Midtown Manor

In the surveyor’s words

From the most serious findings on record at Midtown Manor, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF880Apr 30, 2025

  Based on observation, interview, and record review, for 14 out of 36 sampled residents, the facility did not maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections. Specifically, observations were made of staff not performing hand hygiene during meal service and dining assistance; hand hygiene was not performed during wound care and cross contamination of the wound bed was observed; Enhanced Barrier Precautions (EBP) were not implemented for any residents with wounds, indwelling urinary catheters, enteral feeding, or any other indwelling medical device; and the Personal Protective Equipment (PPE) cart was not sanitized prior to use and… […]

• No harm, potential for more than minimal, widespreadF925Apr 30, 2025

  Based on observation, interview, and record review, the facility did not ensure an effective pest control program so that the facility was free of pests and rodents. Specifically, an observation was made of a live cockroach in the facility and residents and staff reported that cockroaches were found in the resident rooms. Findings included: On 4/29/25 at 9:32 AM, an observation was made outside room [ROOM NUMBER]. Directly outside of room [ROOM NUMBER] and located between room [ROOM NUMBER] and 113 was a plastic Personal Protective Equipment (PPE) cart. The cart contained three drawers that were filled with reusable gowns. The State Surveyor (SS) observed a cockroach crawling across the top of the PPE cart and then into the top drawer. […]

• No harm, potential for more than minimal, widespreadF812Aug 30, 2023

  Based on observation and interview, it was determined that the facility did not store, prepare, distribute and serve food in accordance with professional standards for food safety. Specifically, the facility did not date several items in the freezer and stored ground meat for greater than 7 days was located in the kitchen refrigerator. Findings Include: On 8/27/23 at 8:24 AM, an initial walk through of the kitchen was conducted. Inside the walk in fridge there was ground beef dated 8/19/23. Inside the freezer, there were several bags of frozen broccoli, hash brown cakes, and diced breakfast potatoes that had not been dated. A few of the diced breakfast potatoes bags had been opened and closed again and were not dated. […]

• No harm, potential for more than minimal, widespreadF867Aug 30, 2023

  Based on observation, interview, and record review it was determined that the facility failed to ensure that the Quality Assessment and Assurance (QAA) Committee developed and implemented systematic analysis and action to ensure that improvements were effective and sustained to prevent adverse events. Specifically, the facility was found to be in non-compliance for some of the same deficiencies that were identified during last years recertification survey. Resident identifier 20 and 133. Findings included: 1. […]

• No harm, potential for more than minimal, widespreadF812Oct 28, 2021

  Based on observation and interview, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety. Specifically, the facility failed to eliminate the risk of physical contaminates during food preparation. Findings include: On 10/27/2021 at 1:04 PM, an observation was made in the kitchen. It was observed that a shelf directly above the main food preparation table had what appeared to be white paint that was chipped and peeling. On 11/1/2021 at 8:34 AM, an interview was conducted with the dietary manager (DM). The DM stated that she was aware of the shelf that has paint chipping off of it above the food preparation table. […]