F689 in Connecticut. Pick another state for the same tag.
Against expectation — 2025
Connecticut cites F689 more often than its own record predicts
Versus expected share1.31×
1.31 times the share F689 takes of citations nationally.
Share of Connecticut citations7.22%
Of every deficiency written in Connecticut in 2025, this is the portion that was F689.
Connecticut7.22%
National5.53%
Share of all citations that were F689.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Connecticut surveyors wrote
F689 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, isolatedJuly 27, 2026
Based on clinical record review, facility documentation review, facility policy review, and interviews for one of two residents (Resident #1), reviewed for wandering, the facility failed to ensure adequate supervision for a resident with a known wandering behaviors identified at risk for elopement to ensure the resident was not able to exit the facility without staff knowledge, and failed to ensure hourly rounds were conducted in accordance with facility policy. The facility was notified after the resident was observed in a neighboring town 5.3 miles from the facility, and video surveillance identified Resident #1 was out of the building for approximately two hours. The failures resulted in a finding of Immediate Jeopardy. …
Based on clinical record review, facility documentation/policies, and interviews for one (1) sampled resident (Resident #1) reviewed for accidents, the facility failed to ensure a severely cognitively impaired resident who required total assistance with meals due to significant tremors and fluctuating lethargy was protected from injury associated with access to a meal tray containing hot soup prior to staff being present to provide the required feeding assistance. Specifically, the facility placed a meal tray containing hot soup within Resident #1's reach before staff were present to provide feeding assistance. As a result, Resident #1 attempted to self-feed, spilled the hot soup onto the right thigh, and sustained a blistering burn requiring medical and wound treatment. …
D · No harm, potential for more than minimal, isolatedAugust 27, 2026
Based on review of the clinical record, facility documentation, facility policy, and interviews for one (1) of three (3) sampled residents (Resident #1) reviewed for wandering behaviors and elopement risk, the facility failed to adequately identify, assess, care plan, implement necessary interventions, and provide effective supervision and functional safety systems to prevent elopement for a resident with known cognitive impairment, wandering behaviors and fall risk. These failures resulted in Resident #1 eloping from the facility unsupervised and unrecognized by staff. …
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