Morton Plant Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Morton Plant Rehabilitation Center, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF732Feb 6, 2025

  Based on observation interview and policy review, the facility failed to ensure federal staff posting dates were accurate for two (02/03/25 and 02/04/25) of four days of survey. Findings included: During a facility tour on 02/03/25 at 9:00 a.m. and on 02/04/25 at 8:32 a.m. an observation was made of the federal staff posting located outside of the front entrance door dated 02/02/25. During an interview on 02/05/25 at 2:00p.m., with the Interim Director of Nursing (DON). She stated the Unit Managers on the night shift are supposed to ensure the staffing numbers are correct and posted daily. She stated she was not aware the federal staff posting on the front entrance door had the wrong date for two days. […]

• No harm, potential for more than minimal, patternF645Feb 6, 2025

  Based on record review, interview, and review of the facility's policy titled Pre-Admission Screening for Mental Disorders (MD)/Intellectual Disability (ID) Patients, the facility failed to ensure Level I Preadmission Screening and Resident Review (PASARRs) were accurate upon admission for three Residents (#27, #75, and #297) of six residents sampled for PASARRs. Findings included: 1. Review of the Admission record showed Resident #75 was admitted to the facility on [DATE] with diagnoses that included but not limited to anoxic brain damage, not elsewhere classified, major depressive disorder (4/11/24), moderate, cognitive communication deficit, obsessive compulsive disorder, bipolar disorder and generalized anxiety disorder. […]

• No harm, potential for more than minimal, patternF695Feb 6, 2025

  Based on observation, interview and record review the facility failed to ensure posting of cautionary and safety signs indicating the use of oxygen in resident rooms for eight residents (#298, #33, #4, #56, #80, #81, #147 and #148) out of ten residents reviewed for oxygen use. Findings included: On 02/03/2025 at 10:02 AM Resident #298 was observed in her room with an oxygen concentrator sitting next to the wall on the opposite side of the bed. Upon exiting the resident's room an observation was made and there was no oxygen in use sign on the outside of the resident's room door. On 02/03/2025 at 3:09 PM an observation was made of the outside of Resident #298's room door and there was no oxygen in use sign posted on the door. […]

• No harm, potential for more than minimal, patternF759Feb 6, 2025

  Based on observation record review and interview the facility failed to ensure the medication error rate was less than 5.00%. Thirty-seven medication administration opportunities were observed, and 15 errors were identified for three residents (#56, #43, and #45) of six residents observed. These errors constituted a 40.54% medication error rate. Findings included: 1. On 2/4/25 at 4:55 p.m. an observation was made of Staff A, Licensed Practical Nurse (LPN) obtain a capillary blood glucose level of Resident #56. The staff member cleansed the resident's left ring finger with an alcohol pad, lanced the finger, and obtained a level of 116. […]

• No harm, potential for more than minimal, patternF758Dec 22, 2022

  Based on observation, interview and record review, the facility failed to ensure behavioral monitoring related to psychotropic medications was performed for three residents (#19, #26, and #183) of five residents reviewed for unnecessary medications. Findings included: A review of admission records indicated Resident #19 was admitted on [DATE] with diagnoses including dementia, anxiety disorder, and major depressive disorder. A review of the Medication Administration Record (MAR) and the Physician Order Summary as of 12/21/22 indicated the following: Buspirone HCL tablet 5 milligrams(mg.) Give 1 tablet by mouth two times a day related to anxiety disorder. […]