Morningside Nursing and Rehabilitation Center

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812Apr 12, 2024

  Based on observation, record review, and interviews conducted during the Recertification survey from 4/7/24 to 4/12/24, the facility did not ensure that food was prepared, distributed, and served food in accordance with professional standards for food service safety. This was evident during observations during the Kitchen facility task. Specifically, 1) the dish washing machine did not maintain appropriate temperatures for washing and rinsing dishes, 2) hair was not covering appropriately by dietary staff preparing and serving meals, 3) the temperatures of food on the steam table was not checked or recorded prior to meals being served and, 4) food in unit pantry was not labeled and dated appropriately. The findings are: 1. […]

• No harm, potential for more than minimal, widespreadF814Apr 12, 2024

  Based on observations and interviews conducted during the Recertification survey from 4/7/24 to 4/12/24, the facility did not ensure that garbage and refuse were disposed of properly. Specifically, the garbage was not properly contained outside of the facility and various types of garbage were observed overflowing from the top of the dumpster. The finding is: The facility policy and procedure titled Proper Disposal of Garbage and Refuse effective date 11/2016 documented that the Food Service Director/Manager will monitor the garbage containers to ensure they are in good condition (no leaks) and with lids and evaluate loading docks, hallways, elevators that are used for both garbage and food transport are kept clean and free of foul odors. […]

• No harm, potential for more than minimal, patternF684Apr 28, 2026

  Based on observation, record review, and interviews, the facility failed to ensure that a resident received treatment and care in accordance with professional standards of practice. This was identified for one (1) resident (Resident #157) during Resident Council Meeting. Specifically, Resident #157's meal-time insulin order did not include specific hypoglycemia parameters; however, licensed nursing staff withheld scheduled meal-time insulin doses as ordered on multiple occasions despite parameters outlined by facility policy, without notifying or consulting the physician, and without documenting a clinical rationale. […]

• No harm, potential for more than minimal, patternF760Apr 28, 2026

  Based on record review and interviews, the facility did not ensure that residents are free of significant medication errors. This was identified for one (1) resident (Resident #157) during Resident Council Meeting. Specifically, Resident #157 did not receive Insulin Lispro (a fast-acting meal-time insulin) prior to meals in accordance with the physician's order. Furthermore, the omission of several doses and the failure to notify the medical doctor potentiated increased risk of hypoglycemic episodes. The findings include: The facility's policy titled, Diabetic Management, dated effective 05/2021, documented multiple procedures to manage residents with diabetes and to document such care. […]

• No harm, potential for more than minimal, patternF880Apr 12, 2024

  Based on observation, record review, and interviews conducted during the Recertification survey from 04/07/2024 to 04/12/2024, the facility did not ensure that infection control prevention practices and procedures were maintained to provide a safe and sanitary environment to help prevent the development and transmission of communicable diseases and infections. Specifically. 1) Enhanced Barrier Precautions were not maintained during wound care, and 2) the Registered Nurse failed to sanitize the blood pressure cuff between Resident #27 and #163 during Medication Administration. The findings are but not limited to: 1. The Centers for Medicare and Medicaid Services (CMS) memo titled Center for Clinical Standards and Quality/Quality, Safety & Oversight Group. […]