Morgantown Care & Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Morgantown Care & Rehabilitation Center, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Feb 27, 2025

  Based on observation, interview, and review of facility policy, it was determined the facility failed to store food in a safe and sanitary manner. Observation on 02/25/2025 at 8:50 AM and 02/26/25 2:49 PM, revealed the walk-in freezer had frost and ice accumulated throughout and food particles located on the freezer's floor, which had the potential to affect all residents consuming foods stored there. The findings include: Review of the facility policy titled, Food Storage: Cold Foods, revised 04/01/2018, revealed All Time and Temperature Control for Safety (TCS) foods, frozen and refrigerated, were to be appropriately stored in accordance with guidelines of the Food and Drug Administration (FDA) Food Code. […]

• No harm, potential for more than minimal, patternF578Apr 10, 2026

  Based on interview, record review, and review of facility policy, the facility failed to inform the resident or resident representative and/or provide written information to all residents regarding the right to accept or refuse medical or surgical treatment and, at the resident's option, formulate an advance directive. This affected 6 of 29 sampled residents, Resident (R)8, R22, R45, R63, R110, and R123. The findings include:Review of the facility policy titled, Advance Directives, last revised [DATE], revealed the facility would ensure each resident had the right to request, refuse and/or discontinue treatment; participate in or refuse to participate in experimental research; and formulate an advance directive. […]

• No harm, potential for more than minimal, patternF804May 24, 2024

  Based on observation, interview, review of facility policy, and review of the Kentucky Food Guide 2013 Food Code guidance, it was determined the facility failed to provide foods at a safe and appetizing temperature on 05/24/2024 for the noon meal, to the residents of Serenity Hall. Observation on 05/24/2024 at 12:09 PM, revealed during kitchen tray line for Serenity Hall, the [NAME] slaw, cucumber salad and banana pudding was left out sitting on a tray, and was not placed in an ice bath. […]

• No harm, potential for more than minimal, isolatedF550Apr 10, 2026

  Based on observation, interview, record review, and review of facility policy, the facility failed to ensure that a resident has the right to a dignified existence for 1 of 29 sampled residents reviewed for dignity/resident rights. Observation of Resident (R)27 during mealtime, revealed a staff member was standing at the bedside feeding the resident.The findings include:Review of the facility policy titled, Assistance with Meals, revised 05/13/2024, revealed residents who cannot feed themselves will be fed with attention to safety, comfort, and dignity. […]

• No harm, potential for more than minimal, isolatedF880Apr 10, 2026

  Based on observation, interview, record review and review of facility policy, the facility failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for 1 of 4 sampled residents reviewed for Enhanced Barrier Precautions (EBP). Observation on 04/07/2026, revealed Certified Nursing Assistant (CNA) 6 failed to don the appropriate Personal Protective Equipment (PPE) prior to providing direct care to R44, who was on Enhanced Barrier Precautions (EBP).The findings include:Review of the facility policy titled, Infection Control, revised 01/30/2026, revealed the facility infection control policies and practices were… […]