Morris View Healthcare Center

In the surveyor’s words

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

• Immediate jeopardy, isolatedF610Jan 30, 2026

  Based on interviews, record review, and review of pertinent facility documents, it was determined that the facility failed to implement their abuse policy by thoroughly investigating an allegation of staff-to-resident physical abuse to a cognitively intact resident (Resident # 194) who reported the abuse allegation to the Registered Nurse (RN #1) on 01/01/26. This deficient practice was identified for 1 of 5 residents (Resident # 194) reviewed for abuse. On 1/28/26 at 1:00 PM, the surveyor interviewed Resident # 194, who stated that during the 11 PM to 7 AM shift on 12/31/25, the resident was in the day room with Resident # 158 watching the ball drop before midnight. […]

• Immediate jeopardy, isolatedF689Sep 21, 2022

  Complaint, #NJ 1, #NJ 3, #NJ 1 Based on observations, interviews, record review, and review of other pertinent facility documentation, it was determined that on [DATE], the facility failed to ensure: a.) a resident with moderate cognitive impairment, who was at risk for elopement, and had a known history of wandering and exit seeking behavior was appropriately supervised and monitored to ensure safety, prevent elopement, or exiting of the building, and staff failed to follow their facility's policy and procedure on Wandering/Elopement. This deficient practice was identified for one of five residents, (Resident #206) reviewed, who had moderate cognitive impairment, and were at risk for elopement. […]

• Actual harm, patternF689Jul 24, 2024

  Complaint number #169038 Based on interview, record review, and review of pertinent documentation, it was determined that the facility failed to a.) timely assess a resident after the resident had an unwitnessed fall on 9/16/23 at 01:20 AM. Subsequently, the resident had increased pain and limited mobility requiring transfer to the emergency roiagnom on [DATE] at 11:54 AM, with a diagnosis of acute fracture of the intertrochanteric portion of the left femur and acute fracture of the left pubic ring; b.) provide adequate pain management; c.) failed to report the injury to the New Jersey Department of Health (NJDOH). […]

• Actual harm, isolatedF600Jan 30, 2026

  Based on record review, interview, and policy review, it was determined that the facility failed to implement their abuse policy to ensure residents were protected from abuse including physical and verbal abuse. During the 11 PM to 7 AM shift on 12/31/25, the Licensed Practical Nurse (LPN #1) got into a witnessed physical altercation with Resident # 194, which included yelling and poking their finger in Resident # 194's face and stomping on the resident's right foot. The resident reported after the altercation, they did not trust LPN #1 and they had to watch LPN #1 get their medications out of the cart before Resident # 194 ingested them, and the resident stated they could no longer go to the day room to watch television with their fellow residents because it had bad memories. […]

• Actual harm, isolatedF756Jun 6, 2024

  Complaint# NJ00174351 Based on interview and record review of pertinent facility documents, it was determined that the facility's Consultant Pharmacist (CP) failed to identify and notify the facility of a medication irregularity for a resident. On 1/11/2024, a nurse documented a Physician order in the medical record for Resident #2 for Warfarin Sodium,( Coumadin) a blood thinner. This medication order was for another resident. Resident #2, was already on a Xarelto, a blood thinner. Resident #2 was administered the Coumadin for eighteen (18) doses from 1/12/2024 to 1/29/2024. On 1/15/2024, the CP conducted an on-site visit and had reviewed Resident #2 chart, however, there was no documented evidence for the recommendations for Coumadin and Xarelto in the report. […]