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Deficiency Records for Middleton Village Nursing and Rehab

View the most recent health deficiencies and inspection results for Middleton Village Nursing and Rehab. Stay informed about quality of care issues.

View the most recent health deficiencies and inspection results for Middleton Village Nursing and Rehab. Stay informed about quality of care issues.

Deficiency Type of Deficiency Deficiency Date Date Corrected Resulted from a Complaint?
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2026-03-05 2026-04-15 N
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Health 2026-03-05 2026-03-23 N
Ensure that residents are fully informed and understand their health status, care and treatments. Health 2026-03-05 2026-03-23 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2026-03-05 2026-03-23 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 2026-03-05 2026-03-23 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2026-03-05 2026-03-23 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2026-03-05 2026-03-20 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 2026-03-05 2026-03-20 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2026-03-05 2026-03-20 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 2026-03-05 2026-03-20 N
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Fire Safety 2026-03-05 2026-03-20 N
Install corridor and hallway doors that block smoke. Fire Safety 2026-03-05 2026-03-20 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2026-03-05 2026-03-20 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 2026-03-05 2026-03-20 N
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2026-03-05 2026-03-06 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2026-03-05 2026-03-06 N
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. Health 2026-03-05 2026-03-06 N
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. Health 2026-03-05 2026-03-06 N
Conduct testing and exercise requirements. Fire Safety 2026-03-05 2026-03-05 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2025-10-08 2025-10-09 Y
Respond appropriately to all alleged violations. Health 2025-10-08 2025-10-09 Y
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 2025-05-07 2025-07-10 Y
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2025-05-07 2025-05-22 Y
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2025-05-07 2025-05-22 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2025-05-07 2025-05-22 Y
Respond appropriately to all alleged violations. Health 2025-05-07 2025-05-22 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2025-05-07 2025-05-22 Y
Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. Fire Safety 2024-10-28 2024-12-06 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2024-10-28 2024-11-22 Y
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-10-28 2024-11-19 N
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. Health 2024-10-28 2024-11-19 N
Ensure medication error rates are not 5 percent or greater. Health 2024-10-28 2024-11-19 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-10-28 2024-11-19 Y
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. Health 2024-10-28 2024-11-19 Y
Provide safe, appropriate pain management for a resident who requires such services. Health 2024-10-28 2024-11-19 Y
Dispose of garbage and refuse properly. Health 2024-10-28 2024-11-19 Y
Provide and implement an infection prevention and control program. Health 2024-10-28 2024-11-19 Y
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Fire Safety 2024-10-28 2024-11-19 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2024-10-28 2024-11-19 N
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. Fire Safety 2024-10-28 2024-11-19 N
Install corridor and hallway doors that block smoke. Fire Safety 2024-10-28 2024-11-19 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2024-10-28 2024-11-19 N
Have power receptacles that are properly grounded. Fire Safety 2024-10-28 2024-11-19 N
Ensure proper usage of power strips and extension cords. Fire Safety 2024-10-28 2024-11-19 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2024-10-28 2024-11-19 N
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Fire Safety 2024-10-28 2024-11-19 N
Not hire anyone with a finding of abuse, neglect, exploitation, or theft. Health 2024-10-28 2024-11-15 N
Conduct testing and exercise requirements. Fire Safety 2024-10-28 2024-11-11 N
Develop and maintain an Emergency Preparedness Program (EP). Fire Safety 2024-10-28 2024-11-11 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-10-26 2024-08-12 N
Respond appropriately to all alleged violations. Health 2024-05-16 2024-06-04 Y
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. Health 2024-05-24 2024-06-04 Y
Provide safe and appropriate respiratory care for a resident when needed. Health 2024-05-24 2024-06-04 Y
Develop, implement, and/or maintain an effective training program for all new and existing staff members. Health 2024-05-24 2024-06-04 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2024-05-16 2024-06-04 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2024-05-16 2024-06-04 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-05-16 2024-06-04 Y
Ensure services provided by the nursing facility meet professional standards of quality. Health 2024-04-24 2024-05-16 Y
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2024-04-24 2024-05-16 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2024-04-18 2024-05-10 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2024-04-18 2024-05-10 Y
Respond appropriately to all alleged violations. Health 2024-04-18 2024-05-10 Y
Provide safe and appropriate respiratory care for a resident when needed. Health 2024-04-18 2024-05-10 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-04-18 2024-02-25 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2024-02-12 2024-02-19 Y
Respond appropriately to all alleged violations. Health 2024-02-12 2024-02-19 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2024-01-23 2024-02-08 Y
Install corridor and hallway doors that block smoke. Fire Safety 2023-10-26 2023-12-08 N
Have simulated fire drills held at unexpected times. Fire Safety 2023-10-26 2023-12-06 N
Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. Fire Safety 2023-10-26 2023-12-04 N
Install an approved automatic sprinkler system. Fire Safety 2023-10-26 2023-11-21 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-10-26 2023-11-17 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 2023-10-26 2023-11-17 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 2023-10-26 2023-11-17 N
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. Health 2023-10-26 2023-11-17 N
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. Health 2023-10-26 2023-11-17 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-10-26 2023-11-17 N
Provide activities to meet all resident's needs. Health 2023-10-26 2023-11-17 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2023-10-26 2023-11-17 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-10-26 2023-11-17 Y
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. Health 2023-10-26 2023-11-17 N
Dispose of garbage and refuse properly. Health 2023-10-26 2023-11-17 N
Provide and implement an infection prevention and control program. Health 2023-10-26 2023-11-17 N
Implement a program that monitors antibiotic use. Health 2023-10-26 2023-11-17 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2023-10-26 2023-11-17 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2023-10-26 2023-11-17 Y
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. Health 2023-10-26 2023-11-17 Y
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2023-10-26 2023-11-17 Y
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2023-10-26 2023-11-17 N
Meet requirements for the installation and maintenance of electrical systems. Fire Safety 2023-10-26 2023-11-17 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2023-10-26 2023-11-17 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2023-10-26 2023-11-17 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 2023-10-26 2023-11-17 N
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Fire Safety 2023-10-26 2023-11-17 N
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Health 2023-10-26 2023-11-17 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-06-21 2023-07-12 Y
Honor the resident's right to choose his or her attending physician. Health 2023-06-21 2023-07-12 Y
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Health 2023-06-21 2023-07-12 Y
Observe each nurse aide's job performance and give regular training. Health 2023-06-21 2023-07-12 Y
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2023-06-21 2023-07-12 Y
Help the resident with transportation to and from laboratory services outside of the facility. Health 2023-06-21 2023-07-12 Y
Provide routine and 24-hour emergency dental care for each resident. Health 2023-06-21 2023-07-12 Y
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 2023-06-21 2023-07-12 Y
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2023-06-21 2023-07-12 Y
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-06-21 2023-07-12 Y
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. Health 2023-06-21 2023-07-12 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2023-06-21 2023-02-03 Y

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