Average — CMS composite of the measures below.
The next survey window likely opens around January 2027
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at The Home Place At Midway during CMS and state inspections, most recent first.
Mold was observed inside the kitchen ice machine on repeated surveys, and the facility’s cleaning records did not include the ice machine or show consistent documented cleaning. Staff gave conflicting accounts of how often the ice machine was cleaned. Surveyors also observed two aides in the kitchen with hair nets that did not fully cover their hair while one was preparing tea and stirring food, and leadership confirmed hair nets should cover all hair.
Infection Prevention and Control Program Deficiencies: The facility failed to maintain an effective IPC program when hot water was kept below the level needed to prevent Legionella growth, the Water Management Plan lacked a required temperature range, and the IP/DON had not participated in developing the plan. The facility also had cloth aprons in the laundry rooms instead of impermeable PPE for handling heavily soiled linens, and clean blankets were observed stacked on the floor beside an overflowing linen cart.
The facility failed to support consistent Resident Council participation and did not provide ongoing communication about resident rights. During a Resident Council observation, three cognitively intact residents said they did not know what resident rights were, and two wanted formal meetings held regularly. Facility records showed no formal Resident Council meetings were held on several dates, with notes instead coming from individual SW sessions, and staff stated formal meetings had not been held for years.
Controlled medications were found stored in medication cabinets for residents who no longer lived in the facility, including alprazolam, oxycodone, morphine, tramadol, lorazepam, gabapentin, and oxycodone. Staff said unused or discontinued meds were being left in the cabinets, audits were not happening as often as before, and controlled drugs were being held until a separate cabinet was full before disposal. The DON said the facility had been without an SDC for several months.
Failure to Provide Written Transfer and Bed-Hold Notices: A resident with hip fracture, Alzheimer's disease, and BPH was transferred to the hospital for hematuria, but the facility did not provide the resident's POA with a written transfer notice, appeal rights, state agency contact information, or a written bed-hold notice. The packet sent with the resident contained clinical information only, and the Administrator stated the facility called family but did not send written notice.
Surveyors observed expired cottage cheese in the refrigerator, hamburger meat stored uncontained on a middle shelf, and uncovered melons placed below the meat. Facility policy required raw meat to be in drip-proof containers and expired food to be discarded. The dietitian and DON confirmed these practices were not followed, and the administrator was unaware of the issues until notified.
A resident's MAR, containing protected health information and diagnoses such as heart failure, stroke, and bipolar disorder, was left visible on a computer screen in a public area when the responsible RN was not present. This action was in violation of facility policy requiring confidentiality of health records.
Staff failed to follow infection prevention protocols, including proper hand hygiene and PPE disposal, during care for two residents. In one case, staff did not sanitize hands or change gloves appropriately after cleaning a resident, and in another, a gown used for Enhanced Barrier Precautions was left outside a resident's room without required signage. Facility leadership confirmed these actions did not meet established infection control policies.
Kitchen sanitation and hair restraint deficiencies
Penalty
Summary
Food was not stored, prepared, distributed, and served in accordance with professional standards for food service safety. Surveyors observed mold contamination inside the kitchen ice machine on 02/24/2026, and the mold was still present during follow-up observations on 02/25/2026 and 02/26/2026. The facility’s Kitchen Cleaning Schedule did not include the ice machine or assign it a cleaning frequency, and the Maintenance Logbook showed monthly cleaning entries from August 2025 through October 2025 and January 2026, with no documented entries for November 2025, December 2025, or February 2026. Staff interviews reflected differing accounts of how often the ice machine was cleaned, including statements that it was cleaned quarterly, weekly, or when the ice was gone, and the Administrator stated mold in the ice machine was unacceptable. Surveyors also observed kitchen staff with hair nets that did not fully cover their hair. One aide wore her hair net back from her forehead, leaving about three inches of hair exposed while she was making tea and stirring food on the stove, and another aide’s hair net did not cover the front section of her hair. The aide with exposed hair stated her hair was long and heavy and that hair nets sometimes pulled back from her forehead. Interviews with the Dietary Manager, DON, and Administrator confirmed that staff should wear hair nets at all times in the kitchen and that the hair nets should cover all hair, but the Administrator stated the facility did not have a specific policy for hair nets.
Infection Prevention and Control Program Deficiencies
Penalty
Summary
The facility failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent and control the development and transmission of communicable diseases. Observation and interview findings showed hot water was stored below the level needed to prevent Legionella growth. The facility’s Water Management Plan identified water heaters as a potential source of Legionella growth and stated water temperatures were to be monitored daily in each building, but it did not specify the required temperature range for water heaters and circulating hot water. The CDC document reviewed stated healthcare facilities should store hot water above 140 degrees F to prevent Legionella growth, while the Maintenance Director stated the water heaters had been kept at 120 degrees F and later adjusted to 130 degrees F. At the time of observation, the Hope House water heater temperature gauge read 121 degrees F. The IP/DON stated she had not participated in developing the water management plan, and the Administrator stated the facility relied on a contracting company for Legionella prevention recommendations, including annual testing. The facility also failed to maintain proper linen handling and storage practices. In both the Hope House and Faith House laundry rooms, the aprons available for staff to use while rinsing heavily soiled linens were made of cloth rather than an impermeable material. The IP/DON stated these aprons were intended to protect staff clothing from splashing while handling potentially infectious material, and that the cloth aprons would not provide that protection. In addition, the clean linen cart outside the Hope House laundry room was overflowing, and clean blankets were stacked on the floor beside the cart. The IP/DON stated linens should be stored off the floor and that surplus linen should be stored elsewhere to keep it sanitary. The Administrator stated clean linens should be stored on the linen cart or in clean linen baskets off the floor.
Failure to Support Resident Council Participation and Resident Rights Communication
Penalty
Summary
The facility failed to provide ongoing communication with residents about their rights and did not support or encourage residents to organize and participate consistently in Resident Council meetings. During observation of a Resident Council meeting, three cognitively intact residents were present, and two stated they wanted formal Resident Council meetings held on a consistent basis. All three residents said they did not know what resident rights were and reported that staff had not discussed those rights with them. Review of the facility’s grievance policy showed procedures for filing complaints, but it did not mention residents being permitted to discuss concerns or complaints in Resident Council. Review of Resident Council minutes showed no formal meetings were held on several dates, and the notes were instead compiled from individual sessions with residents conducted by the SW. The SW stated no formal meetings had been held with residents for a few years and that she had been meeting with residents individually instead. The DON stated she was unsure whether residents had been provided information about resident rights, and the Administrator stated the facility had decided to keep the process as it was because it was working.
Controlled Medications Left in Medication Cabinets After Residents No Longer Resided in Facility
Penalty
Summary
The facility failed to maintain a system of records for the receipt and disposition of controlled drugs in sufficient detail to allow accurate reconciliation in 2 medication rooms. In the Faith House Medication Room, surveyors observed controlled substances still stored in the double-locked cabinet for residents who no longer lived in the facility, including alprazolam for one resident and oxycodone and alprazolam for another resident. A nurse stated she was unsure why the medications had not been collected and disposed of after the residents were no longer in the facility. In the Hope House Medication Room, surveyors observed multiple controlled medication containers still stored for two residents who no longer resided in the facility, including morphine, tramadol, lorazepam, gabapentin, and oxycodone. Staff interviews indicated that medications for discharged residents or residents with medication changes were being placed in the cabinet, that audits and removal of unused medications were not occurring as frequently as they had in the past, and that controlled medications were being collected and held until a separate cabinet was full before disposal. The DON stated the facility had been without an SDC for several months, and the Administrator stated the expectation was for the DON and SDC to conduct frequent audits and remove and destroy medications no longer in use.
Failure to Provide Written Transfer and Bed-Hold Notices
Penalty
Summary
The facility failed to notify the resident and the resident's representative in writing of a transfer to the hospital and the reasons for the move for one resident investigated for hospitalization. The resident was admitted with diagnoses including hip fracture, Alzheimer's disease, and benign prostate hyperplasia, and was transferred to the hospital for blood in the urine. Review of the medical record found no evidence that the resident's representative received a written notice describing the destination and reason for transfer, resident appeal rights, or contact information for state agencies. The record also showed no evidence that the resident's representative received a written bed hold notice for the hospitalization. The summary of episode note provided by the facility contained clinical information for the hospital related to the resident's care needs, but it did not include a bed hold notice or a notice of transfer. In interview, the resident's power-of-attorney stated he did not receive paperwork related to the transfer or the resident's rights, and the Administrator stated the facility's process was to call the family to consult them, but that the facility did not send a written notice.
Improper Food Storage and Handling Practices Identified
Penalty
Summary
The facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety, as evidenced by observations and staff interviews. During a kitchen inspection, surveyors found a container of cottage cheese in the refrigerator that was past its expiration date, a package of hamburger placed directly on a middle shelf without a container, and two uncovered melons stored on the shelf below the meat. The facility's policy required raw meat to be stored in drip-proof containers and expired food to be discarded. Interviews with the dietitian and DON confirmed that meat should be stored in containers on the bottom shelf and that expired food should be removed to prevent potential illness. The administrator was unaware of these issues until informed by surveyors.
Resident Health Information Left Unattended and Visible
Penalty
Summary
A deficiency occurred when a resident's Medication Administration Record (MAR) was left unattended and visible on a computer screen in a public area of the facility. The medication cart, located on the 300 Unit between the kitchen and porch, was observed without staff present, and the MAR containing the resident's protected health information was accessible to anyone passing by. The resident involved had been admitted with diagnoses including heart failure, stroke, and bipolar disorder. Facility policy, as outlined in the HIPAA Privacy Addendum, prohibits the disclosure of protected health information. Despite this, the MAR was left exposed when the responsible RN was not present in the hallway. Both the RN and the Director of Nursing acknowledged during interviews that health information should be kept confidential and that computers should be closed when unattended.
Failure to Maintain Infection Prevention and Control Program
Penalty
Summary
The facility failed to maintain an effective Infection Prevention and Control Program, as evidenced by improper hand hygiene and incorrect disposal of personal protective equipment (PPE) during resident care. In one instance, a certified nurse assistant (CNA) removed gloves and left a resident's room to retrieve linen before sanitizing hands, while a registered nurse (RN) cleaned a resident's perineal area without changing gloves after cleaning a bowel movement. Both staff members acknowledged during interviews that proper hand hygiene and glove changes were required to prevent infection, as outlined in facility policy and CDC guidelines. Additionally, staff did not correctly dispose of a gown used during care for a resident on Enhanced Barrier Precautions (EBP), leaving the gown on a chair outside the resident's room and failing to post required EBP signage. The infection preventionist confirmed the resident was on EBP and that signage had not been replaced after falling down. Interviews with the infection preventionist, director of nursing, and administrator confirmed expectations for staff to follow infection control policies, including proper PPE disposal and hand hygiene, which were not met in these observed instances.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 53 citations issued within 25 miles in the last 12 months — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Midway
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Signature Healthcare Of Georgetown | 8.1 mi | ★★★★★ | 0 | 0 |
| Dover Nursing & Rehabilitation Center | 10 mi | ★★★★★ | 6 | 0 |
| Cambridge Nursing & Rehabilitation Center | 10.1 mi | ★★★★★ | 6 | 0 |
| Cardinal Hill Skilled Rehabilitation Unit | 10.6 mi | ★★★★★ | 8 | 0 |
| Homestead Post Acute | 11 mi | ★★★★★ | 0 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for The Home Place At Midway.
100% money-back within 48 hours.
Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.