Midtown Manor

This section preserves official CMS inspection text matched to this facility from the current provider page source.

Inspection Report:
2025-04-30
This report is the official CMS Statement of Deficiencies (Form 2567) filed after the most recent health inspection.
Each
21
is a federal standard the facility failed to meet.
Read the full inspection report
Survey: 2025-04-30 | Tag F0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Severity: D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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Survey: 2025-04-30 | Tag F0550 | Resident Rights Deficiencies | Severity: D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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Survey: 2025-04-30 | Tag F0576 | Resident Rights Deficiencies | Severity: D
Ensure residents have reasonable access to and privacy in their use of communication methods.
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Survey: 2025-04-30 | Tag F0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Severity: D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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Survey: 2025-04-30 | Tag F0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Severity: D
Respond appropriately to all alleged violations.
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Survey: 2025-04-30 | Tag F0622 | Resident Rights Deficiencies | Severity: D
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
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Survey: 2025-04-30 | Tag F0640 | Resident Assessment and Care Planning Deficiencies | Severity: E
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
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Survey: 2025-04-30 | Tag F0655 | Resident Assessment and Care Planning Deficiencies | Severity: D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
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Survey: 2025-04-30 | Tag F0656 | Resident Assessment and Care Planning Deficiencies | Severity: D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
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Survey: 2025-04-30 | Tag F0658 | Resident Assessment and Care Planning Deficiencies | Severity: D
Ensure services provided by the nursing facility meet professional standards of quality.
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Survey: 2025-04-30 | Tag F0689 | Quality of Life and Care Deficiencies | Severity: D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Survey: 2025-04-30 | Tag F0693 | Quality of Life and Care Deficiencies | Severity: D
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
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Survey: 2025-04-30 | Tag F0695 | Quality of Life and Care Deficiencies | Severity: D
Provide safe and appropriate respiratory care for a resident when needed.
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Survey: 2025-04-30 | Tag F0728 | Nursing and Physician Services Deficiencies | Severity: D
Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.
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Survey: 2025-04-30 | Tag F0757 | Pharmacy Service Deficiencies | Severity: D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
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Survey: 2025-04-30 | Tag F0758 | Pharmacy Service Deficiencies | Severity: E
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
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Survey: 2025-04-30 | Tag F0773 | Administration Deficiencies | Severity: D
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
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Survey: 2025-04-30 | Tag F0842 | Resident Assessment and Care Planning Deficiencies | Severity: D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
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Survey: 2025-04-30 | Tag F0880 | Infection Control Deficiencies | Severity: F
Provide and implement an infection prevention and control program.
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Survey: 2025-04-30 | Tag F0881 | Infection Control Deficiencies | Severity: E
Implement a program that monitors antibiotic use.
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Survey: 2025-04-30 | Tag F0925 | Environmental Deficiencies | Severity: F
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
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Survey: 2023-08-30 | Tag F0561 | Resident Rights Deficiencies | Severity: D
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
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Survey: 2023-08-30 | Tag F0641 | Resident Assessment and Care Planning Deficiencies | Severity: E
Ensure each resident receives an accurate assessment.
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Survey: 2023-08-30 | Tag F0761 | Pharmacy Service Deficiencies | Severity: D
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
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Survey: 2023-08-30 | Tag F0806 | Nutrition and Dietary Deficiencies | Severity: D
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
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Survey: 2023-08-30 | Tag F0812 | Nutrition and Dietary Deficiencies | Severity: F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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Survey: 2023-08-30 | Tag F0867 | Administration Deficiencies | Severity: F
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
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Survey: 2023-08-30 | Tag F0689 | Quality of Life and Care Deficiencies | Severity: D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Survey: 2021-10-28 | Tag F0550 | Resident Rights Deficiencies | Severity: E
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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Survey: 2021-10-28 | Tag F0584 | Resident Rights Deficiencies | Severity: E
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
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Survey: 2021-10-28 | Tag F0638 | Resident Assessment and Care Planning Deficiencies | Severity: D
Assure that each resident’s assessment is updated at least once every 3 months.
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Survey: 2021-10-28 | Tag F0656 | Resident Assessment and Care Planning Deficiencies | Severity: D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
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Survey: 2021-10-28 | Tag F0657 | Resident Assessment and Care Planning Deficiencies | Severity: D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
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Survey: 2021-10-28 | Tag F0689 | Quality of Life and Care Deficiencies | Severity: D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Survey: 2021-10-28 | Tag F0693 | Quality of Life and Care Deficiencies | Severity: D
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
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Survey: 2021-10-28 | Tag F0732 | Nursing and Physician Services Deficiencies | Severity: C
Post nurse staffing information every day.
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Survey: 2021-10-28 | Tag F0805 | Nutrition and Dietary Deficiencies | Severity: D
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
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Survey: 2021-10-28 | Tag F0812 | Nutrition and Dietary Deficiencies | Severity: F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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Survey: 2021-10-28 | Tag F0842 | Resident Assessment and Care Planning Deficiencies | Severity: D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
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Survey: 2021-10-28 | Tag F0880 | Infection Control Deficiencies | Severity: D
Provide and implement an infection prevention and control program.
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Survey: 2021-10-28 | Tag F0924 | Environmental Deficiencies | Severity: D
Put firmly secured handrails on each side of hallways.
Source: U.S. Centers for Medicare & Medicaid Services. Data reflects the most recent available inspection.