Average — CMS composite of the measures below.
The next survey window likely opens around November 2026
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Morris Nursing Home during CMS and state inspections, most recent first.
The facility failed to initiate EBP for a resident with an indwelling urinary catheter and related diagnoses. Staff provided direct care using only gloves, and there was no EBP order, signage, or PPE available. The facility also failed to keep clean and dirty linen separated in the laundry area, where clean linen storage, folding, and hanging clothing were located in the same room as the dirty linen bin, with no barrier separating them and no PPE available for handling dirty linen.
Failure to hold and document quarterly care conferences with the IDT and resident/rep affected multiple residents. Records showed several residents had only limited or no evidence of quarterly care conferences, and for others there were multidisciplinary care conference notes but no sign-in sheets to show IDT or resident/rep participation. Residents included individuals with severe cognitive impairment, dementia, psychosis, bipolar disorder, CKD, DM2, and other significant diagnoses.
The facility failed to ensure annual performance reviews were completed for four CNAs. Record review showed CNA #33, CNA #38, CNA #25, and CNA #40 did not have an annual evaluation, and the Administrator confirmed the missing reviews.
The facility failed to ensure nurse aides completed the required 12 hours of annual continuing education. Record review showed multiple CNAs, including CNA #33, CNA #25, CNA #40, CNA #37, and CNA #23, did not meet the requirement, and the Administrator confirmed the deficiency.
Failure to promote dignity during dining for two residents with severe cognitive impairment and need for eating supervision. Two CNAs were observed placing neck-hook clothing protectors on the residents before lunch, and one CNA stated they were used to keep food off clothing because they are easier to clean than residents' clothes. Facility policy stated residents have the right to courtesy, respect, and full recognition of dignity and individuality.
Improper Medicare Non-Coverage Notice: A resident with severe cognitive impairment and multiple complex diagnoses had a NOMNC for ending Medicare Part A services, but the copy provided to surveyors showed an altered signature date. The DON and Business Office Mgr verified the representative actually signed the notice on a later date, and the facility policy required NOMNC issuance at least 2 calendar days before coverage ended.
A resident with bipolar disorder, chronic respiratory failure with hypoxia, type 2 DM, and moderate cognitive impairment reported physical abuse by a staff member. The facility’s investigation did not document assessing any other residents for possible abuse by the same staff member, and the Administrator confirmed no additional residents were assessed. The abuse policy required investigation of all allegations and interviews with residents with first-hand knowledge.
Failure to notify the Ombudsman of a resident transfer and failure to provide the bed hold policy in writing were identified for a resident with COPD, dysphagia, TIA, and anxiety disorder who had intact cognition. The resident left the facility by stretcher, but the record showed no written bed hold notice for the resident representative and no Ombudsman notification, which the Administrator confirmed.
Missed and undocumented insulin doses occurred for a resident with type II DM, cerebral infarction, and morbid obesity. The resident was ordered Insulin Degludec 80 units subcutaneously every morning and at bedtime, but the morning dose was not documented as given on multiple occasions in the MAR. The Interim DON confirmed the missing documentation and stated there was no documentation that the insulin was given.
Expired medications were found in medication cart #1 during an RN observation. The cart contained 20 famotidine tablets and one bottle of bisacodyl past their expiration dates, and the RN confirmed the findings. Review of the MAR showed two residents had orders for bisacodyl and one resident had an order for famotidine.
Failure to Initiate EBP and Separate Clean and Dirty Linen
Penalty
Summary
The facility failed to initiate enhanced barrier precautions for Resident #22, who was admitted with diagnoses including orthopedic aftercare for a right below the knee amputation, an indwelling urinary catheter for neurogenic bladder, hypertension, severe sepsis, and alcohol dependence. The resident’s MDS admission assessment showed intact cognition, bowel continence, and an indwelling catheter. Physician orders included monthly and as-needed catheter changes and catheter care every shift, but there was no physician order for enhanced barrier precautions and no mention of an indwelling Foley catheter or EBP in the care plan. During observation, CNA #55 and CNA #56 had just completed direct care using only gloves, and the resident had no EBP signage and no PPE available for staff use. Interviews with the CNAs and RN #16 confirmed the resident had not been placed on EBP since admission, and that there was no EBP order, signage, or PPE available.
Failure to Hold and Document Quarterly Care Conferences
Penalty
Summary
The facility failed to ensure resident care conferences occurred quarterly with the Interdisciplinary Team and included the resident and/or resident representative. Review of records showed that Resident #16, Resident #3, Resident #1, Resident #13, Resident #10, Resident #12, and Resident #4 did not have evidence of quarterly care conferences as required. For several residents, the record contained multidisciplinary care conference documentation, but there was no evidence of a care conference sign-in sheet to show participation by the IDT or the resident and/or representative. The Administrator confirmed that care conference sign-in sheets were not completed for Residents #1, #3, #4, #10, #12, #13, and #16. Resident #16 had diagnoses of Alzheimer's disease, dementia, and benign prostatic hyperplasia, with severe cognitive impairment and dependence for activities of daily living, and the only care conference in 2025 was in October. Resident #3 had bipolar disorder, chronic respiratory failure with hypoxia, and type 2 diabetes, with moderate cognitive impairment and dependence/assistance with activities of daily living, and the only care conference in 2025 was in October. Resident #1 had cerebral ischemia, major depressive disorder, unspecified psychosis, hypertension, dementia, and auditory hallucinations, with severe cognitive impairment and dependence for toileting, bathing, and personal hygiene. Resident #13 had dysphagia, Alzheimer's disease with late onset, dementia, depression, hypertension, and unspecified atrial flutter, with severe cognitive impairment and dependence for self-care and toileting. Resident #10 had rhabdomyolysis, schizoaffective disorder, and chronic kidney disease, and Resident #12 had type II diabetes mellitus, cerebral infarction, erythema multiforme, morbid obesity, and hemiplegia and hemiparesis; both had intact cognition and multidisciplinary care conference documentation, but no sign-in sheets. Resident #4 had syncope and collapse, history of TIA, diabetes mellitus type II, protein-calorie malnutrition, and hypertension, with severe cognitive impairment and dependence for multiple ADLs, and there was no documentation that the resident or representative participated in the plan of care or that quarterly care conferences occurred for the first three quarters of 2025.
Missing Annual Performance Evaluations for Nurse Aides
Penalty
Summary
The facility failed to ensure that a performance review for every nurse aide was conducted at least once every twelve months. Record review of employee files showed that CNA #33, CNA #38, CNA #25, and CNA #40 did not have an annual performance evaluation. This affected four of six nurse aides reviewed in a facility with a census of 14. The Administrator confirmed that CNA #33, CNA #38, CNA #25, and CNA #40 did not have an annual performance evaluation.
Nurse Aide Annual Continuing Education Not Completed
Penalty
Summary
The facility failed to ensure nurse aides had at least 12 hours of annual continuing education. Based on record review and staff interview, CNA #33, CNA #38, CNA #25, and CNA #40 were identified as not having the required annual continuing education, and the record review also showed CNA #37 and CNA #23 did not have 12 hours of annual continuing education. The Administrator confirmed that CNA #37, CNA #33, CNA #25, CNA #40, and CNA #23 did not have the required annual continuing education.
Failure to Promote Dignity During Dining
Penalty
Summary
The facility failed to promote dignity while dining for two residents who were reviewed for dignity. Resident #1 had diagnoses including cerebral ischemia, major depressive disorder, unspecified psychosis, dementia, and auditory hallucinations, and the MDS assessment showed severe cognitive impairment and a need for supervision with eating. Resident #13 had diagnoses including dysphagia oral phase, Alzheimer's disease with late onset, dementia, and depression, and the MDS assessment also showed severe cognitive impairment and a need for supervision with eating. During lunch preparation in the dining area, two CNAs were observed applying clothing protectors that hooked behind the residents' necks to both residents. One CNA confirmed the protectors were used to keep food off residents' clothes and stated it was easier to clean food off the protectors than off the residents' clothing after meals. The facility policy stated residents have the right to be treated at all times with courtesy, respect, and full recognition of dignity and individuality.
Improper Medicare Non-Coverage Notice
Penalty
Summary
The facility failed to ensure proper notice was provided to a resident and/or the resident representative when Medicare services were being discontinued. This affected Resident #23, who was admitted with diagnoses including cerebral infarction with left-sided hemiplegia and hemiparesis, acute and chronic respiratory failure with hypoxia, aphasia, dysphagia, diabetes mellitus type II, hypertension, and atrial fibrillation. The MDS Significant Change of Status assessment showed severe cognitive impairment, need for supervision with eating, maximal assistance with oral and personal hygiene, toileting, bathing, and dressing, and dependence for bed mobility and transfers. Review of the facility-generated NOMNC showed the last covered day of Medicare Part A services as 06/18/25 and that it was signed and dated by the resident's representative on that date. However, the NOMNC copy provided to the surveyor had a visibly altered signature date showing 06/16/25. The Interim DON and Business Office Manager verified that the representative signed the NOMNC on 06/18/25 and confirmed the altered date on the copy provided. The facility policy stated that residents are informed in advance when changes will occur to their bills and that a NOMNC is issued at least two calendar days before Medicare-covered Part A services or Part B therapies end.
Incomplete Investigation of Alleged Abuse
Penalty
Summary
The facility failed to thoroughly investigate an alleged abuse incident involving one resident. Resident #3 was admitted with diagnoses including bipolar disorder, chronic respiratory failure with hypoxia, and type 2 diabetes, and the MDS assessment indicated moderate cognitive impairment. A self-reported incident documented that Resident #3 reported physical abuse by a staff member. However, the investigation did not include documentation of assessing any other residents in the facility for possible abuse by the same staff member. During interview, the Administrator confirmed that no additional residents were assessed as part of the investigation. The facility policy on Abuse and Neglect stated that all allegations of abuse would be investigated and that the investigation would include interviews with residents with first-hand knowledge of the incident and written statements from those residents.
Failure to Notify Ombudsman and Provide Bed Hold Notice
Penalty
Summary
The facility failed to notify the Ombudsman of a resident transfer to the hospital and failed to provide the resident representative with the bed hold policy in writing for Resident #19. Resident #19 was admitted with diagnoses including COPD with acute exacerbation, dysphagia, transient ischemic attack, and generalized anxiety disorder, and the most recent MDS assessment indicated intact cognition. A progress note documented that Resident #19 left the facility by stretcher at approximately 11:30 PM on 10/09/25. Review of the record found no evidence that the resident or resident representative was given the bed hold policy in writing and no evidence that the Ombudsman was notified of the transfer. The Administrator confirmed that the Ombudsman was not notified and that no bed hold notice or written notice was provided to the resident or resident representative when the resident was transferred out of the facility. The facility policy stated that transfer notice is to be provided to the resident and representative as soon as practicable, bed hold policies are to be provided within 24 hours of an emergency transfer, and a copy of the discharge notice is to be sent to the Office of the State LTC Ombudsman at the same time the notice is provided to the resident and representative.
Missed and Undocumented Insulin Doses
Penalty
Summary
The facility failed to ensure residents were free from significant medication errors when Resident #12, who was admitted with diagnoses including type II diabetes mellitus, cerebral infarction, and morbid obesity, had multiple missed morning insulin administrations that were not documented on the December 2025 MAR. The medication order was for Insulin Degludec FlexTouch 100 units/mL, 80 units subcutaneously every morning and at bedtime, but the morning dose was not documented as administered on 12/05/2025, 12/07/2025, 12/11/2025, 12/12/2025, 12/17/2025, and 12/22/2025. During interview, the Interim DON confirmed the morning scheduled insulin doses were not documented as being administered and stated, "It looks like it wasn't given, I would say it wasn't given because there is no documentation." The facility policy titled Medication Handling and Administration Rules, dated 2025, stated that all medication administrations must be recorded in the resident's MAR and that medication errors, including missed doses or incorrect administration, must be reported immediately.
Expired Medications Found in Medication Cart
Penalty
Summary
Drugs and biologicals were not stored and labeled in accordance with accepted professional principles because medication cart #1 contained expired medications. During observation with RN #14, 20 famotidine pills were found with an expiration date of November 2025, and one bottle of bisacodyl was found with an expiration date of July 2025. RN #14 confirmed the expired medications in the cart. Review of the medication list showed Resident #3 had orders for famotidine and bisacodyl, and Resident #10 had orders for bisacodyl. The facility policy titled Medication Handling and Administration Rules stated medications must have an expiration date and follow Ohio state regulations and federal 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 Bethel
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Locust Ridge Healthcare Llc | 3.8 mi | ★★★★★ | 5 | 0 |
| Sunrise Nursing Healthcare Llc | 7.9 mi | ★★★★★ | 7 | 0 |
| Batavia Nursing Care Center | 8.8 mi | ★★★★★ | 5 | 0 |
| Ohio Veterans Home - Georgetown | 11.7 mi | ★★★★★ | 0 | 0 |
| Otterbein Union Township | 12.1 mi | ★★★★★ | 10 | 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 June 2026) and official state health department websites.