Morganfield Nursing and Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Morganfield Nursing and Rehabilitation Center, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF880Apr 4, 2025

  Based on observation, interview, record review, and review of facility policy, it was determined the facility failed to provide an infection prevention and control program to help prevent the development and transmission of communicable diseases and infections for four (Resident (R)31, R37, R50, and R155). of 14 sampled residents. Staff failed to perform hand hygiene when indicated during wound care and medication administration, as well as clean multi-resident use equipment as indicated. The findings include: 1. Review of an undated facility policy titled, Hand Hygiene, revealed hand hygiene should be by using either handwashing, antiseptic hand wash, or antiseptic hand rub. and should be performed before and after glove use. […]

• No harm, potential for more than minimal, isolatedF761Apr 4, 2025

  Based on observation, interview, facility policy review, and review of manufacturer's instructions, the facility failed to ensure drugs and/or biologicals used in the facility were current for use and/or labeled in accordance with currently accepted professional principles, including the expiration date when applicable. A review of one medication storage room and one of two medication carts revealed that a Tuberculin vial stored in the medication storage room refrigerator was opened but not labeled with a date so as to calculate its discard date. […]

• No harm, potential for more than minimal, isolatedF576Jan 15, 2024

  Based on interview, record review, and facility policy review, it was determined the facility failed to ensure residents had assistive devices to maintain hearing abilities for one (1) of thirteen (13) sampled resident (Resident #34). The findings include: Review of a facility policy titled, Resident Rights, undated, revealed a resident had the right to a dignified existence, self-determination, and communication which included access to persons and services inside and outside the facility. Review of Resident #34's medical record revealed the facility admitted the resident on 10/13/2023, with diagnoses which included mild cognitive impairment of uncertain or unknown etiology; sensorineural hearing loss bilateral; and altered mental status, unspecified. […]

• No harm, potential for more than minimal, isolatedF585Jan 15, 2024

  Based on interview, record review, and facility policy review, it was determined the facility failed to ensure residents' grievances were thoroughly investigated to include a statement of findings with corrective actions taken for one (1) of thirteen (13) sampled residents (Resident #56). Review of a Grievance/Concern Form dated 10/14/2022, for Resident #56, revealed the grievance process was not implemented. The findings include: Review of the facility policy titled, Grievances Standard of Practice, revised 05/2020, revealed the residents and their family members might voice grievances in writing or verbally to the facility, or another entity that heard grievances, without discrimination or reprisal and without fear of discrimination or reprisal. […]

• No harm, potential for more than minimal, isolatedF656Jan 15, 2024

  Based on observation, interview, record review, and review of facility policy, it was determined the facility failed to ensure a care plan was developed to and implemented for two (2) of thirteen (13) sampled residents, Residents #34 and #44. The facility failed to develop Resident #44's care plan to include the resident's need for Hemodialysis. In addition, the facility failed to develop Resident #34's care plan to include his/her communication needs as the resident had a diagnosis of sensorineural hearing loss. The findings include: Review of the facility policy titled, Comprehensive Care Plans Standard of Practice dated 10/2020, revealed the policy's purpose was, for an individualized comprehensive care plan to be developed. […]