Not rated by CMS — ratings are suppressed for new or low-volume facilities.
A standard survey is most likely before around November 2026
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Wadsworth Glen Health Care And Rehabilitation Cent during CMS and state inspections, most recent first.
A resident with dementia and high risk for pressure ulcers was admitted without a comprehensive skin assessment, despite facility policy requiring one. Two days later, an LPN identified three deep tissue injuries on the resident's foot that were present on admission, but no RN assessment was completed for these findings.
The facility failed to treat residents with dignity and respect, as evidenced by incidents involving inappropriate staff behavior. A resident was called a liar by an LPN, another was upset by a nurse aide's yelling, and a third was yelled at for using the bathroom independently. Additionally, a resident with dementia experienced a fall and was subjected to profanity during a staff argument.
A resident with multiple fractures and specific weight-bearing restrictions was not transferred with the required assistance of two staff members, as per the care plan and physician's orders. Despite directives for non-weight bearing on the left lower extremity and toe touch weight bearing on the right, the resident was observed being transferred by only one staff member, leading to a deficiency finding.
A facility failed to implement a hospital discharge order for a resident requiring pain management. The resident, with multiple fractures and arthritis, was discharged with instructions to apply ice to the lower extremities five times a day, which was not included in the physician orders or care plan. The Director of Nursing confirmed the oversight, indicating a failure to adhere to the facility's pain management policy.
Failure to Complete Timely Admission Skin Assessment
Penalty
Summary
A deficiency occurred when a comprehensive skin assessment was not completed in a timely manner upon admission for a resident with dementia, frontotemporal neurocognitive disorder, and significant immobility. The resident was admitted for a respite stay, was nonverbal, had contractures, and was dependent on staff for activities of daily living. The admission assessment identified the resident as being at very high risk for pressure ulcer development, but did not include a head-to-toe skin assessment as required by facility policy. Two days after admission, a wound nurse identified three non-facility acquired deep tissue injuries (DTIs) on the resident's left foot, which were determined to have been present on admission. Further review showed that no RN assessment was completed for the newly identified skin alterations when they were discovered. Interviews with staff confirmed that the facility's policy requires a comprehensive skin assessment upon admission, but this was not performed or documented. The reason for the omission was not identified during interviews, and there was also no documentation of an RN assessment when the pressure injuries were first noted.
Inappropriate Staff Behavior and Lack of Respect for Residents
Penalty
Summary
The facility failed to ensure residents were treated with dignity and respect, as evidenced by several incidents involving inappropriate staff behavior. Resident #8, who was cognitively intact and required assistance for daily activities, reported that a charge nurse used insensitive language, calling the resident a liar and turning off the call bell without providing toileting assistance. This incident caused emotional distress to the resident, and the investigation confirmed the nurse's undignified conduct. Resident #9, also cognitively intact, became visibly upset when a nurse aide yelled at other staff members in the hallway about the resident's grievance. The resident was seen crying and shaking due to the disturbance. The investigation confirmed the nurse aide's inappropriate behavior, which was not respectful of the resident's rights. Resident #10, who required assistance with personal care, reported being yelled at by a nurse aide after using the bathroom independently. The aide questioned the resident's need for assistance and made dismissive comments. Additionally, Resident #12, who had dementia and was at risk for falls, experienced a fall and was subjected to profanity by a nurse aide during an argument with another staff member. The resident apologized for being an inconvenience, highlighting the distress caused by the staff's conduct.
Failure to Follow Transfer Assistance Protocols
Penalty
Summary
The facility failed to ensure that a resident, who had multiple fractures and specific weight-bearing restrictions, was transferred with the assistance of two staff members as required. The resident's diagnoses included a fracture of the lateral condyle of the right tibia, a fracture of the left calcaneus, an unspecified head injury, and arthritis. The nursing admission assessment indicated that the resident was alert and oriented and required assistance from two staff members for toileting, transferring, and ambulation with a walker, with partial weight-bearing restrictions. The care plan and physician's orders specified non-weight bearing on the left lower extremity and toe touch weight bearing on the right lower extremity, with assistance from two staff members for transfers. Despite these directives, an interview and picture review revealed that the resident was observed being transferred by only one staff member. The Director of Nursing confirmed that the physician's orders required two staff members for transfers, and there was no policy provided on weight-bearing status. This discrepancy between the care plan, physician's orders, and the actual practice led to the deficiency identified in the report.
Failure to Implement Pain Management Orders
Penalty
Summary
The facility failed to implement a hospital discharge order for a resident requiring pain management. The resident, who had a fracture of the lateral condyle of the right tibia, a fracture of the left calcaneus, an unspecified head injury, and arthritis, was discharged with instructions to apply ice to the lower extremities five times a day for twenty-minute intervals. However, this order was not included in the physician orders or the resident's care plan, leading to a deficiency in the resident's pain management. The resident's care plan identified several interventions, including keeping the call bell within reach, encouraging elevation of the fracture site, and monitoring circulatory motor sensation. Despite these interventions, the specific order to apply ice was overlooked. The Director of Nursing confirmed that the hospital discharge summary included the ice application order, but it was not reflected in the facility's documentation. This oversight indicates a failure to adhere to the facility's pain management policy, which requires the development and implementation of both pharmacological and non-pharmacological pain management interventions.
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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.
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Nursing homes near Middletown
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Water's Edge Center For Health & Rehab | 1.3 mi | — | 3 | 0 |
| Apple Rehab Middletown | 1.6 mi | — | 0 | 0 |
| Portland Care & Rehab Centre, Inc | 2.7 mi | — | 0 | 0 |
| Pilgrim Manor | 3.4 mi | — | 0 | 0 |
| Autumn Lake Healthcare At Cromwell | 3.6 mi | — | 0 | 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 August 2026) and official state health department websites.