Midtown Center for Health and Rehabilitation

In the surveyor’s words

From the most serious findings on record at Midtown Center for Health and Rehabilitation, in the surveyor’s own words.

• Immediate jeopardy, patternF600Jan 24, 2023

  Based on policy review, medical record review, observation, and interview the facility failed to ensure the implementation of Residents' Right to be free of abuse neglect as evidenced by the failure to complete assessments, provide the necessary care, services and treatments for residents determined to be at risk of skin breakdown for 4 of 7 sampled residents (Resident #1, #4, #5, and #8,) reviewed for pressure ulcer wounds; failed to complete assessments and provide treatments as ordered for 2 of 2 sampled residents (Resident #3 and #6) reviewed with other wounds; and the facility failed to provide sufficient licensed nursing staff to administer significant medications as ordered by the physician for 40 of 63 sampled residents (Resident #3, #4, #5, #7, #8, #14, #23, #24, #28, #29, #30,… […]

• Immediate jeopardy, patternF684Jan 24, 2023

  Based on policy review, medical record review, observation, and interview the facility failed to identify wounds and provide treatments for 2 of 2 sampled residents (Resident #3 and #6) reviewed with wounds and failed to ensure medications were administered as ordered for 40 of 63 sampled residents (Resident #3, #4, #5, #7, #8, #14, #23, #24, #28, #29, #30, #31, #33, #34, #35, #36, #37, #38, #39, #40, #41, #42, #45, #46, #47, #48, #49, #50, #51, #52, #53, #55, #56, #57, #59, #60, #68, #69, #71, and #72) reviewed with significant medications. […]

• Immediate jeopardy, patternF725Jan 24, 2023

  Based on policy review, daily staffing records, medical record review, observation, and interview, the facility failed to ensure a sufficient number of licensed staff was available to provide care and services to all residents based on physician orders when there was no nurse to provide assessments and services for 1 of 2 sampled residents (Resident #22) admitted to the 3rd floor on 1/9/2023 and administer significant and other medications for 29 of 40 sampled residents (Resident #7, #23, #24, #28, #29, #30, #31, #33, #34, #35, #36, #37, #38, #39, #40, #41, #42, #45, #46, #47, #48, #49, #50, #51, 52, #53, #55, #56, and #57) reviewed on the 3rd floor with orders for medications. […]

• Immediate jeopardy, patternF760Jan 24, 2023

  Based on policy review, medical record review, and interview, the facility failed to ensure residents were free from significant medication errors when significant medications including anti-diabetics, antiarrhythmic's, antihypertensive, anticonvulsant, anti-platelets and cardiac medications were not administered as ordered by the physician. One or more unit doses scheduled to be administered were not administered for 40 of 63 sampled residents (Resident #3, #4, #5, #7, #8, #14, #23, #24, #28, #29, #30, #31, #33, #34, #35, #36, #37, #38, #39, #40, #41, #42, #45, #46, #47, #48, #49, #50, #51, #52, #53, #55, #56, #57, #59, #60, #68, #69, #71, #72) reviewed with significant medications. […]

• Immediate jeopardy, patternF835Jan 24, 2023

  Based on policy review, job description review, record review, medical record review, and interview, facility Administration failed to administer the facility in a manner to provide oversight, to monitor and provide a safe environment, ensure systems and processes were in place and consistently followed by staff to address quality concerns related to safe individualized resident care when the facility failed to provide sufficient licensed nursing staff, failed to administer medications as ordered by the physician, failed to identify wounds and provide necessary treatment and services for residents determined to be at risk for pressure ulcer injury and other wounds. […]