Based on record review, facility documentation review, and staff interviews for one of three residents (Resident #1), reviewed for accidents, the facility failed to ensure a quarterly Minimum Data Set (MDS) and a Discharge MDS assessment were completed and transmitted timely. The findings include:Resident #1 had a diagnosis of opioid dependence. The quarterly Minimum Data Set, dated [DATE] identified Resident #1 had a Brief Interview Mental Status (BIMS) score of 15 indicating an intact cognition, no behaviors, and was independent with transfers and wheelchair use. The Resident Care Plan dated 2/17/26 identified Resident #1 may go on leave of absence with wheelchair. Interventions directed if warranted staff may perform room search with Resident #1's consent. …
F636 citations in Connecticut
Comprehensive assessments · Resident Assessment and Care Planning Deficiencies
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2024
Connecticut cites F636 more often than its own record predicts
1.32 times the share F636 takes of citations nationally.
Of every deficiency written in Connecticut in 2024, this is the portion that was F636.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Connecticut surveyors wrote
F636 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 facility documentation, facility policy, record review, and interviews for 2 of 6 residents (Resident#46 and Resident #70) reviewed for late Minimum Data Set (MDS) assessments, the facility failed to complete comprehensive MDS assessments timely. The findings include: 1. Resident #46 had a comprehensive admission MDS assessment with a completion date of 2/28/26.Review of documentation and record review identified that the admission MDS assessment was due on 2/14/26 and completed on 2/28/26 (14 days late).2. …
The short window
Recent years
| Year | Share of Connecticut citations | vs expected |
|---|---|---|
| 2023 | 0.17% | 0.42× |
| 2024 | 0.39% | 1.32× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Connecticut surveyors cite →
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