Based on review of the clinical record, facility documentation, facility policy, and interviews for 2 of 4 residents (Resident #68 and 76) reviewed for dental services, for Resident #76, the facility failed to act on recommendations, over a period of 17 months, to have a broken tooth extracted, which resulted in a fistula, and for Resident #68, the facility failed to schedule a consultation with an oral surgeon in a timely manner. The findings include: Resident #76 had diagnoses that included a stroke with hemiplegia (paralysis) of the left side. Nurse’s note dated 12/2/22 identified Resident #76 had his/her own teeth. Mouth and oral mucous membranes were moist with no discomfort noted. The care plan dated 12/6/22 identified Resident #76 was at risk for pain related to physical condition. …
F791 citations in Connecticut
Dental services · Quality of Life and Care Deficiencies
Provide or obtain dental services for each resident.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Connecticut cites F791 more often than its own record predicts
1.80 times the share F791 takes of citations nationally.
Of every deficiency written in Connecticut in 2025, this is the portion that was F791.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Connecticut surveyors wrote
F791 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 observation, interviews, review of the clinical record, and facility policy, for 1 of 2 sampled residents (Resident #59) reviewed for dental services, the facility failed to act upon a recommendation for an oral surgeon appointment. The findings include:Resident #59's diagnoses included diabetes and dysphagia.The quarterly Minimum Data Set (MDS) assessment dated [DATE] identified Resident #59 had a Brief Interview of Mental Status score of 14 indicating intact cognition and required set up assistance by staff for oral hygiene, personal hygiene, and was not experiencing dental pain or discomfort.Review of the Resident Care Plan in effect from 4/30/26 through 5/17/26 identified Resident #59 was on an antibiotic therapy due to an infection of his/her tooth. …
The short window
Recent years
| Year | Share of Connecticut citations | vs expected |
|---|---|---|
| 2023 | 0.59% | 2.00× |
| 2024 | 0.33% | 1.18× |
| 2025 | 0.50% | 1.80× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Connecticut surveyors cite →
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