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Beechwood Health & Rehabilitation Center

31 Vauxhall Street, New London, CT 06320 · For profit - Limited Liability company · 60 certified beds · (860) 442-4363 Medicare & Medicaid certified

Call the home — (860) 442-4363 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Abuse/neglect citation on record (F0600) — cited Apr 2023Resident-funds citation (F0567)
Insights

This home has serious findings on its record. Read them closely before you consider it.

In its favor
  • a strong health-inspection score (4/5) — the hardest rating to game (though it’s ranked within its own state, not nationally)
  • no federal fines or payment denials on record
  • fewer deficiencies at its most recent standard inspection than at the one before — a sign of improvement
Worth asking about
  • it has an abuse, neglect, or exploitation citation (F0600), cited Apr 2023
  • it has citations for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0609, F0610) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
  • it has a citation for mishandling residents’ money or property (F0567)
  • a high number of inspection citations overall (23) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • its payroll-based staffing rating is low (2/5)

One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.

A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.

4/5
CMS overall
4 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 4 of 5
StaffingFrom payroll records (PBJ) 2 of 5
Quality measuresSelf-reported by the facility 4 of 5

Location & what’s nearby

Hospital
★★★ 3/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
6 Shaws Cv · (860) 444-9022 · Call to confirm hours
Pharmacy
345 Broad St · (860) 910-4909 · Call to confirm hours
Grocery
83 Mountain Ave · (860) 444-0254 · Call to confirm hours
Park
149 Broad St · Typically dawn to dusk
Place of worship

Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Overall quality measures 4 of 5
Long-stay residentspeople who live here 3 of 5
Short-stay residentsrehab / post-hospital 5 of 5

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Trend — is this home getting better or worse?

Over 2025-02 to 2026-06, this home’s CMS overall rating improved from 3 to 4 stars. From monthly CMS archive snapshots.

Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.

Overall rating4★
Inspection scorelower = better
See all quality measures vs. state & national benchmarks
MeasureThis homeState avgTypical statevs typical state
Long-stay residents whose need for help with daily activities increased23.2%18.0%15.4%worse
Long-stay residents who lose too much weight3.3%6.5%5.4%better
Long-stay residents with a catheter left in their bladder0.4%0.7%0.9%better
Long-stay residents with a urinary tract infection3.5%1.5%2.0%worse
Long-stay residents with depressive symptoms3.0%22.3%6.5%better than state — see note marked double-dagger below the table
Long-stay residents who were physically restrained0.0%0.0%0.1%better than state — see note marked double-dagger below the table
Long-stay residents with falls causing major injury1.8%3.5%3.3%better
Long-stay residents whose ability to walk worsened23.3%16.4%16.1%worse
Long-stay residents on antianxiety or hypnotic medication12.5%17.6%18.9%better
Long-stay residents given the seasonal flu vaccine100.0%93.5%95.3%typical
Long-stay residents with pressure ulcers4.4%4.0%4.7%typical
Long-stay residents with worsening bladder/bowel control27.4%24.7%21.2%worse
Long-stay residents who got an antipsychotic medication — see the note below the table24.4%17.8%17.1%worse
Short-stay residents who newly got an antipsychotic medication2.1%1.5%1.4%worse
Short-stay residents given the seasonal flu vaccine84.4%69.7%79.4%typical
Short-stay residents rehospitalized after admission20.7%24.3%22.6%typical
Short-stay residents with an outpatient ER visit4.8%10.7%12.0%better

On this measure the state average is at least twice (or half) the typical state — a gap that size is usually how the state codes and reports the measure, not how its homes actually perform. Against a benchmark this state does not sit on, a “vs typical state” verdict would mostly be measuring the state, so we compare this home with its own state instead and show both averages.

§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.

CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

59.0% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 121 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

59.0%U.S. median 51.5%
Got home and stayed home
10.9%U.S. median 10.7%
Went back to hospital
59.6%U.S. median 56.6%
Met the expected recovery
0.44U.S. median 0.31
Therapy hours / resident / day
0.22hours / resident / day
Physical therapy
0.18hours / resident / day
Occupational therapy
0.04hours / resident / day
Speech therapy

Met the expected recovery: 59.6% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 47 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.44 therapist hours per resident per day in 2026Q1 — more than 74% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 23% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

See every short-stay measure CMS publishes for this home
MeasureThis homeU.S. medianPeriod coveredCMS’s call
Got home and stayed homeRate of successful return to home or community from a SNF59.0%CMS range 49.9–65.351.5%Oct 2022–Sep 2024no different from U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF10.9%CMS range 7.6–15.510.7%Oct 2022–Sep 2024no different from U.S.
Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge59.6%56.6%Oct 2024–Sep 2025CMS makes no comparison for this measure
Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge59.6%52.8%Oct 2024–Sep 2025CMS makes no comparison for this measure
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge61.7%50.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified100.0%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting100.0%100.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay0.0%0.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened0.0%1.9%Oct 2024–Sep 2025CMS makes no comparison for this measure
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization7.2%CMS range 3.8–12.17.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs0.781.02Oct 2022–Sep 2024CMS makes no comparison for this measure

From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.

Staffing

0.95
RN hours/ resident / day
0.83
LPN hours/ resident / day
2.22
Aide hours/ resident / day
4.00
Total nurse hours/ resident / day
0.90
RN hoursweekends
Total nursing turnover
RN turnover

How full it usually is: this home is certified for 60 beds and averages 56.5 residents a day — about 94% occupied, or roughly 4 beds typically open. It runs fairly full. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 4.00 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.95 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.22 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.65 hrs/resident/day on weekends vs 4.14 on weekdays — 12% thinner on weekends. RN hours go from 0.96 to 0.90 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

2 administrators have left in the past year — frequent leadership churn is a warning sign families often miss.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

8
deficiencies at the latest standard inspection (2025-06-26)
10
at the previous standard inspection (2023-04-20)

Deficiencies are fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

ABCDEFGHIJKL

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

23 citations, most serious first. The 10 most serious are shown; the remaining 13 are one tap away and print in full.

  • Potential for harm · D2025-11-21 · tag F0550 — failed to protect resident dignity and rights — isolated
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record review, facility documentation review, facility policy review, and interviews for one of three residents (Resident # 1) reviewed for abuse, the facility failed to ensure staff treated the resident with dignity and respect when the resident did not respond to redirection. The findings include:Resident #1 was admitted to the facility with diagnoses that included dementia, restlessness and agitation, generalized muscle weakness, frequent falls and anxiety. A 5-day Minimum Data Set (MDS) assessment dated [DATE] identified Resident # 1 had a Brief Interview for Mental Status (BIMS) score of 0, (severely impaired cognition), had wandering behavior one (1) to three (3) days in the prior seven (7) days, and required assistance for personal hygiene. The Resident Care Plan (RCP) dated 5/22/2025 identified Resident #1 had impaired cognition and wandering behaviors. Interventions that directed to face Resident #1 when speaking, and if restless or agitated, reapproach later, and redirect as needed. A…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-11-21 · tag F0610 — failed to investigate and act on abuse reports — isolated
    Respond appropriately to all alleged violations.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on clinical record review, facility documentation review, facility policy review, and interviews for one of three residents (Resident #2) reviewed for abuse, the facility failed to prevent further potential abuse while the investigation was in progress and failed to suspend the alleged staff member during the investigation in accordance with facility policy. The findings include: Resident #2 was admitted to the facility with diagnoses that included mild neurocognitive disorder with behavioral disturbance, and anxiety disorder. A quarterly Minimum Data Set (MDS) assessment with an Assessment Reference Date (ARD) of 6/12/2025 identified Resident #2 had a Brief Interview for Mental Status (BIMS) score of 15 (indicated was alert and oriented) and required staff assistance for personal care. The Resident Care Plan (RCP) dated 7/28/2025 identified Resident #2 had impaired coping and pain. The RCP directed to evaluate the cause of anxiety or fear, provide care in a calm and reassuring manner, and provide medications as ordered. A facility reportable event (RE) form dated 8/31/2025 at…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-11-21 · tag F0684 — failed to provide proper treatment and quality of care — isolated
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on clinical record review, facility documentation review, facility policy review, and interviews for one of three residents (Resident #2) reviewed for abuse or neglect, the facility failed to provide physician order medications as scheduled. The findings include:Resident #2 was admitted to the facility with diagnoses that included congestive heart failure, mild neurocognitive disorder with behavioral disturbance, and anxiety disorder. A quarterly Minimum Data Set (MDS) assessment with an Assessment Reference Date (ARD) of 6/12/2025 identified Resident # 2 had a Brief Interview for Mental Status (BIMS) score of 15 and was alert and oriented, and required assistance with personal care. The Resident Care Plan (RCP) dated 7/28/2025 identified impaired coping and pain. Interventions directed to administer medications as ordered. Physician orders dated 8/12/2025, directed to administer the following medications: Bumetanide 1 milligram (mg), 2 tablets once a day for pedal edema (swelling of the feet/lower legs). Celexa 20 mg once a day for depression Oxybutynin Chloride Extended…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2025-06-26 · tag F0567 — failed to protect residents' money held by the home — pattern
    Honor the resident's right to manage his or her financial affairs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on review of clinical records, facility documentation, facility policy, and an interviews for 30 of 52 sampled residents (Resident #1, #3, #4, #5, #6, #8, #13, #14, #15, #18, #23, #24, #26, #28, #29, #30, #33, #35, #39, #42, #44, #58, #500, #501, #502, #503, #504, #505, #506, and #507) reviewed for personal funds, the facility failed to credit interest earned to each resident's personal funds account. The findings include: Interview and facility documentation review with Director of Revenue #1 on 6/25/2025 at 2:10 PM, identified that Resident #33 had personal funds held by the facility in an interest-bearing account. Director of Revenue #1 indicated the monthly application of interest earned to an individual resident's account was a manual process. She identified that the facility failed to apply any interest earned to Resident #33's personal funds account from April 2024 to May 2025. Further review of Resident Trust Accounts identified a total of 30 residents with funds held by the facility who did not have interest earned applied to their individual accounts. Current…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2025-06-26 · tag F0578 — failed to honor advance directives / code status — pattern
    Honor 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.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, staff interviews, and facility policy for 3 of 4 sampled residents (Resident #4, Resident #22, and Resident #33) reviewed for advanced directives, the facility failed to obtain a signed copy of an Advanced Directive form for Resident #4 and Resident #33, and for Resident #22 failed to transcribe the signed Advance Directive form to the electronic medical record. The findings include: 1. Resident #4 was admitted in February of 2020 with diagnoses that included encounter for palliative care, malignant neoplasm of the left breast (breast cancer), chronic systolic (congestive) heart failure, unspecified atrial flutter, cardiomyopathy, and essential hypertension. The admission Minimum Data Set assessment dated [DATE] identified Resident #4 had a Brief Interview of Mental Status (BIMS) score of 11, indicating moderate cognitive impairment. The quarterly Minimum Data Set, dated [DATE] identified Resident#4 had a BIMS score of 99, indicating the resident was unable to complete the Brief Interview…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-06-26 · tag F0609 — failed to report abuse allegations — isolated
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on a review of the clinical record, interviews, facility documentation, and facility policy, for 1 of 3 sampled residents (Resident #28) reviewed for abuse and for the only sampled resident (Resident #30) reviewed for grievances the facility failed to report an allegation of abuse to the State Agency per the requirement. The findings include: 1. Resident #28's diagnoses included bipolar disorder, morbid obesity, and chronic congestive heart failure. The quarterly Minimum Data Set (MDS) assessment dated [DATE] identified Resident #28 had a Brief Interview of Mental Status (BIMS) score of 9 indicating cognition was moderately impaired, required a wheelchair for mobility, and was dependent on staff for bed mobility, and all transfers. The Resident Care Plan (RCP) dated 5/12/2025 identified Resident #28 was dependent on staff for meeting emotional, intellectual, physical, and social needs related to immobility and physical limitations. Interventions directed staff to converse with Resident #28 when providing…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-06-26 · tag F0610 — failed to investigate and act on abuse reports — isolated
    Respond appropriately to all alleged violations.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on a review of the clinical record, interviews, facility documentation, and facility policy, for 1 of 3 sampled residents (Resident #28) reviewed for abuse and for the only sampled residents (Resident #30) reviewed for grievances the facility failed to investigate an allegation of abuse per the facility policy. The findings include: 1. Resident #28's diagnoses included bipolar disorder, morbid obesity, and chronic congestive heart failure. The quarterly Minimum Data Set (MDS) assessment dated [DATE] identified Resident #28 had a Brief Interview of Mental Status (BIMS) score of 9 indicating cognition was moderately impaired, required a wheelchair for mobility, and was dependent on staff for personal hygiene, bed mobility, and all transfers. The Resident Care Plan (RCP) dated 5/12/2025 identified Resident #28 was dependent on staff for meeting emotional, intellectual, physical, and social needs related to immobility and physical limitations. Interventions directed staff to converse with Resident #28 when…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-06-26 · tag F0657 — failed to keep the care plan current — isolated
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on review of clinical record, facility policy, and interviews for the only sampled resident, (Resident #33) reviewed for care planning, the facility failed to ensure the Resident Care Plan was reviewed and revised on a quarterly basis with participation from an interdisciplinary team and Resident #33's representative. The findings included: Resident #33's diagnoses included dementia, anxiety, and dysphagia. The quarterly Minimum Data Set (MDS) assessment dated [DATE] identified Resident #33 had a Brief Interview of Mental Status (BIMS) score of 4 indicating Resident #33 was severely cognitively impaired, and required set-up and clean-up assistance when eating, and extensive assistance with bed mobility, toileting, and transfers. Review of the Resident Care Conference (RCC) quarterly meeting documentation on 4/24/2024 at 2:44 PM identified Person #1 was responsible for Resident #33. A note indicated an interdisciplinary RCC meeting took place with Person #1, social services and the MDS coordinator. Resident…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-06-26 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, review of clinical record, facility policy, and staff interviews, the facility failed to ensure fingernail care was provided to Resident #4. The findings include: Resident #4 was admitted in February 2020 with diagnoses including encounter for palliative care, malignant neoplasm of the left breast (breast cancer), chronic systolic (congestive) heart failure, and unspecified atrial flutter. The quarterly Minimum Data Set (MDS) dated [DATE] identified Resident #4 had a Brief Interview of Mental Status (BIMS) score of 99, indicating inability to complete the Brief Interview of Mental Status, and was dependent for personal hygiene. The Resident Care Plan dated 6/15/2025 identified Resident #4 had an ADL self-care performance deficit. Interventions indicated: requires extensive assist by (1) staff with personal hygiene, and with a terminal prognosis with comfort focused care, and with adjustments to the provision of ADLs to compensate for changing abilities. Observations on 6/23/2025 at 11:26 AM…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-06-26 · tag F0761 — failed to label and store drugs safely — isolated
    Ensure 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.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, review of the clinical record, and facility policy for 3 residents identified during the initial screening of residents (Resident # 51, Resident #48 and Resident #21) the facility failed to ensure medications were not at bedside and alcoholic beverages were not stored in the medication refrigerator in 1 of 2 medication refrigerators. The findings include: 1.a. Resident #21's diagnoses included Chronic Obstructive Pulmonary Disease (COPD) and sleep apnea. The Resident Care Plan dated 2/7/2025 identified COPD as an area of concern. Interventions included providing aerosol or bronchodilators as ordered, monitor for side effects of medication, monitor for acute respiratory insufficiency, and administered oxygen therapy as ordered. Resident #21's quarterly Minimum Data Set (MDS) assessment dated [DATE] identified Resident #21 as being moderately cognitively impaired as the result of a Brief Interview for Mental Status (BIMS) assessment score of 9. Physician's orders dated 6/23/2025 directed to…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
Show the remaining 13 citations
  • Potential for harm · D2025-06-26 · tag F0812 — failed to store, cook, and serve food safely — isolated
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations, facility documentation, facility policy and staff interviews, the facility failed to ensure the kitchen ice machine was maintained in sanitary condition. During surveyor walk through of the kitchen on 6/23/2025 at 10:30 AM with Director of Dietary (DD) observation was made of a black substance within the ice machine. Interview and observation with the DD on 6/25/2025 at 11:57 AM identified that the ice machine cleaning would be the responsibility of the Maintenance Director but that the facility currently did not currently have a full time Maintenance Director. Additionally, the DD stated he never thought of looking up into the machine for cleanliness. Subsequent to surveyor inquiry the machine was cleaned by DD and the black residue was no longer present. Review of the Beechwood Monthly Preventive Maintenance & Safety Checklist on 6/25/2025 documented a check of the Ice machine cleanliness, function and filters for April 2025 and June 2025. No verification checklist was completed by the facility for May 2025. Review of the Sanitization policy indicates that…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-09-20 · tag F0657 — failed to keep the care plan current — isolated
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record review, facility documentation review, facility policy review and interviews for one resident (Resident #1) reviewed for abuse, the facility failed to ensure staff provided care in accordance with the resident plan of care. The findings include: Resident #1's diagnoses included mild neurocognitive disorder, spinal stenosis, anxiety disorder, and adjustment disorder. The quarterly Minimum Data Set assessment dated [DATE] identified Resident #1 had moderate cognitive impairment, was dependent with assist of two persons for toileting, was always incontinent and had behavioral symptoms not directed toward others one (1) to three (3) of the last seven (7) days. The Resident Care Plan (RCP) dated 7/28/2023 identified Resident #1 had a ineffective coping skills, anxiety and depression. Interventions directed two (2) staff members for care at all times due to a history of accusatory behavior. A facility incident report and investigation dated 8/16/2023 at 10:30 AM identified Resident #1 alleged…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2023-04-20 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — pattern
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record reviews, observation, review of facility's documentation review of policy and interviews for 1 of 3 sampled residents (Resident #32) who was reviewed for falls, the facility failed to remove hazard to prevent a fall with injury and for 1 sampled resident ( Resident # 155) who required assistance with meal, the facility failed to remove a hot beverage lid to prevent an accident and for 1 sampled resident (Resident # 20) with history of dysphagia, the facility failed to cut up the resident's meat to prevent an accident. The findings included: 1. Resident #32's diagnoses included hepatic encephalopathy, non-alcoholic steatohepatitis, type 2 diabetes mellitus, cirrhosis of the liver, hypotension, convulsions, anxiety disorder, and lack of coordination. A fall risk Evaluation was completed 3/13/2023 for Resident #32 identified Resident #32 was at risk for falls. The quarterly Minimum Data Set (MDS) assessment dated [DATE] identified the resident had moderately impaired cognition and required…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-04-20 · tag F0600 — failed to protect residents from abuse and neglect — isolated
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on review of the clinical record, facility documentation, facility policy and interviews for 1 of 2 residents (Resident #9) reviewed for allegations of mistreatment, the facility failed to ensure the resident was free from staff abuse. The findings include: Resident #9's diagnoses included neurocognitive disorder, myoneural disorder, spinal stenosis, rheumatoid arthritis, anxiety, depression, and adjustment disorder. The Resident Care Plan dated 11/14/22 identified the resident had a mood problem related to anxiety, depression, insomnia, and poor appetite. Interventions directed to assist the resident in developing activity program that was meaningful and of interest to the resident, monitor/record, and report to the physician acute episodes of feeling or sadness, loss of pleasure and interest in activities, feeling of worthlessness or guilt, change in eating habits, change in sleep patterns, diminished ability to concentrate and change in psychomotor. The quarterly Minimum Data Set ( MDS) assessment dated…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-04-20 · tag F0644 — isolated
    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record review, facility documentation review, facility policy, and interviews for 1 sample resident (Resident # 37) reviewed for Preadmission Screening and Resident Review (PASRR), the facility failed to obtain and complete a PASRR level II screening. The findings include: Resident # 37's diagnoses included bipolar disorder, Post-Traumatic Stress Disorder (PTSD), type 2 diabetes mellitus and anxiety. The 5-day Minimum Data Set (MDS) assessment dated [DATE] identified Resident # 37 had a Brief Interview for Mental Status (BIMS) score of 13 out of 15, indicative of no cognitive impairment and required extensive assist of 2 person with bed mobility, transfer, hygiene and toileting. Review of PASRR screen level 1 dated 2/9/22 identified Resident #37 was approved for 120 days. Interview with Social Worker (SW) on 4/18/23 at 1:30 PM identified she was responsible for submitting PASRR screens. She also identified that she assumed the role for PASSR screening last year on July 2022. Subsequent to…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-04-20 · tag F0656 — failed to write and follow a full care plan — isolated
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record reviews, observations, facility documentation, facility policy and interviews for 1 sampled resident (Resident#51) who was reviewed for pressure ulcer, the facility failed to ensure that a care plan for prevention of skin breakdown was in place for a resident found at risk. The findings include: Resident # 51's diagnoses included low back pain, Deep Vein Thrombosis ( DVT), hypertension and chronic kidney disease. A Braden scale for predicting pressure ulcer risk completed on 1/14/2023 indicated a score of 18 placing Resident #51 in the At-Risk category for developing a pressure ulcer. The admission MDS assessment dated [DATE] identified Resident # 51 had no cognitive impairment and required extensive assistance of two persons for bed mobility and toileting and extensive assistance of one person for transfer. The MDS further indicated Resident #51 was at risk for skin breakdown and care planning was to be completed. A Braden skin assessment completed 3/15/23 after readmission indicated…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-04-20 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record review, review of facility policy and interviews for 1 of 5 residents for (Resident #206) reviewed for Activities of Daily Living (ADL), the facility failed to ensure the resident received assistance with ADL timely. The findings include: Resident # 206's diagnoses included dementia, pneumonia, and a healing fracture of the right clavicle. The admission MDS assessment 6/25/2021 indicated that cognitive skills were moderately impaired and required extensive assistance of 2 persons for bed mobility, extensive assistance of one person for eating and personal hygiene. The care plan dated 6/22/2021 indicated Resident #206 has a potential nutritional problem related to a right clavicle fracture and recent pneumonia. Intervention includes in part to provide total assistance with eating during meals. The care plan indicated that Resident #206 had an alteration in musculoskeletal status related to a right clavicle fracture. Interventions included in part to keep the right arm elevated on a pillow…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-04-20 · tag F0684 — failed to provide proper treatment and quality of care — isolated
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record reviews, observations, facility policy and interviews for 1 of 3 Residents (#32) observed during meals that required feeding assistance by staff, the facility failed to ensure that staff provided one to one assistance to a resident with eating as directed by the physician. The findings include: Resident # 32's diagnosis included nonalcoholic steatohepatitis, hepatic encephalopathy, and ascites. A physician's order on 2/18/2023 directed to provide a low sodium, carbohydrate controlled, cardiac diet of regular texture thin consistency with no gravy and to provide one to one assistance for feeding. The quarterly Minimum Data Set (MDS) assessment dated [DATE] identified Resident #32 had moderate cognitive impairment and required supervision and set up for eating. An observation on 4/18/2023 at 8:30 AM identified Resident #32 sitting upright in bed, alert and awake with a breakfast plate of waffles in front of the resident uneaten. Resident #32 indicated that he/she is not always hungry, but…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-04-20 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record reviews, observations, facility policy and interviews for 1 sampled resident (Resident#51) who was reviewed for pressure ulcer, the facility failed to ensure that a Resident at risk for skin breakdown did not develop a pressure ulcer. The findings include: Resident # 51's diagnoses included low back pain, Deep vein thrombosis, Hypertension and Chronic kidney disease. A Braden scale for predicting pressure ulcer risk completed on 1/14/2023 indicated a score of 18 placing Resident #51 in the At-Risk category for developing a pressure ulcer. The admission MDS assessment dated [DATE] identified Resident # 51 had no cognitive impairment and required extensive assistance of two persons for bed mobility and toileting and extensive assistance of one person for transfer. The MDS further indicated Resident #51 was at risk for skin breakdown and care planning was to be completed. A Braden skin assessment completed 3/15/23 after readmission indicated Resident #51 was at risk for pressure ulcer. A…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-04-20 · tag F0694 — isolated
    Provide for the safe, appropriate administration of IV fluids for a resident when needed.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record review, facility documentation review, facility policy review, and interviews for 1 residents (Resident #25) reviewed for Intravenous Therapy ( IV )therapy, the facility failed to ensure parenteral fluids were administered by qualified, competent and trained staff. The findings include: Resident # 25's diagnoses included Type 2 diabetes mellitus, heart failure, dementia, and sepsis. The quarterly Minimum Data Set (MDS) assessment dated [DATE] identified Resident # 25 had a Brief Interview for Mental Status (BIMS) score of zero out of fifteen, indicating the resident had severely impaired cognition, was always incontinent of bowel and bladder and required extensive assistance of two people for activities of daily living (ADL). The Advanced Registered Nurse ( APRNs) order dated 4/11/23 at 7:00 PM directed to administer 1 liter of ½ NS (normal saline) at 80 cc/hour one time only for sepsis. The nurse's note dated 4/12/23 at 8:04 AM identified the resident was receiving an IV infusion of 1…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-04-20 · tag F0880 — failed to prevent and control infections — isolated
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record review, observations, interviews, and review of facility policy for 1 sampled residents( Resident #51) reviewed for pressure ulcers, the facility failed to ensure that infection control practices for a resident on isolation were followed and for 1 of 3 residents for (Resident# 208) reviewed for toileting/incontinent care, the facility failed to ensure that staff performed proper hand hygiene. The findings include:. The findings included: 1. An observation on 4/18/23 at 12:29 PM identified a staff member, NA#6 entering Resident #51's room with isolation signage holding a covered meal plate not wearing gloves). NA # 6 placed the meal on the residents table and walked out of the room into the hall. The charge nurse LPN #2 with supplies for the NA interrupted NA#6 while walking away from the room and indicated she needed to read the contact precautions sign outside the door before entering the room and directed NA # 6 to apply the appropriate personal protective equipment. NA #6 indicated…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2021-03-01 · tag F0711 — pattern
    Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on clinical record review, review of facility policy and interview for 3 of 3 sampled residents (Residents #29, #36 and #41) reviewed for the timeliness of physician's orders, the facility failed to ensure that the routine medication orders were reviewed, renewed, signed and dated every sixty days. The findings include: Review of Resident #29's clinical record identified the last routine monthly signed medication orders were dated February 11, 2020. Although, the routine monthly medication orders for February 2020 were signed by an APRN; the subsequent routine monthly medication orders were not signed and dated by either an APRN or a physician from March 2020 through and including February 2021 (a total of 6 occurrences of a failure to review, renew, sign and date the routine medication orders every 60 days). Review of Resident #36's clinical record identified the last routine monthly signed medication orders were signed and dated in March of 2020. Although, the routine monthly medication orders for March 2020 were signed by a physician; the routine monthly medication orders…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
  • No harm found · B2023-04-20 · tag F0641 — pattern
    Ensure each resident receives an accurate assessment.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record reviews and interviews for 2 of 2 residents reviewed for hospitalization (Resident #5 and #7), the facility failed to ensure the resident's MDS accurately reflected the residents discharge status at the time of the assessment. The findings included: 1. Resident # 5 's diagnoses included dementia, major depressive disorder, anxiety, Chronic Obstructive Pulmonary Disease (COPD) and hypothyroid. The nurse's note dated 10/24/22 at 6:42 PM identified Resident #5 had respiratory distress and the physician's order directed to send to hospital for an evaluation. The discharge MDS dated [DATE] identified Resident #5 was discharge and return anticipated. Resident #5 was not in the facility when the quarterly MDS assessment dated [DATE] was completed and submitted to the state agency on 10/27/22. In an interview and clinical record review with RN # 7 (MDS Coordinator) on 4/19/23 at 10:00 AM identified she was responsible for scheduling the MDS assessment. She also identified that she had the…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Worried about a resident here? There are three different people you can turn to, and they do different jobs:
  • Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
  • Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
  • State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Not sure where to start, or need other help? Dial 2-1-1 for local resources — and if a call is hard or impossible for you, many local 211s also take a text (send your ZIP code to 898-211) or a web chat at 211.org; both vary by area, and 211.org will show what yours offers. Deaf or hard of hearing: dial 711 for the telecommunications relay service, then any number above. In an emergency, call 911.
It is illegal for a facility to retaliate against a resident or family for reporting a concern: federal law gives a resident the right to voice grievances — to the home or to any outside agency — without discrimination or reprisal (42 CFR §483.10(j)(1)). You may report anonymously.

Fines & penalties

No federal fines in the current CMS record.

Who owns this facility

Owner / managerTypeRoleSince
DENNEHY, RAYMONDIndividualDIRECT OWNERSHIP INTEREST; ADP OF THE SNFsince 03/01/2025
KIRCHICK, JOELIndividualDIRECT OWNERSHIP INTEREST; ADP OF THE SNFsince 03/01/2025
VERA, STEVENIndividualDIRECT OWNERSHIP INTEREST; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 03/01/2025
BERKADIA COMMERCIAL MORTGAGE LLCOrganization5% OR GREATER MORTGAGE INTERESTsince 03/01/2025
WACHUSETT VENTURES LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 03/01/2025
DOHERTY, LAURENIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 03/01/2025
LOPATOSKY, JOSEPHIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 03/01/2025
MUNSON, BRANDONIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 03/01/2025

CMS files one row per role, so the 16 rows in the source record cover these 8 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

2 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

$7.9M
Net patient revenuemost recent cost report
-1.2%
Operating marginrevenue minus expenses
$520K
Related-party expense6% of expenses
Who pays — share of resident-days
Medicaid 56%Medicare 11%Other / private 34%

This home reported $520K paid to related parties (affiliated landlords or management companies) in its most recent cost report.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

$393per resident / day
operating cost
$11,934per month
≈ monthly operating cost
$388per day
avg. revenue, all payers

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in CT

Paying with Medicaid

This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the Connecticut Medicaid page.

Typical monthly cost in Connecticut
$15,208/mo
Nursing home (semi-private)
$16,729/mo
Nursing home (private)
$9,118/mo
Assisted living

Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.

Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 075335. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-06-26, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →

Not a government site. Eldercare Lens is not affiliated with, endorsed by, or authorized by the Centers for Medicare & Medicaid Services (CMS), Medicare, or any government agency. The star ratings, citations, and inspection wording on this page are reproduced from the public CMS record; the plain-English summaries, tiers, and comparisons around them are ours. We do not speak for CMS, and CMS has not reviewed this page. For the official record, go to Medicare Care Compare. How we’re funded →

Are you this operator? If the record here is out of date, or misses what you have since fixed, tell us and we will look: hello@eldercarelens.com. We reproduce the public CMS record and cannot change what it says — corrections to the underlying data go through CMS and your state survey agency — but we will correct anything we have got wrong about it, and we will say so on the page.

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