Multy Medical Skilled Nursing Facility

In the surveyor’s words

From the most serious findings on record at Multy Medical Skilled Nursing Facility, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF761Mar 26, 2026

  Based on observations, review of logs, policies and procedures and interview, it was determined that the facility failed to ensure that the medication room conserves adequate temperature levels and relative humidity. This deficiency affects 17 out of 17 residents in the facility.Findings include:The facility policy named Control de Temperatura y Humedad - Cuarto de Medicamentos Temperature Control and Humidity- Medication Room was reviewed on 03/26/2026 at 11:31AM and states The room temperature must be maintained between 72 and 78 degrees Fahrenheit ( F), and the relative humidity between 20% and 60%. If either of these readings is outside the specified range at the time of measurement, this must be reported, and the corrective actions taken must be documented. […]

• No harm, potential for more than minimal, widespreadF851Mar 26, 2026

  Based on staff interview, it was determined that the facility failed to ensure the submission if Payroll-Based Journal (PBJ) data to CMS.Findings include:On 03/25/2026 at 2:20 PM, an interview was conducted with the Director of Nursing (DON) (employee #1) to determine who was responsible for completing and submitting the Payroll-Based Journal (PBJ). The DON stated that she was not responsible for this task.1.At 2:42 PM, an interview was conducted with the Director of Compliance, who reported that PBJ reporting had been the responsibility of the administrator's resignation, PBJ data had not been submitted and the facility had recently become aware that no one had been assigned to continue this responsibility.2.This finding indicates the facility failed to ensure ongoing compliance with… […]

• No harm, potential for more than minimal, widespreadF867Mar 26, 2026

  Based on review of Quality Assessment Performance Improvement- QAPI and interview with facility compliance officer (employee #2 ) on 03/26/2026, it was determined that the facility failed to consider residents feedback as quantifiable data to enhance care and ensure safety. Findings include:1.Review of QAPI activities of year 2025 and first quarter of year 2026 on 03/26/2026 at 10:30 AM, the following was identified:A. Administration clerk officer ( employee #6 ) present on 03/26/2026 at 9:50 AM information collected during year 2025 related with resident satisfaction surveys.B. […]

• No harm, potential for more than minimal, widespreadF868Mar 26, 2026

  Based on review of Quality Assessment Performance Improvement- QAPI and interview with facility compliance officer (employee #2 ) on 03/26/2026, it was determined that the facility failed to maintain a QAPI committee with the participation of administrator, owner, a board member or other individual in a leadership role; in each committee meeting.Findings include:1.Review of quarterly QAPI committee meeting 2025 and 2026 on 03/26/2026 at 10:20 AM, the following was identified:A. QAPI committee meeting performed on January 14, 2026 did not evidence the participation of administrator, owner, a board member or other individual in a leadership role.B. QAPI committee meeting of the first quarterly of year 2025. […]

• No harm, potential for more than minimal, widespreadF921Mar 26, 2026

  Based on the observations and interviews conducted, it was determined that the facility failed to provide a safe environment, specifically regarding the bathrooms in the residents' rooms. This deficiency was observed in 5 of the 16 residents interviewed.Findings include: During the initial pool interviews 5 residents were interviewed (75, 76, 77, 78 and 79) and the 5 residents stated that the water came out of the bathroom when they were showering. Also, they state that the nursing staff instructed all the resident to put the bed sheets on the bathroom floor when they are going to take a shower, so the water does not go out of the bathroom.The resident #76 was visited on 03/25/2026 at 9:15AM and it was noted that she just came out of the shower and there was water under the bed that came… […]