F656 in Connecticut. Pick another state for the same tag.
Against expectation — 2025
Connecticut cites F656 more often than its own record predicts
Versus expected share1.14×
1.14 times the share F656 takes of citations nationally.
Share of Connecticut citations3.92%
Of every deficiency written in Connecticut in 2025, this is the portion that was F656.
Connecticut3.92%
National3.44%
Share of all citations that were F656.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Connecticut surveyors wrote
F656 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.
J · Immediate jeopardy, isolatedNovember 25, 2025
Based on review of the clinical record, facility documentation, facility policy and interviews for 1 of 2 residents (Resident #6) reviewed for hospitalization, the facility failed to ensure Resident #6 who exhibited self-injurious behaviors (biting, gnawing and sucking), had a comprehensive care plan developed and interventions implemented to minimize the risk of injury. The facility's failure to develop a comprehensive care plan with individualized interventions to address self-injurious behaviors resulting in the development of an open area, progressing to osteomyelitis (a bone infection) and gangrene which required a partial right third finger amputation. These failures resulted in the finding of immediate jeopardy. …
Based on review of the clinical record, facility documentation, facility policy, and interviews for one (1) of three (3) residents (Resident #1) reviewed for accidents, the facility failed to follow the plan of care when obtaining the resident's weight, Resident #1 sustained a foot laceration that required hospitalization as a result. The finding includes:
Resident #1 had diagnoses that included type one diabetes mellitus, and end stage renal disease.
The quarterly Minimum Data Set assessment dated [DATE] identified Resident #1 had intact cognition, severely impaired vision, and required assistance with transfers. …
D · No harm, potential for more than minimal, isolatedSeptember 2, 2026
Based on clinical record review, observation, facility policy review, and staff interviews, the facility failed to develop and implement a comprehensive care plan with preventive measures to prevent skin breakdown for 1 of 13 residents (Resident #105) who developed a facility acquired pressure ulcer. The finding includes:Resident #105's diagnoses included dementia with psychotic disturbance, muscle wasting and atrophy, and moderate protein malnutrition.A physician's order dated 5/5/26 directed staff to complete weekly skin check and document that assessment.The quarterly MDS assessment dated [DATE] identified Resident #105 had severe cognitive impairment and was totally dependent with bed mobility, toileting, transfer, and non-ambulatory. …
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