Douglas Manor
Windham, Connecticut · CCN 075258
24 surveys since 2012. The first finding at harm level was recorded in 2017.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 125
- Surveys
- 24
- Harm or worse
- 5
- Immediate jeopardy
- 0
Findings where a surveyor recorded actual harm to a resident.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 90
- Ownership
- For profit - Limited Liability company
- Chain
- RYDERS HEALTH MANAGEMENT
- County
- Northeastern Ct
- Medicare-certified since
- 1976
CMS ratings
- Overall
- 1
- Health inspection
- 1
- Staffing
- 4
- Quality measures
- 2
CMS’s own Five-Star ratings.
Compared with similar facilities
Since 2021, this facility recorded somewhat more weighted findings than its peer group.
Weighted by harm level, against 27 for-profit facilities of 66–99 beds in Connecticut.
Last survey on record
Apr 8, 2026
215 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 3.57 | 3.64 |
| Registered-nurse hours per resident day | 0.52 | — |
| Annual nurse turnover | 31.7% | 40.1% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
- Fines
- $8,278 across 1 penalty
Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J— | K— | L— |
| Actual harm | G11.8% | H— | I— |
| No harm, potential for more than minimal | D3866.7% | E1424.6% | F— |
| No harm, potential for minimal | A— | B35.3% | C11.8% |
Most frequently cited here
In CMS’s current monthly file.
- F6094×
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- F6844×
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- F6894×
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- F5502×
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- F5532×
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
In the surveyor’s words
From the most serious findings on record at Douglas Manor, in the surveyor’s own words.
- Actual harm, isolatedF689Oct 15, 2025
Based on clinical record reviews, facility documentation, facility policy and interviews for one (1) of three (3) sampled residents (Resident #1) who were reviewed for falls, the facility failed to adherence to the care plan-specifically by ignoring repeated observations of the resident's forward leaning and rocking and leaving a roommate's wheelchair as an obstruction and to ensure a wheelchair that was not in use was positioned in a way to maintain a clutter-free environment and prevent the resident from sustaining a laceration to left eyelid when the resident leaned forward and fell out of the wheelchair resulting in transfer to the ED for the treatment and evaluation. […]
- Actual harm, isolatedF689Mar 5, 2021
Based on clinical record reviews, review of facility documentation, policies and procedures and interviews for two of three sampled residents (Resident #1 and #2) who had sustained a fall during the provision of care, the facility failed to ensure the siderails were secured prior to turning and repositioning the resident while in bed and the correct number of staff were present in accordance with the assessment and failed to ensure an assistive device, gait belt, was utilized when ambulating the resident in accordance with the plan of care. The findings include: 1. […]
- No harm, potential for more than minimal, patternF553Apr 22, 2025
Based on interviews, record review, and facility policy for 1 of 2 sampled residents (Resident #37) reviewed for choices, the facility failed to include a resident in the development and implementation of a person-centered Resident Care Plan. The findings included: Resident #37 diagnoses included abnormal posture, spinal instabilities, and pressure ulcer of the sacral region. The quarterly Minimum Data Set (MDS) assessment dated [DATE] identified Resident #37 was cognitively intact, required setup for eating and hygiene, and was dependent on staff for toileting and transfers. […]
- No harm, potential for more than minimal, patternF565Apr 22, 2025
Based on interview, review of facility documentation, and facility policy during a Resident Council meeting and review of Resident Council minutes, the facility failed to resolve ongoing issues with dietary, extended call bell wait times, locating staff for assistance, and inappropriate language used by staff. The findings include: Review of the Resident Council minutes for March 2024 through March 2025 identified that residents had dietary concerns in March 2024, May 2024, June 2024, July 2024, September 2024, October 2024, November 2024, December 2024, February 2025, and March 2025. Residents had concerns with staff using foul language in June 2024 and December 2024. […]
- No harm, potential for more than minimal, patternF567Apr 22, 2025
Based on review of the facility's Personal Funds Account, review of facility policy, and interviews, the facility failed to provide access to personal funds outside of the facilities posted banking hours. The findings include: Observation on 4/22/2025 at 11:00 AM identified a sign posted at the reception desk indicating banking hours were Monday through Friday from 8:00 AM to 7:00 PM, and Saturday and Sunday from 9:30 AM to 3:30 PM. Interview with the Business Office Manager on 4/22/2025 at 11:21 AM identified that residents had access to their personal bank account funds daily from 8:00 AM to 7:00 PM. The Business Office Manager reported that a petty cash lock box was kept at the reception desk to allow residents access to their funds when she was not available. […]
Read 24 findings in full →The most serious and the most recent: 24 of 125 on record.
Every survey on record
FindingsAt actual harm or above
- Apr 8, 2026Complaint2 findings
- Oct 15, 2025Complaint2 findings · 1 harm
- Aug 18, 2025Complaint3 findings
- Apr 22, 2025Standard22 findings
- Apr 7, 2025Complaint2 findings
- Dec 6, 2024Complaint1 finding
- Jul 30, 2024Complaint2 findings
- Mar 13, 2023Standard and complaint21 findings
Show the 16 earlier surveys
- Jan 19, 2022Complaint2 findings
- Mar 5, 2021Complaint1 finding · 1 harm
- Jan 14, 2021Infection control1 finding
- Mar 10, 2020Complaint1 finding
- Feb 5, 2020Standard6 findings
- Dec 6, 2018Standard and complaint9 findings · 1 harm
- Aug 22, 2018Complaint1 finding
- Apr 19, 2018Complaint6 findings
- Jan 11, 2018Standard10 findings · 1 harm
- Jul 18, 2017Complaint3 findings · 1 harm
- Jan 23, 2017Standard5 findings
- Dec 18, 2015Standard9 findings
- Nov 25, 2014Standard and complaint9 findings
- Sep 16, 2014Complaint1 finding
- Oct 24, 2013—4 findings
- Sep 7, 2012—2 findings
Surveys that found no deficiencies are not in CMS’s files and do not appear here.
Comparable facilities
The nearest facilities to this one in the same peer group, by weighted findings.
Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction