Morrison Woods Health Campus

In the surveyor’s words

From the most serious findings on record at Morrison Woods Health Campus, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF609Jun 27, 2025

  Based on observation, interview, and record review, the facility failed to ensure self-reported incidents were accurately reported to the State Agency (Indiana Department of Health) to allow for evaluation of the need to advocate for the health and safety of facility residents for 3 of 3 self- reported incidents reviewed. (Resident 9, 41, and 34) Findings include: 1. Facility self-reported Incident Number 344, dated 6/1/25, indicated the following: Brief Description of Incident .Description added - - 6/1/25 (Resident 9) resides on rehab unit of health campus. Resident expressed concerns with approach to care provided by CRCA (C.N.A.) Preventive Measures Taken: .care plan to be reviewed and updated as indicated. […]

• No harm, potential for more than minimal, patternF880Aug 19, 2021

  Based on interview and record review, the facility failed to properly prevent and/or contain COVID-19 by ensuring staff members completed the screening process upon facility entry, per facility policy, to properly monitor the detection of COVID-19, for 5 staff members reviewed. (Environmental Services Assistant 1, Director of Environmental Services, Director of Food Services, Resident Care Associate 2, and Social Services Director). Findings include: Review of the daily employee screening on 8/19/2021 at 1:47 p.m., with the Executive Director, indicated the facility failed to provide evidence that five (5) staff members, Environmental Services Assistant 1, Director of Environmental Services, Director of Food Services, Resident Care Associate 2, Social Services Director, completed the… […]

• No harm, potential for more than minimal, isolatedF684Jun 27, 2025

  Based on observation, interview, and record review, the facility failed to provide treatment to promote healing of an open skin impairment for 1 of 3 residents reviewed for skin conditions. (Resident 24) Finding includes: During an interview on 6/23/25 at 2:53 p.m., Resident 24 was laying on a low air loss mattress with a urinary drainage bag hung on the right side of the bed. Resident 24 indicated he had a wound in the crevice of his left lower buttock for approximately the last ten weeks. He was concerned it hadn't healed up. Resident 24's clinical record was reviewed on 6/24/25 at 2:53 p.m. Diagnoses included obstructive uropathy, infection and inflammatory reaction due to indwelling urethral catheter, and a personal history of other infectious and parasitic diseases. […]

• No harm, potential for more than minimal, isolatedF690Jun 27, 2025

  Based on observation, interview, and record review, the facility failed to ensure catheter care was provided in a manner to prevent contamination and failed to monitor urinary output for 1 of 2 residents reviewed for catheters. (Resident 33) Finding includes: During an observation on 6/23/25 at 3:53 p.m., Resident 33 was sitting up in his wheelchair with a urinary catheter bag hung below his wheelchair. Tea colored urine was observed in the urinary catheter tubing during the observation. During a catheter care observation on 6/25/25 from 11:44 a.m. to 12:00 p.m., upon entry to the room, washcloths and a bottle of peri skin cleanser were placed on the resident's overbed table, without a barrier, next to the resident's personal items, including his lunch tray. […]

• No harm, potential for more than minimal, isolatedF755Jun 27, 2025

  Based on observation, interview, and record review, the facility failed to ensure shift to shift narcotic reconciliation was completed for 4 of 4 medication carts reviewed for medication storage. (300 hall cart, 2nd 200 hall cart, Legacy Way cart, and 100 hall cart) Finding includes: 1. During a medication storage observation of the 300 hall cart, accompanied by LPN 5, on 6/23/25 at 9:36 a.m., the Narcotic Count Sheet was reviewed and the following dates lacked staff signatures for shift to shift reconciliation of controlled substances: In June 2025- 6/4/25: 6:00 a.m.- 2:00 p.m. and 2:00 p.m. - 10:00 p.m., 6/9/25: 6:30 p.m.- 10:30 p.m., 6/13/25: 10:00 p.m. - 6:00 a.m., 6/17/25: 2:00 p.m. - 10:00 p.m., 6/18/25: 10:00 p.m. […]