The Laurels of Middletown

In the surveyor’s words

From the most serious findings on record at The Laurels of Middletown, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812May 23, 2024

  Based on observations, staff interviews and policy review, the facility failed to store, prepare, and distribute food in a sanitary manner. This had the potential to affect all 97 residents residing at the facility who receive their meals from the facility kitchen. The facility census was 97. Findings include: 1. During the initial tour of the facility kitchen with the Administration Aide (AA) #266 on 05/20/24 at 7:44 A.M., a trash can located underneath the kitchen hand washing sink which was soiled with splatter running down the sides. Observations revealed a pile of soiled and dirty dishtowels with multiple live gnats flying on and around the dishtowels. The kitchen floor appeared dirty with debris throughout. […]

• No harm, potential for more than minimal, widespreadF880Apr 26, 2021

  Based on medical record reviews, observations, staff interview, review of facility policies, and review of the facility legionella water prevention program, the facility failed to implement transmission based precautions for residents with Coronavirus (COVID-19) like symptoms. This affected four Residents (#8, #24, #46, and #72) and had the potential to affect all residents of the facility. The facility also failed to have a sufficient legionella prevention plan. This had the potential to affect all the residents of the facility. The facility also failed to ensure staff washed their hands when distributing meals to residents. This affected two (#1 and #37) residents observed during meals. The census was 81. Findings include: 1. […]

• No harm, potential for more than minimal, patternF584Aug 6, 2026

  Based on resident interview, observation, and staff interview, the facility failed to ensure the water supplied to the shower room and resident rooms was maintained at a comfortable temperature. This affected 37 out of 37 residents (#9, #13, #14, #17, #18, #21, #25, #28, #29, #31, #33, #34, #39, #41, #44, #45, #48, #49, #52, #54, #56, #57, #60, #61, #62, #63, #64, #66, #67, #73, #78, #81, #82, #84, #85, #87, and #93) who resided on South Hall and utilized the shower room. The facility census was 90 residents. Findings include: Interview on 08/03/26 at 9:51 A.M. with Resident #29 confirmed the facility did not always have hot water available for residents.Interview on 08/05/26 at 2:11 P.M. […]

• No harm, potential for more than minimal, patternF584May 23, 2024

  Based on observations and resident and staff interviews, the facility failed to provide a clean, comfortable, and sanitary environment for the residents. This affected four (#25, #36, #46 and #51) out of four residents reviewed for the physical environment. The facility census was 97. Findings include: Interview on 05/20/24 at 2:48 P.M. with Resident #46 revealed he was upset that his bed was not comfortable and felt as though it was broken. Resident #46 confirmed his mattress was not lying on the bed correctly. Resident #46 stated his bed does not face the television in his room and he must turn his head to the left to watch television. Resident #46 stated the brown wall beside his bed had a large white drywall substance on it for several months. Interview on 05/21/24 at 8:33 A.M. […]

• No harm, potential for more than minimal, patternF641May 23, 2024

  Based on record review, observations, resident and staff interviews, and review of the Resident Assessment Instrument (RAI) Manual 3.0, the facility failed to accurately code Minimum Data Set (MDS) assessments. This affected six (#01, #24, #41, #74, #82, and #92) residents out of the 25 residents reviewed for MDS accuracy. The facility census was 97. Findings include: 1. Review of the medical record for Resident #01 revealed an admitted [DATE] with medical diagnoses of traumatic brain injury, paranoid schizophrenia, psychotic disorder with delusions and seizures. Review of the medical record for Resident #01 revealed an annual MDS assessment, dated 03/28/24, revealed Resident #01 had severe cognitive impairment. […]