Based on review of the clinical record, facility documentation, facility policy and interviews for one (1) of two (2) sampled residents (Resident #1) reviewed for abuse, the facility failed to ensure the victim of a resident-to-resident altercation was afforded the choice to remain in his/her original room before staff initiated a room change following an incident in which Resident #2 threatened Resident #1 with a plastic knife. The facility further failed to ensure the room relocation promoted Resident #1's sense of safety and access within the facility when Resident #1 was moved four (4) rooms away from Resident #2 to a room located at the end of a corridor with no alternate route of exit/access, requiring Resident #1 to routinely pass Resident #2's room to access common areas of the… …
F559 citations in Connecticut
Resident Rights Deficiencies
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Connecticut cites F559 less often than its own record predicts
0.56 times the national share — cited less often here than elsewhere.
Of every deficiency written in Connecticut in 2025, this is the portion that was F559.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Connecticut surveyors wrote
F559 findings written in Connecticut, one from each severity band recorded here, most serious first.
Severity is as the surveyor wrote it. Some findings had already been corrected before the survey.
Based on review of the clinical record, facility documentation, facility policy and interviews for 6 of 8 residents (Resident #59, Resident #67, Resident #89 and Resident #93, Resident #129, and Resident #155) reviewed for choices, the facility failed to allow the residents the right to see the room, meet the roommates, or ask questions about the room prior to the room change, failed to provide a written notice of a change in room prior to or following the room change, and failed to ensure residents were aware of their right to return to their previous room due to being moved emergently. The findings include:1. …
The short window
Recent years
| Year | Share of Connecticut citations | vs expected |
|---|---|---|
| 2024 | 0.17% | 1.62× |
| 2025 | 0.06% | 0.56× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Connecticut surveyors cite →
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