Connecticut Baptist Homes, Inc

In the surveyor’s words

From the most serious findings on record at Connecticut Baptist Homes, Inc, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Jul 8, 2024

  Based on review of the clinical record, facility documentation, facility policy, and interviews for 3 of 4 residents (Resident #42, 9 and 7), reviewed for accidents, for Resident #42 who had severely impaired cognition, a history of falls and was at high risk for elopement, the facility failed to monitor and accurately document the residents location in the facility every 15 minutes according to the plan of care which resulted in the resident being able to exit the facility (elope) unsupervised. These failures to properly monitor and accurately document the resident's location in the facility allowed the resident to elope the facility and resulted in a finding of Immediate Jeopardy. […]

• Actual harm, isolatedF760Jun 23, 2026

  Based on the residents' medical records, facility documentation review, and interviews, it was determined that the facility failed to ensure that residents were free of significant medication errors. Specifically, the facility failed to administer correct medication to Resident #1 which led to harm and resulted in hospitalization with consequences. The findings include:Resident #1's diagnoses included diabetes mellitus, chronic kidney disease, lymphedema, asthma, neuropathy and hypertension. The quarterly Minimum Data Set assessment dated [DATE] identified Resident #1 was alert and oriented with no memory recall deficits. The Resident Care Plan dated 4/7/26 identified Resident #1 had altered cardiovascular status, impaired circulation and altered respiratory status. […]

• Actual harm, isolatedF692Mar 30, 2026

  Based on observations, clinical record review, facility policies, and staff interviews, the facility failed to timely identify and respond to significant weight loss for 2 of 6 residents (Residents #3 and #26). The facility did not complete physician ordered weekly weights, did not obtain required reweights after weight loss of 5 pounds or greater per policy, failed to notify providers and the dietitian of documented significant weight loss, and did not implement or provide ordered nutritional supplements. These failures resulted in delays in assessment and intervention, allowing both residents to experience continued, preventable weight loss over multiple weeks. The findings include: 1.Resident #3's diagnosis included cerebrovascular disease, anxiety, and dementia. […]

• No harm, potential for more than minimal, patternF761Mar 30, 2026

  Based on observation, interviews, and review of facility policy for 2 of 2 medication rooms, the facility failed to ensure expired supplies were discarded and failed to ensure the medication cart was secured when staff were not in attendance. The findings include: 1. Interview and observation of the 2nd floor medication room with the Nursing Supervisor (RN #1) on [DATE] at 8:02 AM identified the following expired supplies a. 14 Covid19 AG Binox now tests ([NAME]), expired [DATE] b. Two (2) 10 milliliter (ml) syringe 22-gauge (g) x one (1) inch (in), expired [DATE] c. Six (6) three (3) ml syringe 23g x 1in, expired 8/20 d. 67 three (3) ml syringe 25g x 5/8 in, expired [DATE] e. 12 Hydrocortisone Acetate suppositories 25mg, expired [DATE]. 2. […]

• No harm, potential for more than minimal, patternF812Mar 30, 2026

  Based on interviews, observations in the Dietary department and facility policy, the facility failed to ensure various food items were labeled with the date opened/expiration date, failed to ensure items were not stacked when wet, failed to identify plates coming from the dishwasher were clean, and failed to take freezer temperatures in 2 of 2 nourishment rooms. The findings include: On 3/23/26 at 10:24 AM, tour of the Dietary department with the Director of Dining identified the following: a. […]