Murray Woods of Journey LLC

In the surveyor’s words

From the most serious findings on record at Murray Woods of Journey LLC, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF725Oct 2, 2025

  Based on observations, interviews, record review, document review and review of the facility policy titled, the facility failed to provide sufficient staff to meet the residents' needs timely. This failure to provide Activities of Daily Living (ADL) care, assistance with dressing and transported to the dining room for meals, timely incontinence care, program of activities, services to prevent further decrease in range of motion/mobility for a resident with contracture had the potential to negatively impact quality of life for all residents.Findings include:Review of the undated Facility Assessment revealed, .Staffing plan: staffing is based on the consideration of all or some of the following: diagnoses, conditions, physical and psychosocial limitations, resident acuity, or any other… […]

• No harm, potential for more than minimal, widespreadF812Oct 2, 2025

  Based on observation, interview, and review of the facility policy titled, the facility failed to ensure refrigerated foods in the walk-in cooler were stored and labeled correctly and dish wear stored under the air conditioner [NAME] were covered and the dish wear inverted. This deficient practice had the potential to affect 107 of 111 residents who received meals prepared in the facility's only kitchen. Findings include:Review of the facility's policy titled, Food Procurement and Storage dated 03/02/23 revealed all leftover food in the cold storage should be dated with an open and discard date, clearly identifying the container contents.During an initial kitchen tour observation on 9/28/2025 at 9:15 am, with the weekend dietary aid , the walk-in cooler contained a large bowl that appeared… […]

• No harm, potential for more than minimal, widespreadF835Oct 2, 2025

  Based on observations, interviews, record review and facility policy, Administration failed to ensure residents' environment on two of four halls (200, and 400) was clean, in good repair and homelike. Administration failed to ensure residents (R33 and R14) were free from sexual and physical abuse. Administration failed to ensure allegations of sexual abuse were thoroughly investigated for R33 and reported timely to the State Survey Agency (SSA) (R14 and R12). Administration failed to ensure residents (R53, R59, R12 and R2) care plans were developed for activities with interventions for residents that required diversional activities, activities in their rooms and activities that were appropriate for residents with dementia on the secure unit. […]

• No harm, potential for more than minimal, widespreadF908Oct 2, 2025

  Based on interview and review of the facility policy titled, Equipment the facility to maintain the ice machine and primary oven in working order. Specifically, the ice machine did not provide the ice needed to meet the needs of the residents and family members had to buy ice for the residents, and the primary range oven did not work and could not be used. This deficient practice had the potential to affect 107 of 111 residents who received meals prepared in the facility's only kitchen.Findings include:Review of the undated facility policy titled Equipment, stipulated that all foodservice equipment will be clean, sanitary, and in proper working order.During an initial kitchen tour interview on 9/28/2025 at 9:15 am, the weekend Dietary Aid reported that the ice machine had been broken and… […]

• No harm, potential for more than minimal, widespreadF725May 30, 2024

  Based on staff and family interviews, and review of facility documents titled, Facility Assessment Tool 2024 and the PBJ (payroll-based journal) Staffing Data Report Quarter 1 2024 (October 1, 2023, through December 31, 2023), the facility failed to ensure that the facility had adequate nursing staff. The deficient practice had the potential to affect the care provided to the 116 residents that resided in the facility. Findings include: Review of The Facility Assessment Tool (FAT) 2024 revealed the average daily census in the facility was 112 residents. The FAT revealed the average hourly staffing needs per day were 84 hours of licensed nurses providing direct care, 233 hours for nurses' aides. […]