Morgan Hill Healthcare Center

In the surveyor’s words

From the most serious findings on record at Morgan Hill Healthcare Center, in the surveyor’s own words.

• Actual harm, isolatedF627Dec 5, 2025

  Based on interview and record review, the facility failed to follow their discharge policy for one of three sampled residents (Resident 1) when Resident 1 was not allowed to return to the facility after a doctor's appointment. This failure had the potential to compromise Resident 1's health and safety.Review of Resident 1's clinical record titled, admission Record, dated 12/5/2025, indicated Resident 1 was admitted to the facility on [DATE] with diagnoses including unspecified dementia (a progressive state of decline in mental abilities), rheumatoid arthritis (a chronic progressive disease-causing inflammation in the joints and resulting in painful deformity and immobility), cerebrovascular disease (CVA-stroke, loss of blood flow to a part of the brain), hypertension (HTN-high blood… […]

• Actual harm, isolatedF684Dec 11, 2024

  Based on observations, interviews, and record reviews, the facility failed to ensure appropriate and timely treatment and care was provided to one of three sampled Residents (Resident 1) when Resident 1 was only seen by a hand surgeon 33 days from the date of the Physician's order for the referral for possible osteomyelitis (inflammation or swelling that occurs in the bone caused by infection). This failure resulted in Resident 1's left middle finger amputation (surgical removal of a body part) and hospitalization that put Resident 1 at risk for sepsis (a life-threatening complication of an infection). Findings: The clinical records of Resident 1 were reviewed. […]

• No harm, potential for more than minimal, widespreadF812Dec 8, 2023

  Based on observation, interview and record review, the facility failed to ensure food was stored, prepared, distributed, and served in accordance with professional standards for food safety when: 1. There were opened and undated food items in the reach-in refrigerator; 2. There was a dented can on the food preparation table; 3. The kitchen staff were not following their policy for checking dishwasher temperature and sanitizing frequency. These failures had the potential to cause food contamination and food-borne illness to 45 of 45 residents who received their food from the kitchen. Findings: 1. […]

• No harm, potential for more than minimal, widespreadF802Jul 1, 2022

  Based on observation, interview, and record review the facility did not ensure the proper sanitization levels of the dishwasher and 2-compartment sink, when kitchen staff did not properly check the sanitizer strength in the dishwasher nor in the 2-compartment sink. This failure had the potential of causing a facility-wide food borne illness. Findings: During an observation and concurrent interview on 6/28/22 at 8:39 a.m., with a cook (Cook I), Cook I stated, the cook in the morning needs to checks washer sanitizer. Water temp should be 140F degrees , it is 119F degrees. Cook I ran the dishwasher twice, the temperature was at 120F degrees. […]

• No harm, potential for more than minimal, widespreadF880Jul 1, 2022

  Based on observation, interview and record review, the facility failed to implement their infection control practices and precautions when: 1. Facility staff did not ensure visitors were thoroughly screened for signs and symptoms of Covid-19 (an acute respiratory illness in humans caused by a coronavirus, capable of producing severe symptoms and in some cases death, especially in older people and those with underlying health conditions) and did not give directions on screening; 2. Facility staff did not clean and disinfect the thermometer in the screening area after each use; and 3. One facility staff did not perform hand hygiene before glove use. […]