New London Sub-Acute and Nursing

In the surveyor’s words

From the most serious findings on record at New London Sub-Acute and Nursing, in the surveyor’s own words.

• Immediate jeopardy, patternF658Mar 27, 2025

  Based on observations, review of the clinical records, facility documentation, facility policy, and interviews for 22 of 40 residents (Resident #3, Resident #9, Resident #12, Resident #18, Resident #27, Resident #31, Resident #33, Resident #42, Resident #45, Resident #49, Resident #56, Resident #59, Resident #61, Resident #63, Resident #67, Resident #68, Resident #69, Resident #72, Resident # 74, Resident #78, Resident #81, Resident #92) reviewed during a tour of the secured memory unit, the facility failed to ensure the 5 Rights of medication administration, and professional standards of practice, were adhered to during the administration of medications. These failures resulted in the finding of Immediate Jeopardy. The findings include: 1. […]

• Immediate jeopardy, patternF684Mar 27, 2025

  Based on observations, review of the clinical records, facility documentation, facility policy and interviews for 22 of 40 residents (Resident #3, Resident #9, Resident #12, Resident #18, Resident #27, Resident #31, Resident #33, Resident #42, Resident #45, Resident #49, Resident #56, Resident #59, Resident #61, Resident #63, Resident #67, Resident #68, Resident #69, Resident #72, Resident # 74, Resident #78, Resident #81, Resident #92) reviewed during a tour of the secured memory unit, the facility failed to ensure safe medication administration practices during the morning medication pass. These failures resulted in the finding of Immediate Jeopardy. […]

• Immediate jeopardy, isolatedF600Apr 22, 2026

  Based on review of the clinical record, facility documentation, facility policies, and staff interviews, for one (1) of three (3) sampled residents reviewed for abuse (Resident #8), the facility failed to protect a resident from abuse when staff failed to implement interventions for a roommate (Resident #7) with known, escalating aggressive and delusional behaviors, resulting in Immediate Jeopardy to resident health and safety. Specifically, despite documented behavioral episodes beginning on 4/3/26 - including agitation, yelling, paranoia, combativeness, and medication refusals - the facility failed to develop a behavior care plan or a care plan addressing medication refusals for Resident #7. […]

• Immediate jeopardy, isolatedF689Apr 22, 2026

  Based on review of the clinical record, facility documentation, facility policy and interviews for two (2) of five (5) sampled residents (Resident #1 and #2) reviewed for accident hazards, the facility failed to ensure residents received altered texture diets consistent with physician's orders and International Dysphagia Diet Standardization Initiative (IDDSI) guidelines and were provided supervision during meals as required for residents with dysphagia, creating a choking hazard. Specifically, on 3/19/26 at approximately 1:00 PM, Resident #1, who had diagnoses of dementia and dysphagia who required supervision during meals and was ordered an IDDSI Level 6 diet, was served and consumed a peanut butter and jelly sandwich that was not ordered and not consistent with the prescribed diet. […]

• Immediate jeopardy, isolatedF760Aug 21, 2025

  Based on clinical record reviews, facility documentation, facility policy and interviews for three (3) of seven (7) sampled residents (Residents #1, #2 and #6) who were reviewed for medication administration, the facility failed to ensure the residents received scheduled anti-anxiety medication, narcotic pain medication, or both for agitation and comfort as prescribed by the physician. The failures resulted in the finding of Immediate Jeopardy. The findings include:1. Resident #1's diagnoses included malignant neoplasm of the ovaries, schizoaffective disorder, anxiety, delusional disorders, restlessness and agitation and depressive disorder. […]