Focused Care at Midland

In the surveyor’s words

From the most serious findings on record at Focused Care at Midland, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689May 6, 2025

  Based on observations, interviews and record review the facility failed to ensure the resident environment remains as free of accident hazards as is possible and each resident receives adequate supervision and assistance devices to prevent accidents for 1 of 2 residents (Resident #1) reviewed for accidents and supervision, in that: Resident #1 eloped on 11/19/24 out of the facility and across a 35-mph street and was found at a school 0.8 miles away 2 hours later by police. An IJ was identified on 5/2/25. The IJ template was provided to the facility on [DATE] at 12:44 PM. While the IJ was removed on 5/2/2025 at 8:35 PM. […]

• Actual harm, isolatedF697May 1, 2023

  Based on observation, interview and record review, the facility failed to provide the necessary care and services to attain or maintain the highest practicable physical well-being, consistent with the resident's comprehensive assessment and plan of care for 1 (Resident #1) of three residents reviewed for pain management. The facility failed to assess Resident #1's pain prior to wound care. Resident #1 experienced significant pain at a 7 This failure placed residents who receive pain medication at risk for unmanaged pain during treatment. […]

• No harm, potential for more than minimal, widespreadF727Aug 13, 2026

  Based on interviews and record reviews, the facility failed to use the services of a registered nurse for at least 8 consecutive hours a day, 7 days a week, for 17 days of 90 days reviewed nursing services.The facility failed to have a registered nurse working on multiple dates when reviewed nursing staff coverage for the most recent 3 months, from May 2026 to July 2026.This failure could place residents at risk of not receiving advanced nursing skill of a registered nurse.Findings included:Record review of the Nursing Staffing Sheets for the last 3 months, from May 2026 to July 2026, revealed the following days with no RN coverage:May 2026: The following Nursing staffing sheets: Saturday 05/02/2026, Saturday 05/16/2026, Saturday 05/30/2026, and Sunday 05/31/2026, notated under 6 AM - 6 PM… […]

• No harm, potential for more than minimal, widespreadF812Aug 2, 2025

  Based on observations, interviews, and record reviews, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety in 1 of 1 kitchen reviewed for kitchen sanitation and food storage. - The facility failed to ensure stored foods were properly stored, labeled, and dated.- The facility failed to ensure temperatures were checked for food items prior to serving.- The facility failed to ensure food was not handled with bare hands.- The facility failed to ensure residents received preferred portion sizes.- The facility failed to ensure that spoiled food items were disposed of properly.- The facility failed to ensure dietary staff used facial hair restraints properly. […]

• No harm, potential for more than minimal, widespreadF812Mar 9, 2023

  Based on observation, interview, and record review the facility failed to store, prepare, distribute and serve food in accordance with professional standards for food service safety for 1 of 1 kitchen reviewed in that: The facility failed to discard expired food items. The facility failed to maintain effective pest control in the kitchen. The facility's kitchen staff failed to practice proper hand hygiene. These deficient practices affected residents who received meals prepared from the kitchen and placed them at risk for food borne illness and cross-contamination. Findings include: Observation of the kitchen on [DATE] at 9:45 a.m. […]