Morrison Nursing Home

In the surveyor’s words

From the most serious findings on record at Morrison Nursing Home, in the surveyor’s own words.

• Immediate jeopardy, widespreadF880Jul 10, 2023

  Based on interview and record review, it was determined that the facility failed to follow accepted national standards for the return to work guidelines for health care personnel who were positive for COVID-19 illness for 21 of 21 staff reviewed. Non-complaince with return to work guidelines potenitally increased the exposure to pathogens for the facility's census of 52 residents, as well as staff and visitors (Staff identifiers are A, B, C, D, E, F, G, H, I, J, K, L, M, N, O, P, Q, R, S, T, and U). […]

• Immediate jeopardy, patternF600Nov 17, 2023

  Based on interviews and record reviews, it was determined that the facility failed to ensure that residents remained free from resident to resident sexual abuse or from staff to resident physical and verbal abuse (Resident identifiers are #35 and #36). Finding include: Resident #36 Interview on 11/14/23 at 11:14 a.m. with Staff K (Registered Nurse (RN)) revealed that Resident #36 had incidents involving inappropriate sexual behavior towards other residents. Review on 11/16/23 of Resident #36's medical record revealed that he/she was admitted to the facility on [DATE] and had a primary diagnosis of a traumatic subdural hemorrhage and a secondary diagnosis of unspecified dementia. Resident #36 resides in the Memory Care Unit on the B-Wing. […]

• Immediate jeopardy, patternF835Nov 17, 2023

  Based on interview and record review, the facility failed to adequately administer in a way to ensure that when allegations of abuse were identified, that the facility's policies for reporting and investigating were followed and that appropriate corrective actions were taken to prevent further abuse and ensure the resident's highest practicable physical, mental, and psychosocial wellbeing in a facility. (Census 53 Residents) Findings include: Review on 11/16/23 of the facility's policy titled, Abuse Investigation and Reporting, revised 9/2017, revealed .Role of the Administrator: 1. If an incident or suspected incident of residents abuse, mistreatment, neglect or injury of unknown source is reported, the Administrator will assign the investigation to an appropriate individual. 2. […]

• No harm, potential for more than minimal, widespreadF607Nov 17, 2023

  Based on interviews, record reviews, and policy review, it was determined that the facility failed to implement the facility's abuse policy for 5 out of 5 residents and 2 out of 3 staff reviewed for abuse (Resident Identifiers are #9, #10, #20, #35 and #36). Findings include: Review on 11/16/23 of the facility policy titled, Abuse Policy and Procedure, with a revised date of 9/2019, revealed .Identification: Incident reports are reviewed by members of the Interdisciplinary Team to identify events, such as suspicious bruising, occurrences, patterns, and trends that may constitute abuse; and to determine the direction of the investigation .Resident to Resident Contact/Abuse: Every attempt to foresee/prevent incident will be made by observing the following: Identify resident with potential… […]

• No harm, potential for more than minimal, widespreadF610Nov 17, 2023

  Based on interviews and record reviews it was determined that the facility failed to ensure that alleged violations of abuse were thoroughly investigated for 5 out of 5 residents and 2 out of 3 staff members reviewed for abuse (Resident Identifiers are #9, #10, #20, #35 and #36) and (Staff Identifiers are I and M ). Findings include: Resident #35 Review on 11/17/23 of Resident #35's nurse's notes revealed the following: On 9/24/23 at 8:14 p.m. revealed that .the resident had inappropriate behaviors towards a [gender omitted] . On 7/8/23 at 5:36 p.m. revealed that .the resident was witnessed making sexual advance, reaches for a [gender omitted] areola .' Interview on 11/17/23 at 12:48 p.m. […]