John Clarke Senior Living
John Clarke Senior Living in Middletown, RI — inspection on April 10, 2026.
Found 1 citation. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
cleanser and tape into the medication cart and then entered another resident's room (who was not on
contaminated equipment.
During a follow-up interview immediately after the observation, Staff A
another resident's room without prior disinfection and confirmed it should have been cleaned before reuse.
Staff A also acknowledged placing wound care supplies used for Resident ID #61 into the general wound care supply within the medication cart, which is utilized for multiple residents.During an interview at 12:16 PM on 4/9/2026, the Director of Nursing Services (DNS) stated that equipment used for residents on contact precautions should be dedicated to single-resident use or appropriately disinfected prior to use with other residents.
The DNS further stated that wound care supplies for residents on contact precautions are expected to be designated for individual use.2.
Record review of the Center for a Disease Control and Prevention guideline titled Clinical Safety: Hand Hygiene for Healthcare Workers dated February 27, 2024, states in part, .If your task requires gloves.change gloves and clean hands.before exiting a patient [resident] room.
Record review revealed Resident ID #19 was admitted to the facility in March 2026 with a diagnosis including, but not limited to, type 2 diabetes mellitus (a condition in which the body is unable to properly use or produce sufficient insulin, resulting in elevated blood glucose levels).
Further review revealed a physician's order dated 3/18/2026 for NovoLog insulin to be administered subcutaneously (under the skin) via a pen injector in accordance with a sliding scale (a method of insulin dosing based on pre-meal blood glucose levels).During a surveyor observation of Registered Nurse, Staff A, was administering medications on 4/9/2026 at 11:51 AM.
She donned (applied) gloves and obtained the resident's blood glucose using a lancet.
After applying a drop of blood to the test strip and obtaining the reading, Staff A placed a 2x2 gauze on the resident's finger and exited the room without removing gloves or performing hand hygiene.
Staff A then disposed of the lancet and test strip in a sharp's container, reached into her pocket to retrieve keys, touched the top and second drawers of the medication cart, and handled a container of multi-use disinfectant wipes prior to removing gloves or performing hand hygiene.Staff A subsequently applied new gloves and administered NovoLog insulin via injection.
She then stepped into the doorway without removing gloves or performing hand hygiene and disposed of the used needle in the sharp's container.
Staff A again reached into her pocket for keys, touched the medication cart drawer, and returned the insulin pen to the cart prior to removing gloves or performing hand hygiene.During a surveyor interview immediately following the observation, Staff A acknowledged failing to remove her gloves and performing hand hygiene after obtaining the blood glucose reading and administering the insulin, prior to touching her keys and the medication cart.
She further stated that it is her usual practice not to remove gloves during these tasks, revealing that disinfectant wipes are stored in a locked medication cart.During surveyor interviews conducted on 4/9/2026 at 2:39 PM and 4/10/2026 at approximately 12:45 PM, the Director of Nursing Services stated that staff are expected to remove gloves and perform hand hygiene after disposing of the lancet and test strip and prior to exiting the resident's room.
Frequently Asked Questions
- What is an F-tag violation?
- F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
- Were these violations corrected?
- Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
- How often do nursing home inspections happen?
- CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
- What should families do about these violations?
- Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in Middletown, RI, (5) Report new concerns to state authorities.
- Where can I see the full inspection report?
- Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from John Clarke Senior Living or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.