Middleburg Rehabilitation and Nursing Center

In the surveyor’s words

From the most serious findings on record at Middleburg Rehabilitation and Nursing Center, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF628Jan 15, 2026

  Based on record review, interviews, and a review of facility documentation, the facility failed to send a copy of the notice of transfer or discharge (Discharge/Transfer Notice AHCA 3120-002 form) to the representative of the Office of the State Long-Term Care Ombudsman's office for four (Residents #126, #150, #151 and #152) of four residents reviewed for discharge requirements. The findings include:A review of the Discharge/Transfer Notice AHCA (Agency for Health Care Administration) 3120-002 Forms issued to Residents #126, #150, #151, and #152 revealed that the forms were incomplete. […]

• No harm, potential for more than minimal, patternF839Mar 31, 2022

  Based on record review and interviews, the facility failed to ensure all professional staff was licensed in accordance with applicable State laws for one (Employee A) of ten employee records reviewed. The employee was listed on the employee roster and working as a licensed practical nurse (LPN), the employee's license status was listed as application in process. This practice has the potential to affect all 50 residents present in the facility at the time of the survey. The findings include: Record review of the list of staff with position and hire dates documented Employee A was listed as an LPN and the date of hire was [DATE]. […]

• No harm, potential for more than minimal, isolatedF550Aug 4, 2026

  Based on observation, interview, record review, and policy review, the facility failed to ensure that residents were treated with dignity and respect during dining for one (1) of eight (8) residents reviewed for dignity (Resident #5). Specifically, staff were observed standing over Resident #5 in the dining room while assisting the resident with eating lunch.On 08/04/2026 at 11:56 AM, a dining room observation was conducted with a CMS (Center for Medicare & Medicaid Services) surveyor in the Main Dining Room. Registered Nurse (RN) A was observed standing over Resident #5 while providing feeding assistance. The observation lasted approximately 12 minutes, during which the staff member remained standing over the resident as the resident completed the meal. […]

• No harm, potential for more than minimal, isolatedF561Jan 15, 2026

  Based on observations, interviews and record review, the facility failed to honor a resident's right to make choices regarding accommodations to support safe bed mobility and positioning; specifically, failing to provide requested handrails in a timely manner for one (Resident #136) of 49 residents in the total survey sample. Failure to honor a resident's right to make choices about their care can result in physical injury or psychological distress.The findings include:On 01/13/2026 at 11:45 AM, Resident #136 was observed being pushed in her wheelchair by a staff member back to her room where her daughter was present. […]

• No harm, potential for more than minimal, isolatedF582Jan 15, 2026

  Based on record review and interviews, the facility failed to provide the required beneficiary notices to two (Residents #150 and #151) of three residents reviewed for beneficiary notices, who remained in the facility following termination of their Medicare Part A services, placing them at risk of not receiving the required notice of rights and services and potential financial liability. The findings include: Record reviews for Residents #150 and #151 revealed that they remained in the facility following termination of their Medicare Part A services, and were not issued the Skilled Nursing Facility Advance Beneficiary Notices (SNF ABN), Forms CMS-10055, by the facility at the time Medicare A coverage ended; information that explained their potential financial liability for items or… […]