Independent · Federal inspection records, searchable
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Nursing Home Violations Public inspection data, searchable
Facility profile · CCN 395985

Midtown Oaks Health & Rehab Center

121 federal citations on record , including 1 at the Immediate Jeopardy level, and 3 federal enforcement actions totaling $106,485.

Special Focus Status 1 Immediate Jeopardy

Record summary

Federal record · Q1 2026
121
Total citations
119
Last 3 years
4
Actual harm+
3
Federal penalties
$106,485
Total fines
—
Overall ★ rating

Most common violation categories here

Quality of Care39 Care Planning19 Resident Rights18 Nutrition & Dietary14 Medication & Pharmacy13

Most common F-tags at this facility

F6897 F6846 F6776 F6575 F6584

Citation history

121 on record
SurveyF-TagViolationSeveritySource
Dec 30, 2025F583Keep residents' personal and medical records private and confidential.DComplaint
Sep 11, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FComplaint
Sep 11, 2025F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.EStandard
Sep 11, 2025F761Ensure 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.DStandard
Sep 11, 2025F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard
Sep 11, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard
Sep 11, 2025F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
Sep 11, 2025F641Ensure each resident receives an accurate assessment.EStandard
Sep 11, 2025F636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.DStandard
Aug 6, 2025F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EComplaint
Aug 6, 2025F698Provide safe, appropriate dialysis care/services for a resident who requires such services.EComplaint
Aug 6, 2025F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DComplaint
Aug 6, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EComplaint
Aug 6, 2025F658Ensure services provided by the nursing facility meet professional standards of quality.EComplaint
Jun 25, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint
Jun 16, 2025F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EComplaint
Apr 22, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
Apr 22, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FComplaint
Apr 22, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Mar 4, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.EComplaint
Jan 28, 2025F760Ensure that residents are free from significant medication errors.DComplaint
Jan 28, 2025F695Provide safe and appropriate respiratory care for a resident when needed.DComplaint
Jan 28, 2025F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint
Dec 23, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Dec 23, 2024F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DComplaint
Aug 22, 2024F919Make sure that a working call system is available in each resident's bathroom and bathing area.DComplaint
Aug 22, 2024F810Provide special eating equipment and utensils for residents who need them and appropriate assistance.DComplaint
Aug 22, 2024F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.FComplaint
Aug 22, 2024F761Ensure 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.DComplaint
Aug 22, 2024F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.EComplaint
Aug 22, 2024F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.DComplaint
Aug 22, 2024F692Provide enough food/fluids to maintain a resident's health.DComplaint
Aug 22, 2024F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DComplaint
Aug 22, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Aug 22, 2024F685Assist a resident in gaining access to vision and hearing services.EComplaint
Aug 22, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.GComplaint
Aug 22, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint
Aug 22, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Aug 22, 2024F558Reasonably accommodate the needs and preferences of each resident.DComplaint
Aug 22, 2024F553Allow resident to participate in the development and implementation of his or her person-centered plan of care.EComplaint
Aug 22, 2024F925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.FStandard
Aug 22, 2024F881Implement a program that monitors antibiotic use.DStandard
Aug 22, 2024F880Provide and implement an infection prevention and control program.EStandard
Aug 22, 2024F868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyDStandard
Aug 22, 2024F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.DStandard
Aug 22, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
Aug 22, 2024F759Ensure medication error rates are not 5 percent or greater.DStandard
Aug 22, 2024F758Implement 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.EStandard
Aug 22, 2024F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard
Aug 22, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.GStandard
Aug 22, 2024F676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.DStandard
Aug 22, 2024F661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.DStandard
Aug 22, 2024F658Ensure services provided by the nursing facility meet professional standards of quality.EStandard
Aug 22, 2024F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
Aug 22, 2024F583Keep residents' personal and medical records private and confidential.DStandard
Aug 22, 2024F578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.FStandard
Aug 22, 2024F554Allow residents to self-administer drugs if determined clinically appropriate.DStandard
Jul 3, 2024F919Make sure that a working call system is available in each resident's bathroom and bathing area.KComplaint
Jul 3, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.EComplaint
Jul 3, 2024F835Administer the facility in a manner that enables it to use its resources effectively and efficiently.DComplaint
Jul 3, 2024F810Provide special eating equipment and utensils for residents who need them and appropriate assistance.DComplaint
Jul 3, 2024F808Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.EComplaint
Jul 3, 2024F803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.EComplaint
Jul 3, 2024F695Provide safe and appropriate respiratory care for a resident when needed.DComplaint
Jul 3, 2024F692Provide enough food/fluids to maintain a resident's health.EComplaint
Jul 3, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Jul 3, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.EComplaint
Jul 3, 2024F658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint
Jul 3, 2024F625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.DComplaint
Jul 3, 2024F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DComplaint
Jul 3, 2024F585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.EComplaint
Jul 3, 2024F584Honor 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.DComplaint
Jul 3, 2024F557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.DComplaint
Jun 18, 2024F610Respond appropriately to all alleged violations.DComplaint
Apr 18, 2024F743Ensure that a resident does not develop patterns of decreased social interaction and/or increased withdrawn, angry, or depressive behaviors, unless unavoidable.DComplaint
Apr 18, 2024F742Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.DComplaint
Apr 18, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EComplaint
Apr 18, 2024F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DComplaint
Apr 18, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Apr 18, 2024F558Reasonably accommodate the needs and preferences of each resident.DComplaint
Mar 20, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Jan 5, 2024F772Have an agreement with an approved laboratory to obtain services, if on-site laboratory services aren't provided.DComplaint
Jan 5, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Jan 5, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint
Jan 5, 2024F610Respond appropriately to all alleged violations.DComplaint
Jan 5, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Nov 15, 2023F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EComplaint
Nov 15, 2023F757Ensure each resident’s drug regimen must be free from unnecessary drugs.DComplaint
Nov 15, 2023F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DComplaint
Nov 15, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Nov 15, 2023F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.EComplaint
Nov 15, 2023F677Provide care and assistance to perform activities of daily living for any resident who is unable.EComplaint
Nov 15, 2023F675Honor each resident's preferences, choices, values and beliefs.DComplaint
Nov 15, 2023F584Honor 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.EComplaint
Sep 8, 2023F883Develop and implement policies and procedures for flu and pneumonia vaccinations.DComplaint
Sep 8, 2023F585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.DComplaint
Sep 8, 2023F558Reasonably accommodate the needs and preferences of each resident.DComplaint
Sep 8, 2023F880Provide and implement an infection prevention and control program.DStandard
Sep 8, 2023F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.DStandard
Sep 8, 2023F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard

Federal enforcement history

Federal regulators have imposed 3 enforcement actions against this facility, including 3 civil money penalties totaling $106,485 .

DateTypeFinePayment denial
Aug 22, 2024Fine$76,811—
Jun 18, 2024Fine$22,231—
May 30, 2023Fine$7,443—
About this record A citation is a finding by a state survey team working under federal contract. It is not a court judgment. The description above is drawn verbatim from federal public datasets. Facilities have the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.

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