Above average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Morton Plant Rehabilitation Center during CMS and state inspections, most recent first.
The facility failed to ensure accurate federal staff posting dates for two days during a survey. Observations revealed incorrect dates on the staff posting outside the entrance. The Interim DON stated that night shift Unit Managers are responsible for daily postings, but she was unaware of the errors. Facility policy requires the 2nd shift Nurse Supervisor to post and verify daily staffing information for accuracy and compliance.
The facility failed to ensure accurate PASARR screenings for three residents upon admission. A resident with anoxic brain damage was not correctly identified, leading to an incorrect PASARR determination. Another resident's PASARR was incomplete, and a third resident's PASARR did not reflect their anxiety disorder. The Nursing Home Administrator acknowledged ongoing issues with the PASARR process, which is managed by the Social Services department.
The facility failed to post 'oxygen in use' signs on the doors of rooms where residents were using oxygen therapy. Observations revealed that multiple residents with conditions like COPD and heart failure were using oxygen concentrators or nasal cannulas without the required signage. Staff interviews confirmed the oversight, and the facility's policy mandates such postings for safety.
A facility failed to maintain a medication error rate below 5%, resulting in a 40.54% error rate. Errors included administering insulin to a resident with a low blood glucose level, delayed administration of Carbidopa-Levodopa to a resident, and late administration of multiple medications to another resident, with one medication unavailable and not reported to the pharmacy or physician.
A facility failed to assess and obtain physician orders for a resident's skin injury, leading to improper wound care. Additionally, a Lidocaine patch was not removed as scheduled, and documentation inaccurately reflected its removal. Furthermore, a resident receiving Midodrine for hypotension did not have their blood pressure measured as required by physician orders, highlighting deficiencies in medication administration and documentation practices.
Inaccurate Federal Staff Posting Dates
Penalty
Summary
The facility failed to ensure that the federal staff posting dates were accurate for two of the four days during the survey. On two separate occasions, observations were made of the federal staff posting located outside the front entrance door, which displayed an incorrect date. During an interview, the Interim Director of Nursing (DON) stated that the Unit Managers on the night shift are responsible for ensuring the staffing numbers are correct and posted daily. However, she was not aware that the federal staff posting had the wrong date for two consecutive days. The facility's policy on staffing data requires the 2nd shift Nurse Supervisor or Designee to post daily staffing information, which should be reviewed for accuracy by the Director of Patient Services or Weekend Nurse Supervisor. The information must be posted in a clear and readable format in a prominent place accessible to residents and visitors.
Inaccurate PASARR Screenings for Residents
Penalty
Summary
The facility failed to ensure accurate Level I Preadmission Screening and Resident Review (PASARR) for three residents upon admission. Resident #75 was admitted with multiple diagnoses, including anoxic brain damage, which was not included in the PASARR, leading to an incorrect determination that a Level II PASARR was not required. The Nursing Home Administrator acknowledged the oversight and noted that the PASARR should have included the anoxic brain damage under intellectual disability, which would have necessitated a Level II PASARR. Resident #297's PASARR was incomplete, with no qualifying diagnoses checked, despite the resident being admitted with major depressive disorder. Similarly, Resident #27 was admitted with a diagnosis of unspecified anxiety disorder, but the PASARR was blank, and no mental illness or intellectual disability was indicated. The Nursing Home Administrator stated that the PASARR process was an ongoing issue and that the Social Service department was responsible for ensuring the accuracy of PASARRs. The facility's policy requires that all individuals are screened for mental disorders and intellectual disabilities prior to admission, and any discrepancies should be addressed by the Social Services department.
Failure to Post Oxygen Use Signs in Resident Rooms
Penalty
Summary
The facility failed to ensure the posting of cautionary and safety signs indicating the use of oxygen in resident rooms for eight residents. Observations were made on multiple occasions where residents were using oxygen concentrators or nasal cannulas, yet there were no 'oxygen in use' signs posted on the outside of their room doors. This deficiency was noted for residents with various medical conditions requiring oxygen therapy, such as acute respiratory failure, COPD, emphysema, and heart failure. The absence of these signs was observed despite the facility's policy requiring such postings to ensure safety and awareness of oxygen use. Interviews with staff, including a Registered Nurse/Nurse Manager and the Director of Nursing, confirmed that oxygen use should be posted at the doorway, and the issue had been identified by the DON the day before. The facility's policy on oxygen delivery systems, revised in September 2024, explicitly states that an 'O2 In Use/No Smoking' sign should be placed on the door to the room entrance. Photographic evidence was obtained to support these findings.
Medication Administration Errors and Delays
Penalty
Summary
The facility failed to maintain a medication error rate below 5%, resulting in a 40.54% error rate during the survey. The errors were observed in the administration of medications to three residents. For Resident #56, a Licensed Practical Nurse (LPN) administered Humalog insulin despite the resident's capillary blood glucose level being below the threshold specified in the medication order. The order indicated that insulin should be held if the blood glucose level was less than 120, but the LPN proceeded with the administration. Resident #43 experienced a delay in receiving their scheduled Carbidopa-Levodopa medication. The medication was administered 1 hour and 43 minutes late, and the physician was not notified of the delay. The resident was asleep at the scheduled time, and the nurse had difficulty waking them, which contributed to the delay. The medication administration record did not reflect any communication with the physician regarding the late administration. For Resident #45, multiple medications were administered late, and one medication, Lisinopril, was unavailable. The nurse did not notify the pharmacy or the physician about the unavailability of Lisinopril. The facility's policy requires that the pharmacy and physician be notified if a medication is unavailable, and the medication should be procured as soon as possible. The nurse attributed the delay to spending extra time with another resident, but the required notifications and follow-up actions were not documented.
Deficiencies in Wound Care, Medication Administration, and Documentation
Penalty
Summary
The facility failed to properly assess and obtain physician orders for a skin injury for a resident with a history of hemiplegia and hemiparesis following a cerebral infarction. The resident was observed with a foam dressing on the right elbow, which was not dated and appeared discolored. The dressing had been applied four days prior without a physician's order or documentation of the injury's occurrence. Upon further observation, the dressing was changed, revealing a fresh wound with active bleeding. The facility's records did not show any physician orders for the dressing until several days after the initial observation, and there was no documentation of the injury in the resident's progress notes until after the surveyor's observation. Another deficiency was noted during the medication administration for a resident receiving a Lidocaine patch for pain management. The staff member was observed removing a patch from the resident's shoulder, which should have been removed the previous night according to the Medication Administration Record (MAR). The documentation inaccurately reflected that the patch had been removed at the scheduled time, indicating a failure in accurate documentation and adherence to the medication schedule. Additionally, the facility failed to obtain a blood pressure measurement for a resident receiving Midodrine for hypotension, as per physician-ordered parameters. The staff member administered the medication without taking the resident's blood pressure, despite the order specifying that the medication should be held if the blood pressure exceeded a certain threshold. The MAR did not include documentation of blood pressure readings, and the facility's policy did not address obtaining vital signs prior to medication administration, leading to a lack of compliance with the physician's orders.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Belleair
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Oaks Of Clearwater, The | 0.8 mi | ★★★★★ | 18 | 0 |
| Gulfside Health And Rehabilitation Center | 0.8 mi | ★★★★★ | 0 | 0 |
| Belleair Health Care Center | 1 mi | ★★★★★ | 27 | 0 |
| Clearwater Center | 1.2 mi | ★★★★★ | 0 | 0 |
| Highland Pines Rehabilitation Center | 1.6 mi | ★★★★★ | 3 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.