Deficiency Records for Middletown Nursing and Rehabilitation Center
Updated as of March 01, 2024
A list of the most recent deficiencies for Middletown Nursing and Rehabilitation Center. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-11-06 | 2023-12-28 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2023-11-06 | 2023-12-22 | N |
| Implement emergency and standby power systems. | Fire Safety | 2023-11-06 | 2023-12-22 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2023-11-06 | 2023-12-22 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2023-11-06 | 2023-12-22 | N |
| Ensure that waiting areas, nurse?s stations, gift shops, and cooking facilities, open to the corridor are properly protected. | Fire Safety | 2023-11-06 | 2023-12-22 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-11-06 | 2023-12-22 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-11-06 | 2023-12-22 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-11-06 | 2023-12-22 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-09-22 | 2023-10-12 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2023-09-22 | 2023-10-12 | N |
| Implement emergency and standby power systems. | Fire Safety | 2022-09-14 | 2022-12-15 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2022-09-14 | 2022-12-15 | N |
| Have exits that are accessible at all times. | Fire Safety | 2022-09-14 | 2022-12-15 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2022-09-14 | 2022-12-15 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-09-14 | 2022-12-15 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2022-09-14 | 2022-12-15 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-09-14 | 2022-12-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-09-14 | 2022-12-15 | N |
| Ensure that waiting areas, nurse?s stations, gift shops, and cooking facilities, open to the corridor are properly protected. | Fire Safety | 2022-09-14 | 2022-12-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-09-14 | 2022-12-15 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-09-14 | 2022-12-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-09-14 | 2022-12-15 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-09-14 | 2022-12-15 | N |
| Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | Health | 2022-08-05 | 2022-08-26 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2022-08-05 | 2022-08-26 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2022-08-05 | 2022-08-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-08-05 | 2022-08-26 | N |
| Perform COVID19 testing on residents and staff. | Health | 2022-08-05 | 2022-08-26 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-03-14 | 2022-03-30 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-11-05 | 2021-11-19 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-11-05 | 2021-11-19 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-11-05 | 2021-11-19 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-12-26 | 2020-03-25 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-12-26 | 2020-03-09 | N |
| Implement emergency and standby power systems. | Fire Safety | 2019-12-26 | 2020-03-09 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-12-26 | 2020-03-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-12-26 | 2020-03-09 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2019-12-26 | 2020-03-09 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-12-26 | 2020-03-09 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-12-26 | 2020-03-09 | N |
