Careone at Middletown

In the surveyor’s words

From the most serious findings on record at Careone at Middletown, in the surveyor’s own words.

• Actual harm, isolatedF655Dec 24, 2024

  Complaint#: NJ00181485 Based on observation, interview, and record review and review of other facility documentation on 12/23/24 and 12/24/24, it was determined that the facility failed to develop and implement baseline care plan (BCP) within 48 hours of admission that included the minimum healthcare information necessary to properly care for the immediate needs of the resident. This practice was identified for 1 out of 6 residents (Resident #1) reviewed. This deficient practice was evidenced by the following: Resident #1 was not in the facility at the time of the survey. […]

• Actual harm, isolatedF689Dec 24, 2024

  Complaint#: NJ00181485 Based on observation, interview, and review of medical records and other pertinent facility documentation on 12/23/24 and 12/24/24, it was determined that the facility failed to maintain a safe enviornment, keep a resident free from hazards, and provide the necessary monitoring and supervision for a resident who was found to have ligature marks around the neck. This deficient practice was identified for 1 of 6 residents (Resident #1) reviewed and was evidenced by the following: Resident #1 was no longer at the facility at the time of the survey. A closed record review was conducted. […]

• Actual harm, isolatedF745Dec 24, 2024

  Complaint#: NJ00181485 Based on interviews, review of the medical records, as well as review of other pertinent facility documentation on 12/23/24 and 12/24/24, it was determined that the Director of Social Services (DSS) failed to develop and implement policies and procedures for the identification of medically related social and emotional needs for a resident and assist a resident in obtaining needed services from outside entities, as required by the facility's job description for the Director of Social Services. This deficient practice was identified for 1 of 6 residents (Resident #1) reviewed and was evidenced by the following: Resident #1 was no longer at the facility at the time of the survey. A closed record review was conducted. […]

• No harm, potential for more than minimal, widespreadF568May 26, 2026

  Based on interview and document review it was determined that the facility failed to have a system in place to ensure quarterly financial statements were provided to residents or resident representative (RR) for residents who maintained Personal Needs Accounts (PNA) with the facility. This deficient practice was identified for 3 of 3 residents and affected all 42 residents identified as maintaining a facility PNA account.The evidence was as follows:On 05/18/26 at 10:28 AM, the surveyor conducted a resident council meeting with 5 residents. […]

• No harm, potential for more than minimal, widespreadF569May 26, 2026

  Based on interview and review of documentation it was determined that the facility failed to have a system in place to ensure residents or resident responsible parties were notified that the funds held by the facility in their Personal Needs Account (PNA) reached the $2,000 maximum Supplemental Security Income (SSI) or $200 less of the maximum which could jeopardize their eligibility for SSI or Medicaid. This deficient practice was identified for 2 of 2 (Resident #29 and Resident # 76) reviewed for PNA, and affected all 42 residents who had a PNA account held by the facility. […]