Based on review of the clinical record, facility documentation, facility policy, and interviews for 1 of 6 residents (Resident #19) reviewed for PASARR, the facility failed to ensure the state mental health authority was notified when the resident received a new mental health diagnosis. The findings include: The PASARR dated 9/27/23 indicated a level 2 approval without specialized services. Resident #19 has a diagnosis of major depression, anxiety, and opioid dependance. Resident #19 was admitted to the facility in 10/5/23 with diagnoses that included stoke, fibromyalgia, and chronic pain. …
F646 citations in Connecticut
Resident Assessment and Care Planning Deficiencies
Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Connecticut cites F646 more often than its own record predicts
1.90 times the share F646 takes of citations nationally.
Of every deficiency written in Connecticut in 2025, this is the portion that was F646.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Connecticut surveyors wrote
F646 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 record review and staff interview for 1 of 6 sampled residents (Resident #2) review for Pre-admission Screening Resident Review (PASRR), the facility failed to notify the PASRR agency to complete a Level 2 screen for a resident with a psychiatric diagnosis. Resident #2 was admitted to the facility on [DATE] from another long-term care facility with diagnoses that included psychotic disorder with hallucinations related to physiological conditions, Parkinsons disease and hypertension.A Level 1 PASRR screen dated 2/1/19 (transferred with Resident #2 from the previous long term care facility) identified Resident #2 had no psychiatric history and therefore a Level 2 evaluation was not required.Psychiatric progress notes written by an Advanced Practice Registered Nurse (APRN) dated… …
The short window
Recent years
| Year | Share of Connecticut citations | vs expected |
|---|---|---|
| 2024 | 0.17% | 3.53× |
| 2025 | 0.12% | 1.90× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Connecticut surveyors cite →
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