Based on observation, review of the clinical record, facility documentation, facility policy and interview for 1 resident (Resident #55) reviewed for behaviors, the facility failed to ensure that qualified staff provided targeted behavior observation and monitoring for a resident that required 1:1 constant observation for inappropriate behaviors. The findings include: Resident #55 was admitted to the facility on [DATE] with diagnoses that included atrial fibrillation, peripheral vascular disease, and hypertension. Review of the resident census sheet identified Resident #55 was hospitalized from [DATE] - [DATE] for inappropriate behaviors. …
F659 citations in Connecticut
Resident Assessment and Care Planning Deficiencies
Provide care by qualified persons according to each resident's written plan of care.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2023
Connecticut cites F659 more often than its own record predicts
2.19 times the share F659 takes of citations nationally.
Of every deficiency written in Connecticut in 2023, this is the portion that was F659.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Connecticut surveyors wrote
F659 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.
What else Connecticut surveyors cite →
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