Above average — CMS composite of the measures below.
The next survey window likely opens around March 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 John Clarke Senior Living during CMS and state inspections, most recent first.
Infection control practices were not maintained for two residents. For a resident on contact precautions with MRSA and wound care needs, an RN placed used vital signs equipment and wound care items on the med cart and later brought the same equipment into another resident’s room without disinfection. For another resident with DM2 receiving sliding-scale NovoLog, the RN failed to remove gloves and perform hand hygiene after blood glucose testing and insulin administration, while touching keys, the med cart, and disinfectant wipes before removing gloves.
A resident with severe cognitive impairment and a history of wandering was able to elope from the facility twice and later accessed an unsecured area, resulting in a fall that required hospital evaluation. Despite known risks and use of wander guard devices, staff did not complete required reassessments or implement additional safety measures after each incident, and the wander guard system failed to alert staff during the elopements.
Infection Control Lapses With Contact Precautions and Hand Hygiene
Penalty
Summary
The facility failed to maintain an infection control program related to contact precautions and standard precautions for 2 residents. One resident had diagnoses including MRSA and an infected left knee prosthesis, with a physician order for contact precautions every shift due to MRSA involving the left lower extremity and nares. The resident also received daily wound care to the buttocks and left lower extremity. During observation, a RN exited the resident’s room and placed a stethoscope, blood pressure cuff, pulse oximeter case, wound cleanser spray, and tape on top of the medication cart without cleaning and disinfecting them per manufacturer instructions. The same RN later placed the wound cleanser and tape into the medication cart and entered another resident’s room with the same vital signs equipment case after it had been used in the contact precautions room. The case was placed on the other resident’s bedside table before the surveyor intervened. The RN acknowledged that the equipment had been taken from a contact precautions room into another resident’s room without prior disinfection and stated that the wound care supplies used for the resident on contact precautions had been placed into the general wound care supply in the medication cart used for multiple residents. The DON stated that equipment used for residents on contact precautions should be dedicated to single-resident use or disinfected before use with other residents, and that wound care supplies for residents on contact precautions are expected to be designated for individual use. A second resident had type 2 diabetes mellitus and an order for NovoLog insulin via sliding scale. During medication administration, the RN donned gloves, obtained the resident’s blood glucose, placed gauze on the finger, and exited the room without removing gloves or performing hand hygiene. She then disposed of the lancet and test strip, reached into her pocket for keys, touched the medication cart drawers, and handled disinfectant wipes before removing gloves or performing hand hygiene. She later applied new gloves, administered insulin, stepped into the doorway without removing gloves or performing hand hygiene, disposed of the needle, again reached for keys, touched the medication cart drawer, and returned the insulin pen to the cart before removing gloves or performing hand hygiene. The RN acknowledged these actions and stated it was her usual practice not to remove gloves during these tasks. The DON stated that staff are expected to remove gloves and perform hand hygiene after disposing of the lancet and test strip and before exiting the resident’s room.
Failure to Prevent Elopement and Provide Adequate Supervision for High-Risk Resident
Penalty
Summary
The facility failed to provide adequate supervision and prevent accident hazards for a resident with dementia and a high risk for wandering. The resident, who had a severely impaired cognitive status and a history of exit-seeking behaviors, was admitted with a diagnosis including dementia and was assessed as high risk for wandering. Despite the facility's policy requiring elopement risk assessments at admission and after significant changes in status, there was no evidence that an updated elopement assessment was completed after a significant change in the resident's condition. The care plan included interventions such as distraction and the use of a wander guard, with physician orders to check the device's placement and function each shift. The resident successfully eloped from the facility on two separate occasions. On both occasions, the wander guard system failed to alert staff when the resident exited through the main entrance, and there was no documentation of additional safety measures being implemented after these incidents. Staff interviews confirmed that the resident was able to leave the facility when a visitor opened the door, and surveillance footage showed no staff present at the time of elopement. The resident was found outside in the parking lot, which slopes toward a busy road and a large body of water, increasing the risk of harm. Staff also reported that the resident frequently wandered into unsecured areas, including a therapy room and storage room. Following the second elopement, the resident was found on the floor of a dark, unsecured therapy room, unresponsive and requiring transfer to the hospital for evaluation. There was no evidence that the facility implemented additional interventions or safety measures to prevent further incidents while the resident remained at the facility. The facility's failure to reassess the resident's elopement risk after significant changes in condition, lack of effective supervision, and failure to secure hazardous areas resulted in repeated elopements and an unwitnessed fall, placing the resident at risk for serious harm.
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 433 citations issued within 25 miles in the last 12 months — including the 18 immediate-jeopardy cases — 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 Middletown
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Grand Islander Center | 0.2 mi | ★★★★★ | 7 | 0 |
| Royal Middletown Nursing Center | 1.6 mi | ★★★★★ | 16 | 0 |
| St Clare Home | 2 mi | ★★★★★ | 0 | 0 |
| Adviniacare Newport, Llc | 2.2 mi | ★★★★★ | 18 | 0 |
| Village House Nursing & Rehabilitation Center | 2.9 mi | ★★★★★ | 6 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
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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.