Based on clinical record review, facility documentation review and interviews for 12 of 27 residents (Resident #1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11 and 12) who were reviewed for medication administration, the facility failed to ensure the physician was notified timely when medication administration due at 9 and 10 PM on 7/23/2022 was not completed timely, in accordance with physician's orders [MEDICAL RECORD OR PHYSICIAN ORDER] . The findings include: Review of the facility reportable event dated 7/25/2022 identified while the facility was reviewing nurse performance for the 7/23/2022 evening shift, it was noted that 12 residents lacked signatures from RN #1 on the Electronic Medication Administration Record [MEDICAL RECORD OR PHYSICIAN ORDER] . …
F580 citations in Connecticut
Notifying of changes · Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Connecticut cites F580 more often than its own record predicts
3.02 times the share F580 takes of citations nationally.
Of every deficiency written in Connecticut in 2025, this is the portion that was F580.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Connecticut surveyors wrote
F580 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 clinical record reviews, facility policy and interviews for one (1) of three (3) sampled residents (Resident #2) who were reviewed for a change in condition, the facility failed to notify the provider at the time Resident #2 reported shortness of breath until three (3) hours later. The findings include:Resident #2's diagnoses included acute respiratory failure with hypercapnia (excess carbon dioxide in the bloodstream), Chronic Obstructive Pulmonary Disease (COPD), Congestive Heart Failure (CHF) and dependence on supplemental oxygen. A physician's order dated [DATE] directed to administer continuous oxygen at three (3) liters per minute via nasal cannula for a diagnosis of COPD. The order noted the oxygen may be removed for brief periods. …
Based on observations, interviews, review of the clinical record, and facility policy for 1 of 2 sampled residents (Resident #11) reviewed for edema, the facility failed to ensure the provider was aware of Resident #11's repeated refusals to wear ace wraps to both legs as ordered. The findings include:Resident #11's diagnoses included heart failure, lymphedema (swelling/buildup of fluid), and venous thrombosis and embolism (blood clots travelling in blood stream). The Quarterly Minimum Data Set (MDS) assessment dated [DATE] identified Resident #11 was cognitively intact, was dependent on staff for activities of daily living (ADLs) including lower body dressing and required set up for eating and oral care.Physician orders dated 7/12/16 directed Aquaphor external ointment to bilateral legs… …
The short window
Recent years
| Year | Share of Connecticut citations | vs expected |
|---|---|---|
| 2023 | 2.43% | 1.70× |
| 2024 | 4.46% | 2.94× |
| 2025 | 4.48% | 3.02× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Connecticut surveyors cite →
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