Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around March 2027
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 John Clarke Senior Living during CMS and state inspections, most recent first.
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.
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.
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Illustrative
What surveyors actually found near you
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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) |
|---|---|---|---|---|
| Grand Islander Center | 0.2 mi | — | 5 | 0 |
| Royal Middletown Nursing Center | 1.6 mi | — | 16 | 0 |
| St Clare Home | 2 mi | — | 0 | 0 |
| Adviniacare Newport, Llc | 2.2 mi | — | 17 | 0 |
| Village House Nursing & Rehabilitation Center | 2.9 mi | — | 6 | 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.