Above average — CMS composite of the measures below.
A standard survey is most likely before around September 2026
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 Morrison Woods Health Campus during CMS and state inspections, most recent first.
A facility failed to ensure consistent documentation of a resident's advance directives, leading to conflicting information about the resident's code status. While the physician's order and face sheet indicated a Full Code status, the Continuity of Care document signed by the resident showed a DNR status. Interviews revealed discrepancies in how staff verified code status, with the DON relying on the Continuity of Care document and an LPN using the face sheet. This inconsistency could lead to confusion about the resident's wishes in an emergency.
A resident with dementia and Parkinson's Disease was found with a large bruise on the knee, and the facility failed to implement preventative measures. Despite identifying potential causes such as knee contractures and the use of a mechanical lift, no new interventions were added to the care plan. Staff interviews revealed a lack of updated information on preventing further bruising.
A resident with a history of metabolic encephalopathy and other conditions was not provided with the prescribed oxygen support as per physician's orders. Despite an order to administer oxygen at 4 liters per minute following an acute hypoxia episode, the resident was observed without oxygen on multiple occasions. Staff interviews revealed confusion about the continuation of the oxygen order, and the facility's policy on medication orders was not followed.
The facility failed to ensure proper narcotic reconciliation for two medication carts, as required by policy. Observations revealed missing shift-to-shift reconciliations on multiple dates in July and August 2024. An LPN confirmed that the narcotic sign-in/sign-out sheet should be completed after the narcotic medication count and key exchange. The DON acknowledged the expectation for reconciliation at every shift change but could not locate additional count sheets. The facility's policy mandates signatures from both off-going and oncoming staff to confirm accurate reconciliation.
A facility failed to ensure immediate reporting of an abuse allegation involving a resident with multiple health conditions. The resident, who was cognitively intact, complained about care from a CNA to an LPN, who did not report the incident to the Administrator as required. The Administrator learned of the allegation two days later from the resident's family, leading to a delayed investigation and suspension of the CNA. The facility's policy requires immediate reporting and suspension of the suspected employee, which was not followed.
Inconsistent Documentation of Advance Directives
Penalty
Summary
The facility failed to ensure consistent documentation and communication regarding a resident's advance directives, specifically concerning code status. Resident 35's medical record contained conflicting information about his code status. A physician's order and the face sheet both indicated that the resident was a Full Code, meaning CPR should be performed if necessary. However, the Continuity of Care document, signed by the resident, indicated a Do Not Resuscitate (DNR) status. This discrepancy in documentation could lead to confusion about the resident's wishes in an emergency situation. Interviews with facility staff revealed inconsistencies in how code status information was verified. The Director of Nursing (DON) stated that the Continuity of Care document was the primary source for verifying a resident's code status, while an LPN indicated that he relied on the face sheet for this information. The facility's policy on advance directives required that the code status be part of the medical record and that staff follow the resident's advance directives regarding end-of-life care. The conflicting information in Resident 35's records highlights a failure to ensure that all documentation consistently reflected the resident's wishes.
Failure to Implement Preventative Measures for Resident's Bruising
Penalty
Summary
The facility failed to implement preventative measures following an injury of unknown origin for a resident with dementia and Parkinson's Disease. The resident, who was severely cognitively impaired and had mobility impairments, was found with a large bruise on the inside of the right knee. The bruise was observed by a CNA and reported to the charge nurse. The resident's care plan already noted a potential for bleeding and bruising due to medication, but no new interventions were added after the bruise was discovered. The root cause analysis identified the most likely causes of the bruising as knee contractures, restless leg movements, removal of a pillow placed between the knees, and the use of a mechanical lift. Despite these findings, the facility did not develop or implement new approaches to prevent further bruising. Interviews with staff revealed a lack of updated information or specific instructions on how to transfer the resident using the mechanical lift to reduce the risk of bruising.
Failure to Follow Oxygen Administration Orders
Penalty
Summary
The facility failed to follow physician's orders regarding oxygen administration for a resident who was reviewed for respiratory care. The resident, who had a history of metabolic encephalopathy, unspecified atrial fibrillation, essential hypertension, and unspecified sepsis, was observed on multiple occasions without the prescribed oxygen support. Despite a physician's order dated 8/19/24, which specified sending the resident to the emergency room if oxygen saturation fell below 85% on 4 liters per minute of oxygen, the resident was found without a nasal cannula or oxygen mask during several observations. The resident reported feeling unwell and short of breath during these times. The resident's clinical records indicated that he had an acute hypoxia episode and was started on oxygen at 4 liters per minute, with a plan to wean off as tolerated. However, observations showed inconsistencies in oxygen administration, with the resident not receiving the prescribed oxygen support. Interviews with staff revealed a lack of clarity regarding the continuation of the oxygen order, with the Corporate Nurse Consultant indicating that the order should have been a one-time order related to a cardiac event earlier in the week. The facility's policy on medication orders required specifying the rate of flow, route, and rationale for oxygen orders, which was not adhered to in this case.
Failure in Narcotic Reconciliation
Penalty
Summary
The facility failed to ensure proper narcotic reconciliation according to its policy for two of the three medication carts reviewed. During an observation of the medication storage on the 100 Hall cart, it was found that the Narcotic Count Sheet lacked shift-to-shift reconciliation of controlled medications on multiple dates in July and August 2024. The discrepancies included missing reconciliations on various shifts, with some dates showing no reconciliation across all three shifts. This observation was confirmed by an LPN who indicated that the narcotic sign-in/sign-out sheet should be completed after the narcotic medication count and with the exchange of keys. Similarly, during an observation of the 300 Hall cart, the Narcotic Count Sheet also showed missing shift-to-shift reconciliations on several dates in July and August 2024. The DON confirmed that the expectation was for the narcotic count sheet to be completed at every shift change and whenever the medication cart keys changed hands. However, the DON was unable to locate any additional count sheets to account for the missing reconciliations. The facility's policy, reviewed in December 2023, clearly stated that both off-going and oncoming nursing staff should sign the narcotic count sheet to indicate that the narcotics have been reviewed and accurately reconciled.
Failure to Report Alleged Abuse Immediately
Penalty
Summary
The facility failed to ensure that staff reported allegations of abuse to the Administrator immediately, as required by facility policy. This deficiency was identified during a review of the clinical record for Resident B, who had diagnoses including urinary tract infection, hypertensive heart disease with heart failure, osteoporosis, and rheumatoid arthritis. The resident was cognitively intact according to the most recent Minimum Data Set assessment. On a specific date, Resident B complained to an LPN about care received from a CNA. The LPN assessed the resident for physical injury and instructed the CNA not to enter the resident's room for the rest of the shift, while also instructing other staff to provide care in pairs. However, the LPN did not report the allegation to the Administrator immediately. The Administrator became aware of the allegation two days later when the resident's family contacted them. Upon learning of the incident, the Administrator initiated an investigation and suspended the CNA pending the outcome. The facility's policy, which was reviewed during the survey, mandates immediate reporting of suspected violations to the Executive Director and suspension of the suspected employee pending investigation. The CNA continued to work for 32 hours after the allegation was made, indicating a failure to follow the facility's abuse and neglect procedural guidelines.
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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 Muncie
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Westminster Village Muncie Inc | 0.6 mi | ★★★★★ | 10 | 0 |
| Brickyard Healthcare - Muncie Care Center | 0.9 mi | ★★★★★ | 1 | 0 |
| Bethel Pointe Health And Rehab | 1 mi | ★★★★★ | 4 | 0 |
| Woodlands The | 2.4 mi | ★★★★★ | 0 | 0 |
| Signature Healthcare Of Muncie | 3 mi | ★★★★★ | 30 | 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.