Moore Few Care Center

In the surveyor’s words

From the most serious findings on record at Moore Few Care Center, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Aug 4, 2023

  Based on observation, record review, and interview, the facility failed to provide protective oversight for residents when the facility did not have a policy and system in place to monitor residents who entered the enclosed courtyard during periods of increased temperature and humidity resulting in one resident (Resident #1) suffering non-responsiveness and sunburn from being outside for an extended period of time. The facility census was 60. The Administrator was notified on 08/03/23, of the Past Non-Compliance Immediate Jeopardy which occurred on 08/01/23. […]

• Actual harm, isolatedF695May 13, 2025

  Based on interview and record review, the facility failed to provide respiratory care consistent with standards of practice when staff failed to administer oxygen as ordered, failed to notify the physician of respiratory changes, and failed to create a timely comprehensive care plan that addressed oxygen usage for one residents (Resident #1). The resident went into respiratory distress and was sent to the emergency department. The facility census was 46. Review showed the facility did not provide a policy regarding change of condition procedures. Review showed the facility did not provide a policy regarding physician notification. 1. […]

• Actual harm, isolatedF697May 13, 2025

  Based on observation, interview, and record review, the facility failed to implement and maintain and effective pain management regimen when the facility failed to accurately assess, monitor, address, care plan, and notify the physician of increased and unrelieved pain for one resident (Resident #1) resulting in increased pain. The facility census was 46. Review of the facility policy titled, Pain Management Program, reviewed on 11/17/16, showed the following information: -The facility will assess all resident's on admission, quarterly, and as needed; -Complete pain assessment for all residents. […]

• No harm, potential for more than minimal, widespreadF838Aug 4, 2023

  Based on record review and interview, the facility failed to complete and document a facility-wide assessment to determine what resources were necessary to care for facility residents competently during both day-to-day operations and emergencies as required. The facility had a census of 60. Review showed the facility did not provide a policy pertaining to a process to complete a facility assessment. 1. Review of the facility's Resident Census and Condition Form, updated 08/11/23, showed a census of 60 and the following resident characteristics: -Sixteen residents dependent on staff for transferring; -Fifteen residents dependent on staff for toilet use; -Eight residents with an indwelling catheter (tubing to drain the bladder); -Thirty-one residents with documented signs and symptoms of… […]

• No harm, potential for more than minimal, patternF880Jul 31, 2024

  Based on observation, interview, and record review, the facility failed to ensure facility staff adhered to the facility policy and standards of care for wearing the appropriate Personal Protective Equipment (PPE) for residents that had tested positive for COVID for four of four residents (Resident #95, #22, #94, and #144) observed for transmission-based precautions. Review of the facility's policy titled COVID-19, effective 09/19/23, showed the following: -Residents who test positive will be in a private rooms unless another resident is positive. In this case, cohorting will be permissible. Cohorting is not permissible for a positive resident and a presumptive resident. Movement outside the room will be extremely limited during quarantine period. […]