Midway Neurological / Rehab Center

In the surveyor’s words

From the most serious findings on record at Midway Neurological / Rehab Center, in the surveyor’s own words.

• Actual harm, isolatedF600May 22, 2026

  Based on observation, interview, and record review, the facility failed to protect R2's right to remain free from physical abuse from another Resident (R3). This affects 2 of 3 residents (R2, R3) reviewed for abuse in the sample of 3. This failure resulted in R3 striking R2 with a wheelchair leg rest, causing multiple injuries including two fractures to the left hand, lacerations to the left arm, a mild brain bleed, a collection of blood in the lung, rib fractures, and a facial fracture.Findings Include:R3 is no longer lives in the facility.R2 is a [AGE] year-old male admitted to the facility on [DATE] with diagnoses including encephalopathy, cerebral infarction, epilepsy, heart failure, osteoarthritis, dementia, anxiety, hypertension, major depressive disorder, and hemiplegia. […]

• Actual harm, isolatedF684Jun 13, 2025

  Based on interview and record review the facility failed to accurately assess a critical clinical sign (Battle sign) and implement their change in condition policy by failing to immediately activate EMS (emergency medical services) 911 to transport a resident with an acute change in mental status. This affected one of three residents R366 reviewed for change in condition and delay of treatment. This failure resulted in R366 being transported to the hospital and diagnosed with a large traumatic subdural bleed (collection of blood between the covering of the brain and the surface of the brain) with midline shift (displacement of the brain tissue across the midline) causing herniation. […]

• Actual harm, isolatedF690Jun 27, 2024

  Based on observation, interview, and record review, the facility failed to ensure that staff provide timely assessment and adequate intervention for a resident who was experiencing complications with an indwelling urinary catheter. This failure affected one (R2) of two residents reviewed for urinary catheter care. This failure resulted in R2 experiencing a delay in assessment and treatment while experiencing a leaking urinary catheter, abdominal fullness, and pain before being transferred to hospital and being treated for urinary retention secondary to malfunctioning urinary catheter and (UTI) urinary tract infection. […]

• Actual harm, isolatedF684May 3, 2024

  Based on interview and record review the facility failed to develop an individualized plan of care for a resident identified to be at risk for aspirations and assessed to have impairments while eating. The facility also discharged resident from speech therapy before reaching the short-term goals identified in evaluation. This affected one of one resident (R13) reviewed for safe oral intake. This failure resulted in R13 becoming unconscious, CPR (cardiopulmonary resuscitation) being initiated, excessive amount of food found in R13's airway, and resident being admitted to hospital. […]

• Actual harm, isolatedF692May 3, 2024

  Based on observation, interview, and record review the facility failed to develop, implement, evaluate, and reevaluate a plan to prevent a continued insidious unplanned weight loss for one of three residents (R14) reviewed for unplanned weight loss. This failure resulted in R14 having a continued weight loss resulting in a significant weight loss of 18.55% in 90 days. Findings include: On 4/11/25 at 4:30pm V25 (R14's family) said R14 has lost a lot of weight. V25 said R14 lost about 30 pounds. V25 said she knows this because R14 would visit her home from time to time and she could recognize the difference in R14's weight. V25 said R14 has told her that the facility doesn't feed him. On 4/9/24 at 12:08pm R14 observed awake, alert, unable to be interviewed. […]