Morning Star Post Acute

In the surveyor’s words

From the most serious findings on record at Morning Star Post Acute, in the surveyor’s own words.

• Actual harm, isolatedF580Sep 19, 2025

  Based on interview and record review, the facility failed to recognize and appropriately act on the clinical change in condition for one of three residents, (Resident 1), when: Nursing staff did not notify the physician on 9/12/25 for abnormal blood lab results. Nursing staff did not notify the physician on 9/13/25 for Resident 1's low blood pressure of 91/55 millimeters of mercury (mmHg- unit of measurement), (normal BP 120/80), elevated heart rate (HR) 116 beats per minute (bpm), (normal range 60-100 bpm). […]

• Actual harm, isolatedF689Dec 14, 2022

  Based on observation, interview and record review, the facility failed to ensure residents received adequate supervision to prevent accidents for one of three sampled residents, Resident 1, when licensed nurses did not develop and implement effective interventions to prevent falls. Licensed nurses and certified nursing assistants (CNAs) were aware of Resident 1 ' s low cognitive status, confusion, low safety awareness and inability to follow instructions for using the call-light. These failures resulted in Resident 1 getting up from bed unassisted and unsupervised on 6/21/22, experienced an avoidable fall with injuries. Following the fall Resident 1 was sent to the Emergency Department (ED) of the local hospital where a pelvic fracture was diagnosed . […]

• No harm, potential for more than minimal, widespreadF812Feb 20, 2026

  Based on observation, interviews and record reviews, the facility failed to prepare and store food in accordance with professional standards for food safety for all residents who consumed meals prepared in the kitchen when a of five-pound bag of chicken with a used by date of 2/16/26 was stored in the refrigerator available for residents use. This failure placed residents at potential risk to develop gastrointestinal illness (illness that affects the digestive system [GI tact] which runs from mouth to anus) which could result in serious health conditions. During a concurrent observation and interview on 2/17/26 at 8:22 a.m. […]

• No harm, potential for more than minimal, widespreadF814Feb 20, 2026

  Based on observation, interview, and record review, the facility failed to ensure garbage was stored and disposed of in a manner that prevented unsanitary conditions for all the residents in the facility when two of three outdoor dumpsters were observed with the lids open and overflowing.This failure placed residents at potential risk for exposure to pest, offensive odors, and contamination of food or medications which could compromised residents health, safety, and the overall sanitary environment of the facility. During a concurrent observation and interview on 2/18/26 at 8:15 a.m. with Dietary Service Manager (DSM), the facility's dumpster located behind the building was observed with two of the lids in the open position. […]

• No harm, potential for more than minimal, widespreadF812Dec 10, 2024

  Based on observation, interview, and record review, the facility failed to ensure safe and sanitary food preparation and storage practices in the kitchen according to facility policy and procedures and the FDA (Food and Drug Administration-is a government agency responsible for protecting the public health) Food Code when: 1. There was brown, grey, and black debris observed in several areas in the kitchen, including one ventilator fan in the milk refrigerator, two vents above the dishwasher area, one vent in front of the milk refrigerator and one vent in front of the food warming table. 2. There was black and brown debris found on the cabinet shelves next to the stored clean bowls. 3. There was brown debris on every shelf inside of one food cart. 4. […]