Middletown Park Rehab & Health Care Center

In the surveyor’s words

From the most serious findings on record at Middletown Park Rehab & Health Care Center, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF684Apr 24, 2025

  Based on record review, and interviews conducted during the Abbreviated Survey (NY00371502), the facility did not ensure residents received quality of care in accordance with professional standards of practice for 1 of 3 residents reviewed. for Specifically, Resident #1 had an admission weight of 89.4lbs on 1/13/25. On 1/14/25 the resident's weight was recorded in the electronic medical record by Licensed Practical Nurse #2 as 113 pounds. Licensed Practical Nurse #2 did not notify the Physician of the significant weight gain nor request a reweigh. 2) On 1/27/2025 the Registered Dietician informed the Medical director that Resident #1's weight was 94lbs and this prompted the medical director to initiate a weight gain plan for the resident which the resident refused. […]

• No harm, potential for more than minimal, patternF812Mar 4, 2024

  Based on observation, interview, and record review, conducted during the recertification survey, the facility did not ensure proper storage, preparation, distribution, and service of food in accordance with professional standards for food safety. Specifically, 1. Expired foods were stored in the dairy cooler, 2. Staff did not appropriately use gloves and wash their hands before touching clean dishes, 3. Staff did not wear a hairnet that contained all of their hair in order to prevent hair from contacting food, 4. Storage racks used to store cleaned and sanitized food preparation equipment were not being maintained in a sanitary condition, 5. Two walk-in refrigerated units and one walk in freezer unit were not maintained in a sanitary condition to ensure for food safety, and 6. […]

• No harm, potential for more than minimal, patternF880May 25, 2021

  Based on observations, interviews and record reviews during a Recertification Survey the facility did not ensure that the Infection Prevention and Control Program (IPCP) was implemented to prevent the development and transmission of communicable diseases and infection for 3 of 3 residents (Resident # 109, Resident #190, and Resident #112) reviewed for Infection Control. Specifically, the facility did not investigate the root cause of a Scabies outbreak and did not report the outbreak to the New York State Department of Health (NYSDOH). The findings are: Facility Policy and Procedure titled, SCABIES dated 1/2013 and reviewed annually, documents obtaining or verifying a physician's orders [MEDICAL RECORD OR PHYSICIAN ORDER] . […]

• No harm, potential for more than minimal, isolatedF684Nov 20, 2025

  Based on record review and interviews conducted during the abbreviated survey (2644658) the facility did not ensure each resident received treatment in accordance with professional standards of practice for one (1) of three (3) residents (Resident #1) reviewed for COVID-19 infection. Specifically, an Atrovent inhaler (bronchodilator breathing medication) was not administered to Resident #1 on 10/18/2025 and 10/19/2025 as per physician order.Findings include:The facility policy titled Medication Administration: Unavailable Medication dated 11/10/2018, documented if a specific medication is not available at the prescribed time of administration, the practitioner will be notified, and new orders will be received and executed. […]

• No harm, potential for more than minimal, isolatedF842Apr 24, 2025

  Based on record review, and interviews conducted during the Abbreviated Survey (NY00371502), the facility did not ensure that a residents' medical record contained an accurate representation and included information that accurately reflected the resident's condition, and the care and services provided across all disciplines to ensure information is available to facilitate communication among the interdisciplinary team for 1(Resident #1) of 3 residents reviewed. Specifically Resident #1 who was admitted on [DATE] was weighed during the evening shift and was 89.4 pounds and then weighed on 1/14/25 and was 113 pounds with inaccurate subsequent weights between 1/14-1/29/25. […]