Inspection·April 14, 2022

F 0689 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview, and record review, the facility failed to ensure supervision for 1 of 4 sampled residents (Resident #67) related to wandering, which also affected Resident #117 and Resident #15. The findings included: Resident #67 was admitted on [DATE] with diagnosis that included Alzheimer's and anxiety disorder Review of the Minimum Data Set (MDS) assessment, dated 02/24/22, documented Resident #67 as being severely cognitively impaired. Resident #67's Care Plan for Wandering Risk, effective date 10/15/21, documented interventions of offering snacks in between meals, provide reassurance and comfort when anxious, assist with calling son, check wander guard for proper placement and function, and update Code Purple folder (wanderers identification book) with resident's picture and important information. On 04/11/22 at 10:44 AM during an interview, Resident #117 wrote that Resident #67 comes in his room uninvited, sometimes uses his restroom and they (the staff) must physically remove her. He communicated that it upsets him, and that he has complained to the nurses. Review of the MDS assessment dated [DATE] documented Resident #117 as being cognitively intact with diagnosis that include inability to speak due to surgical removal of his voice box, altered breathing due to breathing through a hole in his neck and requiring limited to extensive assistance for all activities except eating. On 04/11/22 at 11:29 AM during an interview, Resident #15 stated a confused woman in a wheelchair who speaks Spanish, a foreign language, comes in her room and fiddles with her bedding. She also said that sometimes it unnerves her because she is sleeping and feels someone messing with her bed. Review of the MDS assessment dated [DATE] documented Resident #15 as being cognitively intact with diagnosis that included Heart Disease and requiring extensive assistance for all activities except eating. On 04/13/22 at 8:20 AM, Resident #117 communicated that Resident #67 came in his room again yesterday and had to be escorted out. He also communicated that he complained again to the staff about it. On 04/13/22 at 2:00 PM, Staff A CNA (Certified Nursing Assistant) stated he is aware of Resident #67 wandering in other people's rooms and about her going into Resident #117's room. He stated he goes and gets her out. Staff A said they try to redirect her but sometimes he is busy giving care to someone else and does not know she has gone into another resident's room. (continued on next page) Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation. LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE TITLE (X6) DATE FORM CMS-2567 (02/99) Previous Versions Obsolete Facility ID: If continuation sheet Page 1 of 3 Event ID: 105801 Printed: 05/28/2026 Form Approved OMB No. 0938-0391 Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION (X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER: (X2) MULTIPLE CONSTRUCTION 105801 B. Wing A. Building (X3) DATE SURVEY COMPLETED 04/14/2022 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Joseph L Morse Health Center Inc The 4847 Fred Gladstone Drive West Palm Beach, FL 33417 For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)