Morningstar Residential Care Center

In the surveyor’s words

From the most serious findings on record at Morningstar Residential Care Center, in the surveyor’s own words.

• Immediate jeopardy, isolatedF578Aug 14, 2025

  Based on record review and interviews during the abbreviated survey (IQIES #2572456), the facility failed to establish consistent mechanisms for documenting and communicating a resident's choice regarding advance directives to the staff responsible for the resident's care for one (1) of three (3) residents, Resident #1. Specifically, Resident #1 was found without a pulse and without respirations, and staff did not initiate cardiopulmonary resuscitation (emergency procedure performed when someone's breathing or heartbeat has stopped) per the resident's wishes documented on their Medical Orders for Life Sustaining Treatment, resulting in the resident's death. […]

• Immediate jeopardy, isolatedF678Mar 4, 2024

  Based on record review, and interview during the abbreviated survey (NY00333772), the facility failed to administer cardiopulmonary resuscitation to 1 of 3 residents (Resident #1) who was found without a pulse and wished to be resuscitated. Specifically, on [DATE], Resident #1 was found without a pulse and without respirations, and staff did not initiate cardiopulmonary resuscitation (chest compressions) per the resident's wishes documented on their Medical Orders for Life Sustaining Treatment. Staff asked the resident's spouse (who was not the resident's decision maker ) if they wanted staff to initiate cardiopulmonary resuscitation and the spouse declined. […]

• No harm, potential for more than minimal, patternF584May 2, 2025

  Based on observations, record review, and interviews during the recertification and abbreviated (NY00370054) surveys conducted 4/28/2025-5/2/2025, the facility did not ensure a safe, clean, comfortable, and homelike environment for three (3) of three (3) nursing units (Units A, B, and C) reviewed. Specifically, water temperatures were not maintained at comfortable levels on Units A, B, and C between 2/4/2025-4/1/2025. Findings include: The facility policy Maintaining A Safe, Clean, Comfortable and Homelike Environment, dated 10/24/2024 documented the residents had the right to a safe, clean, comfortable, and homelike environment. The undated Daily Maintenance Rounds documented the water temperature range was acceptable between 90 degrees Fahrenheit and 120 degrees Fahrenheit. […]

• No harm, potential for more than minimal, patternF804May 2, 2025

  48446 Based on observations, record review, and interviews during the recertification and abbreviated (NY00370054 and NY00327240) surveys conducted 4/28/2025-5/2/2025, the facility did not ensure residents were provided food and drink that was palatable, flavorful, and at an appetizing temperature for two (2) of three (3) meals reviewed (dinner meal on 4/28/2025, and lunch meals on 4/29/2025 and 5/1/2025). Specifically, food was not served at palatable and appetizing temperatures and was not palatable. Additionally, five (5) anonymous residents during a resident council meeting and five (5) residents (Resident #31, 53, 59, 60, and 306) interviewed stated the food did not taste good, was bland, lacked flavor, and was cold. […]

• No harm, potential for more than minimal, patternF809May 2, 2025

  48446 Based on observations, record review, and interviews during the recertification survey conducted [DATE] - [DATE], the facility did not ensure suitable, nourishing alternative meals and snacks were provided to residents who preferred to eat at non-traditional times or outside of scheduled meal service times for two (2) of three (3) nursing units (Units B and C). Specifically, residents did not have snack items available on nursing units B or C and were not offered anything to eat or drink when meal trays were not available at the scheduled and posted times. Additionally, meals were not served according to the posted mealtimes for all units. […]