Majestic Care of Middletown LLC

In the surveyor’s words

From the most serious findings on record at Majestic Care of Middletown LLC, in the surveyor’s own words.

• Immediate jeopardy, isolatedF698Apr 29, 2024

  Based on medical record review, death certificate review, policy review, dialysis center record review, physician interview, staff interview, and dialysis center staff interview, the facility failed to ensure Resident #06, with a diagnosis of end-stage renal disease (ESRD), received scheduled hemodialysis treatments as ordered by the physician. This resulted in Immediate Jeopardy and the potential for serious life-threatening harm, injuries, and/or death when Resident #06 went four days without hemodialysis treatments due to the facility's failure to communicate and coordinate continuity of care with the dialysis center, failure to transport the resident to hemodialysis treatments and failure to notify the physician of the resident not receiving ordered treatments. […]

• Immediate jeopardy, isolatedF684Nov 19, 2021

  Based on medical record review, staff interview, and interview with Certified Nurse Practitioner (CNP) #199, Review of the POS [MEDICAL RECORD OR PHYSICIAN ORDER] . This resulted in Immediate Jeopardy when Resident #170 sustained serious life-threatening injuries during a fall with a head injury. Resident #170 was sent to an acute care hospital and was later transferred to a Level II Trauma center via care flight, due to having a non-displaced fracture of the occipital bones near the midline (fracture at the base of the skull). She also had an extensive subarachnoid hemorrhage with left frontal intraparenchymal hemorrhage (bleeding in the space that surrounds the brain) with surrounding [CONDITION(S)] (observable swelling from fluid accumulation in body tissues). […]

• Actual harm, isolatedF689Mar 18, 2024

  Based on medical record review, review of hospital documentation, review of a fall investigation, observations, staff interviews, and policy review, the facility failed to provide adequate assistance and supervision while a resident was sitting on the side of the bed, to prevent the resident from falling. This resulted in Actual Harm when Resident #06 was left unassisted on the side of the bed and the resident had an avoidable fall off the bed. Resident #06 sustained fractures of the femur and humerus which required surgical intervention. The affected one (#06) out of three residents reviewed for falls. Additionally, the facility failed to provide adequate supervision to Resident #91 while he smoked, which placed the resident at risk for more than minimal harm. […]

• Actual harm, isolatedF684Jun 17, 2022

  Based on medical record review, staff interview, review of the fall investigation, and policy review, the facility failed to ensure a resident received timely treatment for [MEDICAL RECORD OR PHYSICIAN ORDER] . Subsequently, Resident #57 was sent to the hospital for surgical repair of the left femur. This affected one resident (#57) out of three residents reviewed for falls. The facility census was 146. Findings included: Review of the medical record revealed Resident #57 was readmitted to the facility on [DATE]. […]

• No harm, potential for more than minimal, widespreadF812Jun 5, 2025

  Based on observation, staff interview, and policy review, the facility failed to ensure food storage areas were clean and food items were store appropriately. This had the potential to affect all residents that eat food from the kitchen. The facility identified eight (Residents #57, #89, #92, #101, #108, #122, #134, and #139) residents that did not eat food from the kitchen. The facility also failed to ensure resident refrigerators were clean. This affected Resident #36. The census was 148. Findings include: 1. During an observation on 06/02/25 at 9:03 A.M., the refrigerator in the kitchen had food storage shelves were dirty and covered in debris. The shelves had spots of a blackish green substance. Several milk cartons were in a plastic tub in the refrigerator. […]