Morgantown Healthcare Center

In the surveyor’s words

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

• Immediate jeopardy, patternF689Jun 9, 2023

  Based on observation, record review, and staff interview the facility failed to ensure the resident environment over which it had control was as free from accident hazards as possible. A large chef's knife was found lying on the sink in the dementia care unit. The knife handle was leaned up against the sprayer making it more accessible to the residents. The knife was easily reached and accessed by the Surveyor from the resident's side of the counter. The memory care unit had a census of 24 ambulatory residents with diagnosis of Dementia and/or Alzheimer's Disease. […]

• Actual harm, isolatedF689Jul 29, 2026

  Based on record reviews, staff interviews, resident interviews, and observations, the facility failed to maintain an environment free from accidents and hazards by providing inadequate supervision. This deficient practice had resulted in actual physical harm to one (1) of 21 residents. Resident #65 sustained a subarachnoid hemorrhage after being knocked down by Resident #42. Resident #42 was known to the facility as having episodes of physical agression. Resident Identifiers: #65 and #42. Facility Census: 114. […]

• No harm, potential for more than minimal, widespreadF925May 19, 2023

  Based on observation, family interview, and staff interview, the facility failed to maintain an effective pest control program so that the facility was free of ants. This was a random opportunity for discovery that had the potential to affect all residents residing in the building. Resident identifier: #105. Facility census: 116. Findings included: a) Resident #105 On 05/15/23 at 12:50 PM, Resident #105 was observed sitting in the hallway in his wheelchair outside his room, with his lunch tray on the overbed table in front of him. Resident #105's room was at the end of the hallway, near the outside door. Two (2) family members were with him. Resident #105's family members stated they have been killing ants in the hallway. Upon observation, live and dead ants were seen on the floor. […]

• No harm, potential for more than minimal, patternF803Jul 29, 2026

  Based on record review, observation, resident interviews, and staff interviews, the facility failed to ensure the menus were prepared in advance and followed to meet the nutritional needs of the residents. This failed practice affected five (5) of 21 residents. Resident Identifiers: #68, #40, #104, #111, and #65. Facility Census: 114. Findings included: a) The facility's policy and procedure for meal distribution stated, For point of service dining, the Dining Services Department staff, under the supervision of the licensed nurse, will assemble the meal in accordance with the individual meal card and present it to the resident/patient or care staff for delivery to the resident/patient. b) On 07/27/26, the dining observation was initiated. […]

• No harm, potential for more than minimal, patternF810Jul 29, 2026

  Based on record reviews, staff interviews, resident interviews, and observations, the facility failed to ensure that adaptive equipment and utensils were provided for residents at mealtimes as ordered by the physician. This failed practice had the potential to affect more than a limited number of residents. Resident Identifiers: #5, #53, #62, and #69. Facility Census: 114.Findings included: a) The facility's policy and procedure for Assistive Devices stated, 1. Appropriate assistive devices/utensils will be provided as indicated in the physician's orders and individualized plan of care. b) Resident #5 On 07/27/26 at 12:12 PM, Resident #5 was observed with no Dycem under the lunch plate. The resident reported she gets Dycem sometimes. […]