Norwalk Care Center

In the surveyor’s words

From the most serious findings on record at Norwalk Care Center, in the surveyor’s own words.

• Immediate jeopardy, patternF689Oct 26, 2023

  Based on observations, clinical record reviews, facility documentation review and interviews for one (1) of five (5) residents, (Resident #2), reviewed for abuse, the facility failed to ensure adequate supervision was provided for a resident who was known to wander into other resident's rooms and who sustained significant injuries following multiple resident to resident altercations, resulting in a finding of Immediate Jeopardy, and for Resident #18, the facility failed to ensure that the resident did not leave the building unattended. The findings include: 1. Resident #1 had diagnoses that included dementia and anxiety disorder. […]

• Actual harm, patternF600Oct 26, 2023

  Based on clinical record reviews, facility documentation, facility policy and interviews for three (3) of five (5) sampled residents, (Resident #1, Resident #2, and Resident #3) who were reviewed for abuse, the facility failed to ensure residents were free from physical abuse resulting from multiple resident to resident altercations resulting in multiple significant injuries for Resident #2. The findings include: 1. Resident #2 had diagnoses that included dementia and schizoaffective disorder. A significant change Minimum Data Set (MDS) assessment dated [DATE] identified Resident #2 had severe cognitive impairment and was independent with self-care and mobility. […]

• Actual harm, isolatedF600Oct 9, 2024

  Based on review of the clinical record, review facility documentation, review of facility policy and interviews for one sampled resident (Resident #94) reviewed for abuse, the facility failed to ensure the resident was provided adequate supervision to prevent abuse that resulted in an injury. The findings included: Resident #29 diagnoses included dementia, anxiety, schizophrenia and bipolar disorder. A quarterly MDS assessment dated [DATE] identified Resident #29 had moderate cognitive impairment, no behaviors, no range of motion deficits, and was independent with ambulation. […]

• No harm, potential for more than minimal, patternF584May 20, 2026

  Based on observation, review of the clinical record, facility documentation, facility policy, job descriptions, and interview, the facility failed to ensure the environment was maintained in good repair and a homelike manner and for 1 of 2 residents (Resident #89) reviewed as part of the environment task, the facility failed to ensure a non-functioning toilet and leaking bathroom sink were repaired in a timely manner and for (5 of 7) sampled resident bathrooms, the facility failed to ensure soap. The findings include: 1. Observations on 5/18/26 at 12:20 PM through 12:45 PM with the Maintenance Director and on 5/20/26 at 5:44 AM through 7:00 AM identified the following issues: a. […]

• No harm, potential for more than minimal, patternF812May 20, 2026

  Based on observation, review of facility documentation, facility policy and interviews the facility failed to ensure the kitchen surfaces and equipment were maintained in a clean and sanitary manner, failed to ensure infection control practices were followed for safe food handling, failed to ensure kitchen staff wore hair restraints, completed and recorded daily food and refrigerator temperatures, failed to date food and failed to store raw food in accordance with accepted standards. The findings include: Observations on 5/17/26 at 7:15 AM in the kitchen identified the following. a. […]