Based on facility documentation, facility policy and interviews the facility failed to ensure staff compliance with Quality Assurance and Performance Improvement (QAPI) (framework used to improve resident safety and the quality of their services) training. Review of Healthcare Academy (online education platform) reports dated 1/29/2025 through 1/30/2025 for 2023 and 2024 staff education course completions identified 60 out of 227 (26.4%) facility staff members did not complete QAPI training in 2024. …
F944 citations in Connecticut
Administration Deficiencies
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Connecticut cites F944 more often than its own record predicts
1.36 times the share F944 takes of citations nationally.
Of every deficiency written in Connecticut in 2025, this is the portion that was F944.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Connecticut surveyors wrote
F944 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 interviews, facility documentation review, and facility policy, during the extended survey, the facility failed to provide staff with mandatory training on the QAPI program or how to communicate concerns, problems or opportunities for improvement. The findings included: Interview with the Administrator, Regional Registered Nurse (RN) #4, and Regional Registered Nurse (RN) #8 on 3/27/25 at 9:46 AM identified the facility had a Code of Conduct policy, but this Code of Conduct was not communicated to the entire facility staff. The DNS was unavailable for interview. Although requested, a policy was not provided. The Code of Conduct policy failed to include the basic components of utilizing a QAPI program.
What else Connecticut surveyors cite →
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