Inspection Reports for
Mississippi Care Center of Morton

CI MS#26995 complaint investigation was conducted and the facility was found in compliance with no deficiencies cited.

The facility was found to be in compliance as of 08/28/26 following the complaint investigation and desk review.

CI MS #3091465 was a Facility Reportable Incident investigated related to Accidents. Deficiency F0689 was cited.

The facility failed to develop and implement adequate supervision and individualized interventions to prevent an avoidable accident when Resident #1 exited the facility unsupervised for approximately three minutes on July 11, 2026. The resident was previously assessed as not at risk for elopement, and the facility did not provide sufficient supervision near exit doors.

CI MS #3091465 was a Facility Reportable Incident related to Accidents. The facility was found not in compliance and cited M640.

M0640 - The facility failed to develop and implement adequate supervision and individualized interventions to prevent an avoidable accident after Resident #1 exited the facility unsupervised for approximately three minutes on July 11, 2026. The resident was previously assessed as not at risk for elopement, and staff were re-educated after the incident.

The State Agency found the facility to be in compliance with the requirements of participation in Medicare and Medicaid and recommends the facility be placed back in compliance effective 4/24/26.

The State Agency determined the facility was in compliance with the Minimum Standards for Institutions for the Aged or Infirm, state licensure requirement and recommends the facility be placed back in compliance effective 4/24/26.

The facility was found not in compliance with multiple deficiencies including failure to honor resident rights regarding blood glucose monitoring, failure to maintain a safe and homelike environment, failure to ensure proper medication management including gradual dose reductions and medication errors, failure to revise care plans after falls, and failure to maintain food safety standards.

The facility was found not in compliance with state licensure requirements due to failure to honor residents' rights for two residents, including failure to respect a resident's refusal of fingerstick blood glucose checks and failure to repair a leaky faucet, and failure to follow safe food handling procedures including improper storage, labeling, and discarding of food items.

The facility met all applicable provisions of the 2012 Edition of the Life Safety Code and all Federal, State, and local emergency preparedness requirements. No deficiencies were cited during this survey.

CI MS #2695843 was a facility reported incident related to sexual abuse. The complaint was substantiated with deficiencies cited for failure to protect residents from sexual abuse.

The facility failed to protect residents from sexual abuse by Resident #1, who inappropriately touched Resident #2 and Resident #3. Staff failed to implement immediate one-to-one supervision after the first incident, allowing a second incident to occur. The facility was aware of Resident #1's history of sexually inappropriate behaviors but did not develop an effective care plan or supervision prior to the incidents. Immediate Jeopardy was identified but removed after corrective actions were implemented.

CI MS #2695843 was a facility reported incident related to sexual abuse. The complaint was substantiated with deficiencies cited for failure to protect residents from sexual abuse and failure to develop a comprehensive care plan.

The facility failed to protect residents from sexual abuse by Resident #1, who inappropriately touched Resident #2 and Resident #3. The facility did not implement immediate protective supervision or develop a comprehensive care plan related to Resident #1's sexually inappropriate behaviors, resulting in non-consensual sexual contact and placing other residents at risk.

CI MS #2626232 was investigated relating to environmental services. The complaint was not substantiated as no deficiencies were cited.

The State Agency determined the facility was in compliance with the requirements for participation in Medicare and Medicaid and there were no deficiencies cited.

Complaint number CI MS#2626232 was investigated relating to environmental services and was determined to be unsubstantiated with no deficiencies cited.

The State Agency determined the facility was in compliance with the Minimum Standards for Institutions for the Aged or Infirm, state licensure requirement. There were no deficiencies cited.

Complaint investigations CI MS #28392 (physical abuse) and CI MS #28646 (staffing) were conducted; no deficiencies were cited and the facility was found in compliance.

The survey determined the facility was in compliance with Medicare and Medicaid requirements and no deficiencies were cited.

Complaint investigations MS #28392 related to physical abuse and MS #28646 related to staffing were conducted. The facility was found in compliance with no deficiencies cited.

During the survey, the State Agency determined the facility was in compliance with the Minimum Standards for Institutions for the Aged or Infirm, state licensure requirement. There were no deficiencies cited.

The SA is recommending that your facility be placed back in compliance effective 11/25/24. No deficiencies were cited in this desk review.

The State Agency found the facility to be in compliance with the requirements of participation in Medicare and Medicaid and recommends the facility be placed back in compliance effective 11/27/24.

The State Agency determined the facility was in compliance with the Minimum Standards for Institutions for the Aged or Infirm, state licensure requirement and recommends the facility be placed back in compliance effective 11/27/24.

CI MS #27019 was investigated for falls, safe environment, medication, facility cleanliness, and resident rights. The State Agency determined the facility was in compliance with the Minimum Standards but cited M705 as Past Non-compliance.

The facility was found in compliance with the Minimum Standards for Institutions for the Aged or Infirm, state licensure requirements, but cited M705 as Past Non-compliance from the October 17, 2024 Annual Survey.

CI MS #27019 was investigated for falls, safe environment, medication, facility not clean, and resident rights. Deficiency F761 was cited and substantiated. The facility was found not in compliance.

F0761 - The facility failed to ensure medication was secured in a locked storage area and available only to authorized personnel when a medication was left at a resident's bedside for one of three sampled residents. The resident's face cream was left at the bedside, causing irritation and requiring discontinuation of the medication.

Two deficiencies were cited related to life safety: the facility failed to provide a half-hour fire resistance rating in smoke barrier walls in multiple locations, and it lacked a remote manual stop station for the emergency generator. Both findings were acknowledged by facility leadership during the exit interview.

The facility was found to have a deficiency related to Life Safety Code compliance, specifically the lack of a remote manual stop station for the generator as required by NFPA 110 section 5.6.5.6.

The facility was found not in compliance with multiple requirements including resident self-determination, advance directives, assessment accuracy, comprehensive care planning, respiratory care, food palatability and temperature, and infection prevention and control.

The facility was found not in compliance with state licensure requirements, with deficiencies in residents' rights, respiratory care, food preparation, and infection control.

Complaint number CI MS#26056 was investigated related to Resident Abuse. The SA determined the facility was in compliance with no deficiencies cited.

The facility was found in compliance with the Minimum Standards for Institutions for the Aged or Infirm, state licensure requirement. There were no deficiencies cited.

Complaint MS #26056 was investigated related to Resident Abuse. The facility was found in compliance and no deficiencies were cited.

The facility was found in compliance with Medicare and Medicaid requirements and no deficiencies were cited.

Complaint Investigation CI MS #24068 involved a resident fall. Deficiency M640 was cited and substantiated as Past Non-Compliance with corrective actions completed prior to the survey. CI MS #24293 related to abuse was investigated with no deficiencies cited.

The facility was found to be in compliance with the Minimum Standards for Institutions for the Aged or Infirm, state licensure requirements. The SA determined the cited deficiency M640 was Past Non-Compliance with corrective actions completed by 02/08/24.

Two complaint investigations were conducted: CI MS #24293 (abuse allegation, no deficiencies cited) and CI MS #24068 (resident fall, deficiencies F656 and F689 cited).

The facility was found to be in compliance with Medicare and Medicaid requirements based on corrective actions completed by 2/8/24, prior to the survey. Two deficiencies were cited related to a resident fall involving Resident #1, who fell due to staff not following the care plan requiring two-person assist.

Complaint number CI MS#23394 was investigated related to misappropriation of property. The SA determined the facility was in compliance with no deficiencies cited.

The facility was found in compliance with the Minimum Standards for Institutions for the Aged or Infirm, state licensure requirement. There were no deficiencies cited.

Complaint MS #23394 was investigated related to misappropriation of property. The facility was found in compliance with no deficiencies cited.

The survey determined the facility was in compliance with Medicare and Medicaid requirements and no deficiencies were cited.

Complaint Investigation MS #23044 involved a personnel issue and employee testing for substance influence; MS #22189 involved Quality of Care regarding resident safety. The facility was found in compliance with no deficiencies cited.

During the survey, the State Agency determined the facility was in compliance with the Minimum Standards for Institutions for the Aged or Infirm, state licensure requirement. There were no deficiencies cited.

Complaint numbers CI MS #23044 and CI MS #23028 were investigated; no deficiencies were cited and the facility was found in compliance.

The surveyor determined the facility was in compliance with Medicare and Medicaid requirements, and no deficiencies were cited.

The information provided by the facility confirmed the facility was in compliance with the Minimum Standards of Operation for Institutions for the Aged or Infirm.

The SA is recommending that your facility be placed back in compliance effective 05/05/23. No deficiencies were cited in this desk review.

CI MS #21093 for Resident Abuse was investigated and no deficiencies were cited; the complaint was not substantiated.

The facility was found in compliance with Medicare and Medicaid requirements and no deficiencies were cited during this complaint investigation.

Complaint number CI MS#20693 investigated regarding Admission, Transfer, and Discharge rights; no deficiencies cited.

During the survey, the SA determined the facility was in compliance with the Minimum Standards for Institutions for the Aged or Infirm.

CI MS#20693 investigated a complaint regarding Admission, Transfer, and Discharge rights. The complaint was not substantiated and no citations were related to the complaint.

The facility was found not to be in compliance with Medicare and Medicaid participation requirements and cited for deficiencies related to notice requirements before transfer/discharge, comprehensive care plan implementation, bedrails, and infection prevention and control.

The facility met the applicable provisions of the 2012 Edition of the Life Safety Code. There were no Life Safety Code deficiencies cited during this survey.

Complaint MS #19749 alleged a staff member exhibiting inappropriate sexual behavior toward a resident; the complaint was not substantiated and no deficiencies were cited.

The facility was found in compliance with the Minimum Standards for Institutions for the Aged or Infirm, state licensure requirement. No deficiencies were cited.

CI MS#19749 - Allegation of a staff member exhibiting inappropriate sexual behavior towards a resident; the complaint was not substantiated and no deficiencies were cited.

The facility was found to be in compliance with Medicare and Medicaid requirements, and no deficiencies were cited.

Complaint Investigation MS #18395 and MS #19570 regarding resident Abuse, Resident Neglect, Quality of Care/Treatment or Injury of unknown origin was not substantiated and no deficiencies were cited.

The facility was found in compliance with the Minimum Standards for Institutions for the Aged or Infirm, state licensure requirements. No deficiencies were cited.

Complaint Investigation MS #18395 and MS #19570 involved allegations of resident Abuse, Resident Neglect, Quality of Care/Treatment or Injury of unknown origin. The complaints were not substantiated and no deficiencies were cited.

The facility was found in compliance with Medicare and Medicaid requirements. No deficiencies were cited and the complaints were not substantiated.

F0884 - The facility failed to report complete information about COVID-19 to the CDC's National Healthcare Safety Network during a seven-day period as required by regulation.

Complaint Investigation CI #17749 for Abuse (resident to resident) was substantiated with deficiencies cited initially, but the facility achieved substantial compliance after plan of correction.

The survey determined that the facility was not in compliance with Medicare and Medicaid requirements during the investigation. Based on an acceptable plan of correction and desk review, the facility achieved substantial compliance effective 06/11/21.

Complaint Investigation CI #17749 involved allegations of physical abuse of residents. The complaint was substantiated with deficiencies cited.

The facility failed to ensure two residents were free from physical abuse. Resident #1 was physically abused by Resident #4 and was transferred to the Emergency Department with no new orders or injuries found. Resident #2 was hit on the arm by Resident #3, but no injury or pain was noted. The facility investigated and took corrective actions including staff in-service and policy review.

Complaint Investigation (CI) #17749 for Abuse (resident to resident) was substantiated with deficiencies cited for physical abuse (F600) and failure to report physical abuse (F609).

The facility was found not in compliance due to substantiated resident-to-resident physical abuse and failure to report the abuse incidents as required by regulations.

Complaint investigations CI MS #16670 for Quality of Care and CI MS #16601 for Abuse/Neglect were not substantiated.

The facility was found to be in compliance with infection control regulations and no deficiencies were cited.

The facility was found to be in compliance with 42 CFR 483.73 related to E-0024(b)(6).

The facility was found to be in compliance with 42 CFR §483.73 related to E-0024 (b)(6).

The facility was found to be in compliance with infection control regulations and no deficiencies were cited.

CI MS #16409 was unsubstantiated and no deficiencies were cited.

The complaint investigation CI MS #16409 was unsubstantiated and no deficiencies were cited. The facility was found to be in substantial compliance with Medicaid and Medicare requirements.

Complaint Investigation (CI) MS #15844 was not substantiated for abuse/neglect with no deficiencies cited. CI MS #16029 was substantiated for elopement with no deficiencies cited as the resident showed no exit-seeking behaviors and was not assessed to be an elopement risk.

The facility was found not in compliance with Medicare and Medicaid requirements and cited deficiencies at F0656, F0690, F0693, and F0880. Complaint CI MS #15844 was not substantiated and CI MS #16029 was substantiated for elopement with no deficiencies cited.

M710 - The facility and Consultant Pharmacist failed to ensure that the physician provided a clinical rationale when disagreeing with the pharmacist's recommendation for a Gradual Dose Reduction (GDR) of psychotropic medication for Resident #5. The physician did not document rationale for disagreement with the GDR recommendation for Klonopin, despite multiple reviews and interviews confirming this omission.