Morning Star Special Care Unit

The facility failed to maintain an environment free of hazards by leaving cleaning products accessible to residents. Specifically, the door to the soiled utility room was found unlocked, exposing residents to various hazardous chemicals including degreaser, pine cleaner, bleach, and glass cleaner.

The facility failed to maintain an environment free of hazards by leaving cleaning products accessible to residents. Specifically, the soiled utility room door was unlocked, and various gallon containers of hazardous cleaning solutions, including degreaser, pine cleaner, and bleach, were left accessible.

The facility failed to ensure food services complied with sanitation rules regarding the storage and preparation of food. Specifically, observations revealed a black fuzzy substance on walls and bottled water, dirty shelving, and debris and standing water on the floor of the walk-in cooler. Additionally, significant ice build-up was noted on the shelving and food packages within the walk-in freezer.

The facility failed to ensure food services complied with sanitation rules regarding the storage and preparation of food. Observations revealed a black fuzzy substance on walls and shelving, a puddle of water, and debris in the walk-in cooler, as well as significant ice buildup on food packages in the walk-in freezer.

The facility failed to administer medications in accordance with physician orders for one resident. Specifically, there was no documentation that the resident's heart rate was checked prior to administering Metoprolol, which required a hold if the heart rate was less than 60 beats per minute.

The facility failed to administer medications in accordance with physician orders for Resident #3. Specifically, staff failed to obtain and document the resident's heart rate prior to administering metoprolol, despite an order to hold the medication if the heart rate was less than 60 beats per minute. This lack of monitoring occurred across multiple months, including January, February, and March 2020.

The facility failed to ensure that one of three sampled Medication Aides had completed required training on the care of diabetic residents prior to administering insulin. Record reviews showed the staff member had no documentation of this training despite administering sliding scale insulin on multiple dates between September and November 2019.

The facility failed to ensure that one of three sampled Medication Aides had completed required training on the care of diabetic residents prior to administering insulin. Personnel records showed no documentation of completed training for the staff member, despite records showing they administered sliding scale insulin to residents between September and November 2019.