Murphy Rehabilitation & Nursing

In the surveyor’s words

From the most serious findings on record at Murphy Rehabilitation & Nursing, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Dec 19, 2024

  Based on observations and staff interviews, the facility failed to prevent the potential for cross contamination by storing a plastic scoop inside the dry flour ingredient bin allowing the handle to touch the dry flour for 1 of 1 observation. The facility also failed to ensure staff had their hair restrained in the kitchen while bagging utensils for 1 of 1 staff observed bagging utensils and failed to ensure staff changed gloves before touching resident foods for 2 of 3 staff observed preparing food. These practices had the potential to affect food served to all the residents. Findings included: a. During an observation of the kitchen on 12/16/24 at 9:50 AM, the flour scoop was observed in the flour bin and the handle was visibly touching the flour. […]

• No harm, potential for more than minimal, patternF578Dec 19, 2024

  Based on record review and staff interviews the facility failed to utilize an official form for code status (official portable Do Not Resuscitate [DNR] or Medical Order for Scope of Treatment [MOST] form) recognized by emergency medical services and pursuant to North Carolina (NC) general statute for residents who chose a code status of DNR (did not want chest compressions if their heart stopped beating) for 5 of 24 residents (Resident #52, #51, #73, #20, and #43) reviewed for advance directives. The findings included: The North Carolina Office of Emergency Medical Services (EMS) website indicated the following: Pursuant to N.C. […]

• No harm, potential for more than minimal, patternF761Dec 19, 2024

  Based on observation, staff interviews, and record reviews, the facility failed to discard expired eye drops from the medication carts as specified by the manufacturer's guidelines and failed to remove expired over the counter (OTC) medications from the medication cart in accordance with the manufacturer's expiration date for 2 of 7 medication carts (600 halls and 700 halls). The findings included: a. The manufacturer's package inserts for Latanoprost eye drops revealed an unopened bottle should be stored under refrigeration between the temperature of 36 to 46 Fahrenheit (F) and protected from light. Once it was opened, Latanoprost could be stored at room temperature up to 77 F for up to six weeks. […]

• No harm, potential for more than minimal, patternF812Jul 27, 2023

  Based on observations and staff interviews the facility failed to remove expired food in 1 of 2 kitchen refrigerators. The facility failed to clean and maintain 1 of 4 ice machines. This practice had the potential to affect food and beverages served to residents. Findings Included: On [DATE] at 08:22 AM an observation of the walk-in refrigerator with the Dietary Manager (DM) was conducted. The observation revealed one 4-quart container closed with a lid labeled tuna salad with the dates ,d+[DATE] use by ,d+[DATE] located on the second shelf of the walk-in refrigerator. The container was ,d+[DATE] full, and was immediately removed by the DM. The DM stated on [DATE] at 8:36 AM the tuna salad should not have been in the walk-in refrigerator. […]

• No harm, potential for more than minimal, patternF867Jul 27, 2023

  Based on observation and staff interviews the facility's Quality Assurance Activity (QAA) committee failed to maintain implemented procedures and monitor interventions that the committee had previously put into place following the facility's [DATE] recertification survey. The failure was related to one deficiency that was originally cited during the [DATE] recertification survey and was cited on the current recertification and complaint survey of [DATE]. The recited deficiency was in the area of food safety requirements to store, prepare, distribute and serve food in accordance with professional standards for food service safety. […]