A list of the most recent deficiencies for Majestic Care of Middletown LLC. 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? |
|---|---|---|---|---|
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2023-11-16 | 2023-12-11 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-11-16 | 2023-12-11 | Y |
| Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. | Health | 2023-11-16 | 2023-12-11 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-11-16 | 2023-12-11 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-24 | 2023-09-13 | Y |
| 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 | 2023-08-24 | 2023-09-13 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-03-29 | 2023-06-01 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2023-03-29 | 2023-05-10 | N |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2023-03-29 | 2023-05-10 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-03-29 | 2023-05-10 | N |
| Respond appropriately to all alleged violations. | Health | 2023-03-29 | 2023-05-10 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-03-29 | 2023-05-10 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2023-03-29 | 2023-05-10 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-03-29 | 2023-05-10 | N |
| Provide activities to meet all resident's needs. | Health | 2023-03-29 | 2023-05-10 | N |
| Provide appropriate foot care. | Health | 2023-03-29 | 2023-05-10 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-03-29 | 2023-05-10 | N |
| Provide or obtain dental services for each resident. | Health | 2023-03-29 | 2023-05-10 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2023-03-29 | 2023-05-10 | N |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2023-03-29 | 2023-05-10 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2023-03-29 | 2023-05-10 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-02-22 | 2023-05-10 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-02-22 | 2023-03-23 | Y |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2023-02-22 | 2023-03-23 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-01-20 | 2023-02-08 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-01-20 | 2023-02-08 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-01-03 | 2023-02-08 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-12-05 | 2023-02-08 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-08-30 | 2022-09-02 | Y |
| 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 | 2022-08-23 | 2022-09-02 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-08-23 | 2022-09-02 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-06-17 | 2022-07-07 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-04-29 | 2022-05-12 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-01-20 | 2022-02-02 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-12-06 | 2022-02-02 | Y |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2021-12-06 | 2022-02-02 | Y |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2021-12-06 | 2022-02-02 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-12-06 | 2022-02-02 | Y |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2021-12-06 | 2022-02-02 | Y |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2021-12-06 | 2022-02-02 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-11-19 | 2022-02-02 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-11-19 | 2022-02-02 | Y |
| Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | Health | 2021-11-19 | 2022-02-02 | Y |
| Post nurse staffing information every day. | Health | 2021-11-19 | 2022-02-02 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2021-11-19 | 2022-02-02 | Y |
| 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 | 2021-05-13 | 2021-05-27 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-05-04 | 2021-05-27 | Y |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-07-11 | 2019-08-13 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-07-11 | 2019-08-13 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-07-11 | 2019-08-13 | N |
| Respond appropriately to all alleged violations. | Health | 2019-07-11 | 2019-08-13 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-07-11 | 2019-08-13 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2019-07-11 | 2019-08-13 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2019-07-11 | 2019-08-13 | N |
| Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2019-07-09 | 2019-08-13 | 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 | 2019-07-09 | 2019-08-13 | N |
| Have exits that are accessible at all times. | Fire Safety | 2019-07-09 | 2019-08-13 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-07-09 | 2019-08-13 | 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 | 2019-07-09 | 2019-08-13 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-07-09 | 2019-08-13 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2019-07-09 | 2019-08-13 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-07-09 | 2019-08-13 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-07-09 | 2019-08-13 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-07-09 | 2019-08-13 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-06-07 | 2018-07-19 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-06-07 | 2018-07-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-06-07 | 2018-07-19 | 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 | 2018-06-05 | 2018-06-29 | N |
| Ensure that waiting areas, nurse?s stations, gift shops, and cooking facilities, open to the corridor are properly protected. | Fire Safety | 2018-06-05 | 2018-06-29 | N |
| Have proper power supply for life support equipment. | Fire Safety | 2018-06-05 | 2018-06-29 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-06-05 | 2018-06-29 | N |
