Above average — CMS composite of the measures below.
A standard survey is most likely before around November 2026
Estimate from public CMS data, current as of August 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at J. Michael Morrow Memorial Nursing Home during CMS and state inspections, most recent first.
Dirty Wheelchairs Not Maintained: The facility failed to keep 4 of 4 reviewed residents’ wheelchairs clean and in a homelike condition. An LPN, CNA, and the DON observed the wheelchair frames were dirty and grimy, despite the facility policy calling for regular wheelchair sanitization and weekly pressure washing by maintenance.
A resident with a diagnosis of bipolar disorder did not have a completed Level II PASARR despite a prior Level I screen showing no mental illness. The SSD said a review had been sent to OBH, but OBH requested additional information and the needed follow-up was not submitted, leaving no documentation that the Level II PASARR was completed.
Dirty CPAP machines were observed for two residents who had nightly CPAP orders. An LPN and later the DON confirmed that the exterior of the machines and the interior of the reservoirs were dirty, despite orders for nurses to check that the reservoirs were clean before use.
The facility failed to maintain sanitary conditions in the kitchen and ensure proper temperature control for liquids. Staff were observed not practicing appropriate hand hygiene and glove use during food preparation, and cold beverages were found to be stored at unsafe temperatures. These deficiencies had the potential to affect the 142 residents consuming food and beverages from the kitchen.
An LPN failed to report a resident's allegation of mistreatment by night staff within the required timeframe. The resident, with moderate cognitive impairment and multiple health issues, was found with bruising and skin injuries, which she attributed to rough handling. Despite the resident's report, the LPN did not inform the administration, violating the facility's abuse/neglect policy.
The facility failed to maintain an infection prevention and control program by improperly storing biohazard soiled laundry. During a tour, five red biohazard bags were found on the floor of the contaminated side of the laundry department. The facility's policy requires these bags to be placed in a receptacle or designated area. Both the Housekeeping Supervisor and Infection Preventionist confirmed the bags should not have been left on the floor.
A facility failed to update a Level 1 PASARR for a resident newly diagnosed with Schizoaffective Disorder. The resident was admitted and later diagnosed, but the PASARR did not reflect this mental illness. A staff member confirmed the oversight during an interview, acknowledging that the PASARR should have been re-submitted to include the new diagnosis.
A resident with severe cognitive impairment and respiratory care needs was found to have their oxygen set at 1L instead of the ordered 2L. This discrepancy was confirmed by an LPN, indicating a failure to provide care in accordance with professional standards.
A resident with moderate cognitive impairment was left with medication at their bedside by an LPN, contrary to facility policy requiring confirmation of medication ingestion. The resident did not have an order to self-administer medications, highlighting a failure in nursing staff competency and adherence to medication administration protocols.
The facility failed to ensure food was prepared to meet the needs of residents on a pureed diet. A cook did not measure Instant Food Thickener when preparing meals, relying on experience instead. The facility's policy lacked clear instructions on liquid amounts for pureeing meat, leading to inconsistencies. This affected 21 residents on a pureed diet.
Dirty Wheelchairs Not Maintained
Penalty
Summary
The facility failed to provide a clean, comfortable, and homelike environment by not cleaning 4 of 4 reviewed residents’ wheelchairs. A review of the facility’s Wheelchair Sanitization policy dated 06/05/2025 stated that equipment was to be cleaned weekly or more often if needed, with wheelchair parts wiped down when not in use and pressure washed monthly by maintenance. During observations on 08/19/2025, Residents #81 and #91 had wheelchair frames that were dirty and grimy, and an LPN confirmed the findings and stated the wheelchairs should have been cleaned daily by a designated CNA. Later that day, Resident #95’s wheelchair frame was observed to be dirty and grimy, and a CNA confirmed the finding. Resident #121’s wheelchair frame was also observed to be dirty and grimy, and an LPN confirmed the finding. The DON later observed all four wheelchairs and confirmed the frames were dirty and grimy, stating it was the facility’s policy for maintenance to pressure wash the wheelchairs weekly.
Failure to Complete Level II PASARR Review
Penalty
Summary
The facility failed to ensure that a Level II PASARR was obtained for one resident who had been identified for PASARR review. The resident’s admission record showed a diagnosis of bipolar disorder with an onset date of 10/31/2022, while a Level I PASARR screening dated 12/23/2020 did not identify a mental illness. Review of the resident’s electronic health record on 08/20/2025 found no documentation that a Level II PASARR had been completed. The facility’s policy stated that the Social Services Director was responsible for tracking each resident’s PASARR screening status and referring to the appropriate authority. During interviews on 08/20/2025, the Social Services Director stated that a review had been submitted to OBH for a Level II PASARR, but OBH responded on 11/13/2024 requesting additional information to complete the review. The Social Services Director confirmed that the additional information was not submitted and that it should have been.
Dirty CPAP Machines Observed for Two Residents
Penalty
Summary
The facility failed to ensure that resident CPAP machines were clean and sanitary for two residents, both of whom had physician orders for nightly CPAP use. Resident #32 had an order for CPAP using home settings daily at bedtime, with the nurse to check that the reservoir was clean prior to application, and Resident #73 had an order for CPAP blended with oxygen at 2 liters per minute at bedtime using home settings, with the nurse to check that the reservoir was clean prior to application each night shift. During observation, the exterior of both residents’ CPAP machines and the interior of the reservoirs were found to be dirty. The Director of Nursing later observed the same condition and confirmed that the exterior body and interior reservoir of the machines were dirty, stating that the nurses should have cleaned the machines weekly and as needed.
Deficiencies in Kitchen Sanitation and Temperature Control
Penalty
Summary
The facility failed to adhere to professional standards for food service, specifically in maintaining sanitary conditions in the kitchen. Observations revealed that staff did not practice appropriate hand hygiene and glove use. During the preparation of pureed meals, a cook was seen handling trash with gloved hands and then returning to food preparation without changing gloves or washing hands. Similarly, another staff member was observed disposing of trash and continuing food preparation without changing gloves or performing hand hygiene. Interviews with the involved staff and dietary management confirmed that proper procedures were not followed. Additionally, the facility did not maintain appropriate temperatures for liquids on the lunch line. During an observation, the temperatures of a red-colored drink and lemonade were found to be above the required 41 degrees Fahrenheit, measuring 53 and 49 degrees Fahrenheit, respectively. The dietary manager confirmed that these temperatures were not within the acceptable range, indicating a failure to ensure that cold beverages were stored at safe temperatures. These deficiencies had the potential to affect the 142 residents who consumed food and beverages from the kitchen.
Failure to Report Alleged Resident Mistreatment
Penalty
Summary
The facility failed to ensure that an LPN immediately reported an allegation of resident mistreatment to the administration within the required two-hour timeframe. This incident involved a resident with moderate cognitive impairment who required extensive assistance with daily activities. The resident was observed with bruising and skin injuries, which she attributed to rough handling by the night staff. Despite the resident's report of mistreatment, the LPN did not inform the administration as required by the facility's abuse/neglect policy. The resident, who had a history of paroxysmal atrial fibrillation, anxiety disorder, hypertension, acute kidney failure, bipolar disorder, muscle weakness, and lack of coordination, was found with bruising on both forearms and bandages on her right forearm and left hand. The resident reported that the night staff was too rough when turning her, leading to her injuries. The LPN documented the resident's report but failed to notify the administration, which is a violation of the facility's policy. Interviews with the LPN and the Director of Nursing (DON) revealed that the LPN acknowledged the resident's report of rough handling but did not report it to the administration. The DON and other administrative staff believed the LPN had incorrectly documented the resident's statements. This lack of immediate reporting of suspected abuse or mistreatment has the potential to affect all residents in the facility.
Improper Storage of Biohazard Soiled Laundry
Penalty
Summary
The facility failed to maintain an infection prevention and control program by not ensuring that biohazard soiled laundry was properly stored. During a tour of the laundry department, five red biohazard bags were observed on the floor of the contaminated side. The facility's policy on handling soiled linen, last reviewed in May 2024, specifies that red bags should be transported to the laundry and placed in a receptacle, or in a designated area away from regular linen if the receptacle is being disinfected. The Housekeeping Supervisor confirmed that the biohazard bags should not have been left on the floor and should have been placed inside a bin and washed last. The Infection Preventionist also confirmed that the biohazard soiled laundry should have been placed inside a bin and not left on the floor.
Failure to Update PASARR for Resident with New Mental Disorder
Penalty
Summary
The facility failed to complete a new Level 1 PASARR (Preadmission Screening and Resident Review) for a resident who was newly diagnosed with a mental disorder. The resident, identified as Resident #26, was admitted to the facility and later diagnosed with Schizoaffective Disorder on March 20, 2022. However, the existing Level 1 PASARR, dated February 18, 2022, did not reflect this diagnosis, as no mental illness was checked in Section III of the document. During an interview on July 31, 2024, a staff member confirmed that the resident's new diagnosis had not been updated in the PASARR, which should have been re-submitted to reflect the change in the resident's mental health status.
Failure to Administer Correct Oxygen Level
Penalty
Summary
The facility failed to provide necessary care and services in accordance with professional standards of practice by not ensuring that oxygen was delivered at the ordered rate for a resident investigated for respiratory care. The resident, who was admitted with diagnoses including Hypertensive Heart Disease with Heart Failure and Unspecified Atrial Fibrillation, had a severely impaired cognition as indicated by a BIMS score of 06 on the Quarterly MDS. The resident's physician orders specified oxygen at 2L per nasal cannula every day and night, starting from a specified date. However, during an observation, the resident was found with the oxygen setting at 1L instead of the ordered 2L. This discrepancy was confirmed by an LPN who acknowledged that the oxygen setting was incorrect.
Medication Administration Deficiency
Penalty
Summary
The facility failed to ensure that the nursing staff demonstrated the necessary competencies and skills to safely meet the needs of the residents, specifically for one resident out of a sample of 48. This deficiency was identified when a Licensed Practical Nurse (LPN) left medication at the bedside of a resident without confirming that the resident had swallowed the medication. The facility's policy on administering oral medications requires that staff stay with the resident until it is confirmed that all medications have been swallowed. Additionally, the policy on self-medication administration states that residents can only self-administer medications if they have intact cognition and an active medical doctor's order, which was not the case for the resident involved. The resident in question, identified as Resident #83, was admitted with diagnoses including unspecified age-related osteoporosis and polyosteoarthritis. The resident's Minimum Data Set (MDS) assessment indicated moderate cognitive impairment with a Brief Interview for Mental Status (BIMS) score of 10. An observation revealed that a medication cup with a pill was left on the resident's bedside table, and the resident reported that the night nurse instructed her to take it after breakfast. The Director of Nursing confirmed that the resident did not have an order to self-administer medications, and the LPN should not have left the medication at the bedside.
Failure to Measure Ingredients for Pureed Diets
Penalty
Summary
The facility failed to ensure that food was prepared in a form designed to meet the individual needs of residents on a pureed diet. Observations revealed that the cook, identified as S5C, did not use a measuring device when adding Instant Food Thickener to pureed beans, relying instead on her experience. She added the thickener by shaking it into the beans and later added more without measuring, aiming for a moderate thickness. Additionally, when pureeing sausage, S5C added water without specific guidance from the facility's Food Service Policy, which lacked instructions on the amount of liquid to use. She also added thickener to the sausage without measuring. Interviews with the Dietary Manager (S7DM) and Registered Dietician (S8RD) confirmed that the cook should have measured the thickener according to the manufacturer's recommendations and followed the pureed recipe. The facility's policy did not provide clear instructions on the amount of liquid to add when pureeing meat, contributing to the inconsistency in food preparation. This deficiency had the potential to affect 21 residents who were on a pureed diet, as the food may not have been prepared to meet their individual dietary needs.
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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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How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| St. Agnes Healthcare And Rehab Center | 8 mi | ★★★★★ | 7 | 0 |
| Evangeline Oaks Guest House | 9.3 mi | ★★★★★ | 14 | 0 |
| Courtyard Manor Nurse Care Center & Assisted Liv | 10.3 mi | ★★★★★ | 5 | 0 |
| Senior Village Nursing & Rehabilitation Center | 10.4 mi | ★★★★★ | 6 | 0 |
| Amelia Manor Nursing Home | 12.3 mi | ★★★★★ | 5 | 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 August 2026) and official state health department websites.