880Jun 27, 2023

  Based on observation, policy review, record review and interview, the facility failed to maintain infection surveillance for three out of three applicable Residents (#14, #22 and #85) for signs and symptoms of COVID-19 during a facility outbreak. Findings include: Review of the Massachusetts Department of Public Health's Update to Infection Prevention and Control Considerations When Caring for Long-Term Care Resident, including Visitation Conditions, and Communal Dining and Congregate Activities, dated 5/10/23, indicated the following: -Residents included in outbreak testing or who are being tested following an exposure, should be assessed for symptoms of COVID-19 during each shift. […]

• No harm, potential for more than minimal, patternF655Sep 17, 2021

  Based on record review and interview, the facility failed to provide 7 Residents (#67, #96, #203, #6, #89, #18, and #21) and/or their representatives a summary of the Baseline Care Plan within 48 hours of admission, out of a total sample of 21 residents. Findings include: 1. Resident #67 was admitted to the facility in August 2021. Review of the clinical record indicated a Baseline Care Plan was developed within 48 hours of admission, but neither the Resident nor the Resident's representative had received a copy of the Baseline Care Plan. 2. […]

• No harm, potential for more than minimal, patternF812Sep 17, 2021

  Based on observation, document review, and interview, the facility failed to ensure appropriate kitchen sanitation, and safe food storage and food handling, to help minimize the risk of food borne illnesses. Findings include: Review of the facility's Food Safety Requirement policy, updated 3/12/16, indicated the following: -All food brought in by family member will be stored on the unit the resident is living on. -All food items must be properly labeled, dated, include the resident's name and room number. -Food items stored for more than three days will be discarded. Review of the facility's Dry Food Storage Guidelines, undated, indicated the following: -All boxes and cans should be labeled properly with a description of the contents within, date of delivery, and expiration dates. […]