Below average — CMS composite of the measures below.
A standard survey is most likely before around December 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 Morada Temple during CMS and state inspections, most recent first.
Unsafe Food Storage and Facial Hair Restraint Lapses: Surveyors observed multiple opened and unsecured food items in the freezer, uncovered sliced ham and ripped-open bread in the prep area, and uncovered, unlabeled bowls of melted ice cream/sherbet in a freezer. An LC and the DCS were also observed preparing food without beard/facial hair restraints, despite both stating that hair and beard restraints were required in the kitchen.
Failure to Implement Resident Care Plan in EMR: A resident with dementia, low back pain, a left ulna fracture, ASHD, OSA, a burn injury, and muscle weakness did not have a comprehensive person-centered care plan visible or implemented in the EMR within the required timeframe. The DON initially could not locate the plan, and the MDSC said it had been launched but was invisible to others and may have been overlooked; she also said several focus areas were added later because the plan was incomplete. The SW, ADON, DON, and ADM all stated the care plan should have been implemented within seven days and was needed for staff to know how to care for the resident.
An observation found Medication Cart A unattended and unlocked in the hallway outside a resident room, with a key ring left on top of the cart and no staff or residents visible. The DON stated the LVN had stepped away and forgot to lock the cart, and both the DON and ADM said medication carts are expected to be locked when unattended. The facility policy stated medication carts must be securely locked when out of the nurse's view.
The facility did not ensure pharmaceutical services were provided to meet each resident's needs and failed to employ or obtain a licensed pharmacist, resulting in a lack of required pharmaceutical oversight.
The facility failed to ensure that eight dietary staff members had their Texas Food Handler Certificate, necessary for food preparation and cooking. This deficiency was discovered through interviews and record reviews, revealing a lack of awareness and responsibility among staff regarding certification status. The absence of these certifications could potentially place residents at risk of not having their nutritional needs met and expose them to foodborne illnesses. Despite this, there were no reported illnesses at the time of the survey.
The facility failed to maintain food safety and hygiene standards, with staff not wearing proper hair and beard coverings, improper food storage, and pest presence in the kitchen. Additionally, chicken was improperly thawed, posing a risk of food-borne illness.
The facility failed to maintain an effective infection prevention and control program, as a medication aide did not sanitize a blood pressure cuff between uses on multiple residents, and a registered nurse did not adhere to proper hand hygiene during wound care. These practices were against facility policy and could lead to cross-contamination and infection spread.
The facility failed to accurately document the dental status of two residents, one with broken teeth and another with dentures, in their assessments. Despite observations and staff interviews confirming the dental conditions, the initial and follow-up assessments did not reflect these accurately, potentially leading to inadequate care.
The facility failed to provide necessary grooming and hygiene services for residents unable to perform activities of daily living. A resident with moderately impaired cognition had long, dirty fingernails, while another with intact cognition had a long chin hair and untrimmed toenails. A third resident expressed fear of being charged for grooming services, leading to unkempt nails and chin hairs. Staff interviews revealed inconsistencies in offering these services, despite facility policies requiring regular cleaning and trimming.
A resident with severe cognitive impairment was given crushed Mirabegron Extended Release tablets, contrary to medication guidelines, due to a lack of proper documentation and communication among staff. The medication aide, on her first day alone, did not have access to the necessary 'do not crush' list, leading to the error.
Unsafe Food Storage and Staff Facial Hair Restraint Lapses
Penalty
Summary
The facility failed to store, prepare, distribute, and serve food in accordance with professional standards in the kitchen. During observations, surveyors found multiple food items in the walk-in freezer stored in opened, unsecured cardboard boxes with the food exposed to air, including pie dough sheets, bread sticks, cut okra, sliced carrots, garlic toast, and hamburger patties. In the preparation area, a 5-6-inch stack of sliced ham was left uncovered on a cutting board with no staff nearby, and a ripped-open bag of sliced bread was sitting on a metal table beside plates with two pieces protruding from the bag. In the stand-alone freezer used for ice cream, five individual serving bowls containing melted scoops of ice cream and/or sherbet were uncovered and unlabeled. Surveyors also observed kitchen staff preparing food without required facial hair restraints. One LC preparing sandwiches at the griddle had a thick black mustache and was not wearing a beard/facial hair restraint. The DCS was also observed scooping an unknown item into a bowl while not wearing a beard/facial hair restraint and had a thin mustache. During interviews, both staff stated food should have been covered, labeled, and securely stored, and that hair/beard restraints were required in the kitchen. The DCS stated he was unaware that a beard/facial hair restraint was required for his thin mustache. The ADM stated her expectation was that kitchen staff should have securely stored food items and worn hair, beard, and facial hair restraints while in the kitchen.
Failure to Implement Resident Care Plan in EMR
Penalty
Summary
The facility failed to develop and implement within seven days a comprehensive person-centered care plan for Resident #28 and failed to make that care plan available to staff in the EMR. Resident #28 was an [AGE]-year-old male admitted and later readmitted to the facility with diagnoses including unspecified dementia, low back pain, a nondisplaced transverse closed fracture of the left ulna, atherosclerotic heart disease, obstructive sleep apnea, burn of unspecified degree of the head, face and neck, and muscle weakness. The resident’s MDS showed Section A completed by the MDS nurse on 8/4/2025, but there was no care plan visible when it was reviewed on 9/3/2025 at 3:30 PM. During interviews, the DON initially could not see a care plan in the computer, and the MDSC stated the care plan had been launched in the EMR but was invisible to others. She said she was responsible for implementing resident care plans in the EMR and acknowledged that the resident’s care plan may have been overlooked. She also stated that three focus areas on the 9/3/2025 care plan were initiated that day because the care plan was incomplete and those areas had not been initiated when the care plan was originally launched. The SW, ADON, DON, and ADM all stated that care plans were required for staff to know how to care for residents and that the resident should have had a person-centered care plan implemented within seven days of admission. The facility policy stated that the interdisciplinary team is responsible for developing resident care plans according to established timeframes.
Unattended Medication Cart Left Unlocked in Hallway
Penalty
Summary
Medication Cart A on North Hall, serving Rooms 301 through 316, was found unattended and unlocked in the middle of the hallway outside a resident room, facing outward. An observation on 9/3/2025 at 4:19 PM showed a silver key ring with 10-12 keys laying on top of the cart, with no staff or residents visible to the surveyor. The surveyor locked the cart, took the keys to the DON at the nurses' station, and reported that the medication cart had been found unlocked and unattended. During interviews, the DON stated the LVN responsible for the cart had gone to grab something and forgot to lock it, and that the LVN was counseled on the importance of locking medication carts. The DON and ADM both stated their expectation that medication carts be locked when unattended. Record review of the facility policy, Security of Medication Cart, stated that medication carts must be securely locked at all times when out of the nurse's view and locked when not being used.
Failure to Provide Pharmaceutical Services and Licensed Pharmacist Oversight
Penalty
Summary
The facility failed to provide pharmaceutical services to meet the needs of each resident and did not employ or obtain the services of a licensed pharmacist. This deficiency was identified during the survey process, indicating that the required pharmaceutical oversight and services were not in place for residents as mandated by regulations.
Deficiency in Dietary Staff Certification
Penalty
Summary
The facility failed to employ sufficient staff with the appropriate competencies and skills to carry out the functions of the food and nutrition service. Specifically, eight out of seventeen dietary staff members did not have their Texas Food Handler Certificate, which is necessary for preparing and cooking food. This deficiency was identified through interviews and record reviews, revealing that the certificates were not posted in the kitchen, and some staff were unaware of their location. The absence of these certifications could potentially place residents at risk of not having their nutritional needs met and expose them to foodborne illnesses. Interviews with various staff members, including the Dining Room Supervisor (DRS) and the Acting Director (AD), highlighted a lack of awareness and responsibility regarding the certification status of the dietary staff. The DRS mentioned that the certificates were supposed to be redone in August 2024, but the former Dietary Manager (DM) had left, leaving a gap in oversight. The AD acknowledged that not all dietary staff had current certificates and that the responsibility for ensuring certifications were up to date fell on the Certified Dietary Manager (CDM) after the former DM's departure. The CDM, who started on September 23, 2024, was unaware of his responsibility for the dietary staff certifications until the day of the interview. He expressed his expectation that all staff should maintain their certifications and not work without them. The report also noted that 25 out of 27 residents were served meals from the kitchen, with two residents having feeding tubes and not consuming food from the facility's kitchen. Despite the lack of certifications, there were no reported illnesses due to food or food handling at the time of the survey.
Deficiencies in Food Safety and Hygiene Practices
Penalty
Summary
The facility failed to adhere to professional standards for food service safety, as observed during a survey. Kitchen staff, including cooks and servers, did not wear appropriate hair and beard coverings while preparing and serving food. This lack of personal hygiene could potentially lead to contamination of food. Additionally, maintenance staff entered the kitchen without hair restraints, further increasing the risk of contamination. Food storage practices in the facility were inadequate. Observations revealed that food items in the freezer, refrigerator, and dry storage were not properly labeled or dated. Uncovered desserts, undated shredded cheese, and unlabeled bags of bagels and shredded carrots were found in the cooler. Rust was observed in the refrigerator, and some food items were stored in areas with rust, which is against the facility's policy. The facility also failed to store food six inches off the ground, as required. The facility's kitchen was not free of pests, with cockroaches and gnats observed in the area. The thawing process for chicken was not conducted according to safe food handling procedures, with chicken being thawed under warm water and reaching a temperature of 66.2 degrees Fahrenheit, which is above the safe temperature range. These deficiencies in food handling and storage could place residents at risk of food-borne illnesses.
Infection Control Deficiencies in Equipment Sanitization and Hand Hygiene
Penalty
Summary
The facility failed to maintain an effective infection prevention and control program, as evidenced by the improper sanitization of equipment and inadequate hand hygiene practices. Specifically, a medication aide (MA) did not sanitize a blood pressure cuff between uses on multiple residents, including a resident with COPD and another with dementia. Observations revealed that the MA lacked sanitizing wipes on her cart, which she attributed to someone moving them. Interviews with staff, including a Licensed Vocational Nurse (LVN) and the Director of Nursing (DON), confirmed that the failure to sanitize the cuff could lead to cross-contamination and infection spread. Additionally, a registered nurse (RN) failed to adhere to proper hand hygiene protocols while performing wound care on a resident with a surgical wound. The RN double-gloved and did not wash or sanitize her hands between removing soiled dressings and applying new ones. This practice was observed by the Assistant Director of Nursing (ADON) and acknowledged by the RN, who admitted that not washing hands between dirty and clean surfaces could cause contamination. The DON and Administrator confirmed that double-gloving was against facility policy and emphasized the importance of hand hygiene in preventing infections. The facility's policies on hand hygiene and cleaning non-critical resident care items were not followed, as evidenced by the lack of sanitization of the blood pressure cuff and improper handwashing during wound care. The facility's in-service training on hand hygiene highlighted the necessity of washing hands before and after resident contact and between dirty and clean tasks. Despite this training, staff did not comply with these protocols, potentially compromising resident safety and infection control efforts.
Inaccurate Dental Assessments for Two Residents
Penalty
Summary
The facility failed to ensure accurate assessments of residents' dental status, specifically for two residents. Resident #6, a female with a history of dysphagia, chronic respiratory failure, cerebral infarction, and chronic heart failure, was admitted with broken teeth. However, her initial and follow-up dietitian assessments, as well as her admission MDS assessment, did not reflect her broken teeth status. Observations confirmed that Resident #6 had several missing and broken teeth, which were not accurately documented in her assessments. Resident #13, a female with type two diabetes, dementia, obstructive sleep apnea, and cerebral infarction, was admitted with dentures. Her initial nursing and dietitian assessments failed to document her dentures, and her MDS assessment did not reflect her dental status accurately. Interviews with staff confirmed that Resident #13 had dentures, but this was not marked on her initial assessments. The discrepancies in documentation were acknowledged by the staff, including the MDS Coordinator and the Director of Nursing, who noted that the assessments should accurately reflect the residents' status. The facility's policy on admission assessments emphasizes the importance of accurately documenting residents' physical conditions, including dental status. However, the failure to document the dental status of Residents #6 and #13 accurately could lead to inadequate care. The Director of Nursing and the Administrator acknowledged the potential negative outcomes of inaccurate assessments, including financial implications and care issues, but there was no indication of a review process to prevent such oversights.
Failure to Provide Adequate Grooming and Hygiene Services
Penalty
Summary
The facility failed to provide necessary services for residents who were unable to perform activities of daily living, specifically in maintaining good nutrition, grooming, and personal and oral hygiene. This deficiency was observed in three residents, who were found to have unkempt nails and noticeable chin hairs. Resident #9, a female with moderately impaired cognitive status, was observed with long, dirty fingernails that posed a risk to her skin integrity. Resident #287, a male with a BIMS score indicating intact cognition, had a long chin hair and toenails that needed trimming, which he was unable to manage himself. Resident #238, a female with intact cognitive status, was observed with long chin hairs and dirty fingernails. She expressed reluctance to request assistance due to fear of being charged for the services. Interviews with CNAs and the Director of Nurses revealed that staff were responsible for nail and chin hair care, but these services were not consistently offered or provided. The facility's policy on nail and shaving care outlined the importance of regular cleaning and trimming to prevent skin problems and maintain resident dignity. The failure to provide these basic grooming services could lead to poor hygiene, dignity issues, and decreased quality of life for the residents. The facility's staff, including CNAs and nurses, were expected to offer these services during showers and as needed, but the observations and interviews indicated a lack of consistent implementation of these policies. The Director of Nurses acknowledged that residents would feel unpresentable and dirty if these grooming needs were not met.
Medication Error: Crushing of Extended Release Tablets
Penalty
Summary
The facility failed to ensure that a resident was free from significant medication errors, specifically concerning the administration of Mirabegron Extended Release tablets. The resident, an elderly male with severe cognitive impairment and a history of degenerative nervous system diseases, was prescribed Mirabegron for overactive bladder. During a medication pass, a medication aide (MA I) crushed the resident's Mirabegron Extended Release tablets, despite the medication being a 'do not crush' type. This error occurred because the aide relied on a list that was missing from the medication cart, and she was not adequately informed about the medication's specific requirements. Interviews with staff revealed that there was a lack of clear communication and proper documentation regarding which medications should not be crushed. The medication aide was new and nervous, and she did not have access to the necessary information on her first day alone. The Director of Nursing (DON) and other staff members acknowledged that there should have been a list of 'do not crush' medications available on the cart, and that the medication administration record (MAR) should have indicated the requirement. The facility's policy on crushing medications, which emphasizes the importance of following physician orders and guidelines, was not adhered to in this instance.
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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 Temple
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Avir At Temple East | 0.4 mi | ★★★★★ | 3 | 0 |
| Avir At Temple West | 0.4 mi | ★★★★★ | 1 | 0 |
| Cornerstone Gardens Llp | 0.7 mi | ★★★★★ | 0 | 0 |
| Avir At Weston | 1.2 mi | ★★★★★ | 3 | 0 |
| Baylor Scott & White Continuing Care Hospital Skil | 1.3 mi | ★★★★★ | 1 | 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.