Based on clinical record review, facility documentation review, facility policy review, and interviews for one of four residents (Resident #4) reviewed for wandering, the facility failed to ensure the assessment accurately reflected the resident's status for behaviors and wander/elopement alarm at the time of the assessment. The findings include:Resident #4's diagnoses included vascular dementia with behavior disturbances, and depression. Elopement risk evaluation dated 11/11/2025 identified Resident #4 ambulated independently, was cognitively impaired with poor decision-making skills, and displayed behaviors that may indicate an attempt to leave the facility. …
F641 citations in Connecticut
Accuracy of assessments · Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Connecticut cites F641 less often than its own record predicts
0.44 times the national share — cited less often here than elsewhere.
Of every deficiency written in Connecticut in 2025, this is the portion that was F641.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Connecticut surveyors wrote
F641 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 and interviews for 1 of 1 sampled resident (Resident #54) reviewed for hospice services, the facility failed to accurately code the Minimum Data Set (MDS) assessments to reflect Resident #54 receiving hospice services. The findings include:Resident #54's diagnoses included Alzheimer's dementia, severe protein calorie malnutrition, and agitation.A physician's order dated 4/16/25 directed hospice services.a. The quarterly Minimum Data Set (MDS) assessment dated [DATE] identified Resident #54 was severely cognitively impaired, required set-up assistance with meals, maximal assistance for transfers, and dependent on staff for toileting, showers, and personal hygiene.The Resident Care Plan (RCP) dated 10/23/25 identified Resident… …
The short window
Recent years
| Year | Share of Connecticut citations | vs expected |
|---|---|---|
| 2023 | 0.67% | 0.39× |
| 2024 | 0.44% | 0.26× |
| 2025 | 0.81% | 0.44× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Connecticut surveyors cite →
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