Above average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
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 Middletown Park Rehab & Health Care Center during CMS and state inspections, most recent first.
A resident with asthma and recent COVID-19 infection missed several scheduled doses of a prescribed Atrovent inhaler when the medication could not be located. Nursing staff did not promptly notify the physician as required by facility policy, resulting in a delay before a substitute bronchodilator was ordered.
A resident with multiple medical conditions did not receive care in line with professional standards due to inconsistent and inaccurate weight monitoring and documentation. Significant discrepancies in recorded weights were not communicated to the physician, and required reweighs were not performed or documented. Staff interviews revealed unclear processes and poor communication among CNAs, nursing, and dietary staff, resulting in the resident's care plan not reflecting their actual nutritional status.
A resident with multiple medical conditions had inconsistent and inaccurate weights recorded, with some weights missing dates and not entered into the electronic medical record. The process for obtaining and documenting weights was inconsistent among staff, and the Registered Dietician did not follow up on discrepancies or ensure timely reweighs. This led to inaccurate information being reported to the medical team and an incomplete nutritional assessment.
Failure to Administer Prescribed Inhaler and Notify Physician
Penalty
Summary
A deficiency occurred when a resident with a history of asthma, acute cough, and recent COVID-19 infection did not receive their prescribed Atrovent HFA inhaler as ordered by the physician. The medication was not administered on one evening and three subsequent scheduled times the following day because the inhaler could not be located after the 5:00 PM dose. According to facility policy, if a medication is unavailable at the prescribed time, the practitioner must be notified and new orders obtained. However, the physician was not notified immediately when the medication was found to be missing, and no substitute medication was ordered at that time. Interviews revealed that nursing staff were aware of the missing inhaler and reported it to the nursing supervisor, but the physician was not contacted until the following day after the resident's family raised concerns. The physician confirmed that they expected to be notified if a medication could not be administered, and would have provided an alternative order if contacted. The delay in communication and failure to follow policy resulted in the resident missing multiple doses of a prescribed bronchodilator.
Failure to Ensure Accurate and Consistent Weight Monitoring and Documentation
Penalty
Summary
A deficiency occurred when a resident with a history of leukemia, peripheral vascular disease, and transient ischemic attack did not receive care in accordance with professional standards regarding weight monitoring and documentation. Upon admission, the resident's weight was recorded as 89.4 lbs, but the following day, an LPN entered a weight of 113 lbs into the electronic medical record without notifying the physician of the significant discrepancy or requesting a reweigh. The initial admission weight was inactivated in the electronic record, making it inaccessible to other staff and absent from the nutritional assessment. Subsequent weights were inconsistently documented, with unclear dates and missing entries in both the weight book and electronic health record. The facility's policy required that any weight change of 5% or more be retaken the next day for confirmation, and that the dietitian review the weight record. However, there was no evidence that the dietitian addressed the admission weight discrepancy or the significant weight fluctuations in a timely manner. The dietitian relied on the 113 lbs value, disregarding the resident's report of a usual body weight under 100 lbs and the appearance of being underweight. When a later weight of 91.8 lbs was recorded, it was not promptly reweighed or entered into the assessment, and the dietitian continued to use the previous higher weight in documentation and care planning. Interviews with staff revealed inconsistent practices and lack of communication regarding weight monitoring. Certified Nurse Aides did not consistently document dates or initials for weights, and the process for reviewing and entering weights into the electronic record was unclear among nursing, dietary, and administrative staff. The medical director was not notified of significant weight changes and was unaware of missing or inaccurate weights in the resident's record. The lack of consistent, accurate, and timely weight monitoring and documentation led to the resident not receiving care in accordance with their needs and professional standards.
Failure to Accurately Document and Monitor Resident Weights
Penalty
Summary
The facility failed to ensure that a resident's medical record accurately reflected the resident's condition and the care and services provided, as required by professional standards. Specifically, a resident admitted with a history of leukemia, peripheral vascular disease, and transient ischemic attack had inconsistent and inaccurate weights recorded in both the electronic medical record and on paper weight sheets. The initial weight recorded was 89.4 pounds, followed by a significant increase to 113 pounds, with subsequent weights fluctuating and not consistently documented in the electronic record. One weight of 91.8 pounds was only recorded on a weight sheet without a date and was not entered into the electronic medical record. The facility's policy required nursing staff to obtain weights on admission, for three consecutive days, and weekly thereafter, with the Registered Dietician responsible for reviewing and following up on weight trends. However, the process for obtaining and documenting weights was inconsistent, with Certified Nurse Aides recording weights on various days without always including the date, and not all weights being entered into the electronic record. The Registered Dietician did not follow up on discrepancies or ensure that reweighs were completed and documented, and did not include all relevant weights in their assessments. Communication regarding significant weight changes was not consistently documented or relayed to the medical team. Interviews with facility staff, including the Registered Dietician, Medical Director, Director of Nursing, and Administrator, confirmed that the system for monitoring and documenting weights was ineffective. Staff acknowledged that weights were not always obtained or recorded as required, and that there was a lack of clarity and consistency in the process. As a result, inaccurate information was reported to the medical team and the resident's representative, and a thorough nutritional assessment was not completed to address the resident's needs.
What surveyors are citing around you — mapped
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Illustrative
What surveyors actually found near you
We read the 77 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
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Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Middletown
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Highland Rehabilitation And Nursing Center | 2 mi | ★★★★★ | 3 | 0 |
| Campbell Hall Rehabilitation Center Inc | 5.2 mi | ★★★★★ | 19 | 0 |
| Sapphire Nursing And Rehab At Goshen | 5.3 mi | ★★★★★ | 0 | 0 |
| Glen Arden Inc | 5.5 mi | ★★★★★ | 11 | 0 |
| The Valley View Center For Nursing Care And Rehab | 6.6 mi | ★★★★★ | 2 | 0 |
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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.