MS Care Center of Morton

In the surveyor’s words

From the most serious findings on record at MS Care Center of Morton, in the surveyor’s own words.

• Immediate jeopardy, isolatedF600Dec 23, 2025

  Based on interviews, record review, facility policy review, and facility investigation review, the facility failed to protect the residents' right to be free from sexual abuse by another resident for two (2) of four (4) sampled residents. Resident #2 and Resident #3On 12/17/25 at 11:26 AM, Resident #1 (male) inappropriately touched the breast of Resident #2 (female) in the day room. After staff were notified, Resident #1 was taken to his room and left unsupervised. At approximately 11:32 AM, Resident #1 was assisted back to the day room by a staff member who was unaware of the incident. On 12/17/25 at 11:49 AM, Resident #1 inappropriately touched the breast of Resident #3 (female). […]

• Immediate jeopardy, isolatedF656Dec 23, 2025

  Based on interviews, record review, facility policy review, and facility investigation review, the facility failed to develop and implement a comprehensive care plan related to sexually inappropriate behaviors for one (1) of four (4) sampled residents. Resident #1On 12/17/25 at 11:26 AM, Resident #1 (male) inappropriately touched the breast of Resident #2 (female) in the day room. After staff were notified, Resident #1 was taken to his room and left unsupervised. At approximately 11:32 AM, Resident #1 was assisted back to the day room by a staff member who was unaware of the incident. On 12/17/25 at 11:49 AM, Resident #1 inappropriately touched the breast of Resident #3 (female). […]

• No harm, potential for more than minimal, patternF600Apr 21, 2021

  Based on staff and resident interview, record review and facility policy review, the facility failed to ensure two (2) residents were free from physical abuse for two (2) of four (4) residents reviewed for abuse. Resident #1 and Resident #2. Findings include: The facility's policy titled Free from Abuse and Neglect, revised November 2016, revealed all residents of this facility will be free from abuse, neglect, misappropriation of resident property, and exploitation. Physical abuse includes hitting, slapping, pinching, and kicking. Resident #1 A review of Occurrence Report on 3/17/21 at 5:10 PM revealed, nurse heard female Resident #1 yelling, Help, Help. Upon entry to the room Resident #4 was observed holding Resident #1 right arm and twisting it. […]

• No harm, potential for more than minimal, isolatedF689Jul 21, 2026

  Based on interviews, observations, record review, review of the facility's investigation, and facility policies review, the facility failed to develop and implement adequate supervision and individualized interventions to prevent an avoidable accident after identifying Resident #1's pattern of sitting at the facility's exit door with his hand on the door handle and documenting that he should not go outside unassisted. As a result, Resident #1 exited the facility without staff knowledge or supervision for approximately three (3) minutes on July 11, 2026. This deficient practice affected one (1) of three (3) residents reviewed for elopement risk. […]

• No harm, potential for more than minimal, isolatedF550Mar 19, 2026

  Based on observation, interview, record review, and facility policy review, the facility failed to honor a resident's right to refuse fingerstick blood glucose checks and use a Continuous Glucose Monitor (CGM) device for blood glucose monitoring for one (1) of (19) sampled residents (Resident #16).Findings include:A review of the facility's Resident Rights Policy, revised 9/2022, revealed, . Facility will ensure the resident has the right to a dignified existence, self-determination, and communication with and access to persons and services inside and outside the facility. The facility will protect and promote the rights of each resident . […]