Morning Star Post Acute
MORNING STAR POST ACUTE in CLOVIS, CA — inspection on August 14, 2025.
Found 1 citation. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
During an interview on 8/14/25 at 3:15 p.m. with the Director of Nursing (DON), the DON stated the LN should have notified the physician when medications are unavailable and not given.
The DON stated the nurse should have called the physician to report the medications were not available so the physician could decide if an alternative medication was needed.
The DON stated the LN placed the residents at risk for worsening chronic health conditions by not reporting to the physician the medications were not given.
The DON stated notifying the physician of medications not available and not given was standard practice.
During a review of the facility's policy and procedure (P&P) titled, 7.0 Medication Shortages/Unavailable Medications, dated 8/01/24, the P&P indicated 5.
If the medication is unavailable from Pharmacy or third-party Pharmacy, and cannot be supplied from the manufacturer, facility should obtain alternate Physician/Prescriber orders, as necessary. 6. If the medication is unavailable from the Pharmacy.Facility should collaborate with Pharmacy and Physician/Prescriber to determine a suitable therapeutic alternative. 7. If Facility nurse is unable to obtain a response from the attending Physician/Prescriber in a timely manner, Facility nurse should notify the nursing supervisor and contact Facility's Medical Director for alternate orders/directions, making sure to explain the circumstances of the medication shortage.9.
When a missed does is unavoidable, Facility nurse should document the missed dose, and the explanation for such missed dose, on the MAR (Medication Administration Record) or TAR (Treatment Administration Record) and the nurse's notes per Facility policy.During a review of the National Library of Medicine Professional Referenced titled, Nursing Rights of Medication Administration, published 4/4/23, (found at https://www.ncbi.nlm.nih.gov/books/NBK560654/) the reference indicated, .Right time-administering medications at a time that was intended by the prescriber.A guiding principle of this ?right' is that medications should be prescribed as closely to the time as possible, and nurses should not deviate from this time by more than half an hour to avoid consequences such as altering bioavailability of other chemical mechanisms.
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.