Based on observations, review of facility documentation and staff interviews, the facility failed to ensure the secured unit was addressed in the facility assessment. The findings include:Observations on all days of the survey 4/20, 4/21, 4/22, 4/23, 4/24 and 4/27/26 identified a secured unit located on the right side of the building after entering through the front door. The unit consisted of two entrance doors accessible from the inside of the facility that required a numeric code to be entered to enter or exit the unit. Inside the unit, there were four additional doors to exit the unit. One door required a numeric code to exit and exited into an internal courtyard. One door required a numeric code to exit and exited outside the rear of the building. …
F838 citations in Connecticut
Facility assessment · Administration Deficiencies
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Connecticut cites F838 less often than its own record predicts
0.49 times the national share — cited less often here than elsewhere.
Of every deficiency written in Connecticut in 2025, this is the portion that was F838.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Connecticut surveyors wrote
F838 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 a review of the Facility Assessment, staffing documentation, and staff interviews, the facility failed to ensure the Facility Assessment accurately reflected the facility's current staffing resources and staffing needs. Findings include:A review of the Facility assessment dated [DATE], indicated that the facility had a capacity of 216 residents and a census of 202 residents at that time. The Facility Assessment further indicated that the facility was a four-story building that included a 30-bed behavioral unit on the second floor, a 52-bed secured unit on the second floor, a 33-bed short-term rehabilitation unit on the third floor, a 33-bed short-term subacute unit on the third floor, and a 15-bed substance use disorder unit, in addition to the remaining long-term care resident… …
The short window
Recent years
| Year | Share of Connecticut citations | vs expected |
|---|---|---|
| 2023 | 0.25% | 1.49× |
| 2024 | 0.11% | 0.57× |
| 2025 | 0.12% | 0.49× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Connecticut surveyors cite →
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