Shelton Health and Rehabilitation

In the surveyor’s words

From the most serious findings on record at Shelton Health and Rehabilitation, in the surveyor’s own words.

• Immediate jeopardy, isolatedF678Mar 6, 2025

  Based on interview and record review the facility failed to ensure staff performed complete Cardio-Pulmonary Resuscitation (CPR/an emergency procedure consisting of chest compressions combined with giving breaths of air) and failed to assure required staff had unexpired CPR certifications for 1 of 1 resident (Resident 2) who was found unresponsive and had a physician's order for CPR. The failure of facility staff to initiate respirations during CPR placed all residents who chose to have CPR initiated at risk for serious injury, harm, impairment or death and represented an Immediate Jeopardy (IJ) situation. […]

• Actual harm, isolatedF880Jul 28, 2026

  Based on observation, interview and record review, the facility failed to prevent and limit the spread of a gastrointestinal (GI) illness and Norovirus (a virus causing acute GI outbreaks in long-term care facilities, resulting in symptoms such as nausea, vomiting, and diarrhea, which rapidly spread from person to person) by ensuring GI Contact Precaution(limiting direct or indirect contact with the resident or environment by wearing gown and gloves during resident care for residents requiring transmission based precautions and washing hands with soap and water) were followed for 23 of 34 (1, 2, 5, 6, 7, 8, 9, 11, 13, 15, 17, 18, 19, 20, 24, 25, 26, 27, 30, 31, 33, 35, and 36) residents reviewed for a GI or Norovirus illness. […]

• Actual harm, isolatedF689Jan 16, 2026

  Based on observation, interview, and record review, the facility failed to provide adequate staff supervision to ensure fall prevention interventions were adequate, effective, and/or implemented for residents assessed at high fall risk for 3 of 4 residents (Resident 1, 2 and 4) reviewed for falls. Resident 1, who had eight unwitnessed falls from their bed, experienced harm when two of the unwitnessed falls resulted in injury that required transportation to the hospital for treatment. Resident 1 sustained a fracture of the lumbar (lower back) spine during one of the falls and sustained facial fractures in a separate fall occurrence. These failures placed residents at risk for further falls, injury, and decreased quality of life. […]

• Actual harm, isolatedF684Mar 19, 2025

  Based on interview and record review, the facility failed to ensure physician ordered laboratory values were obtained for 1 of 3 residents (Resident 14) who was declining, found unresponsive and had to be hospitalized , and failed to ensure the bowel protocol was followed for 2 of 7 residents (Residents 13 & 49) reviewed for bowel protocol. Resident 14 experienced actual harm when the facility failed to follow physician orders, failed to provide adequate hydration and failed to consistently monitor and document resident's change in condition and the resident developed altered mental status and sepsis (infection of the blood) and urinary tract infection (infection in the urine) and required intensive care level hospitalization . […]

• Actual harm, isolatedF692Mar 19, 2025

  Based on observation, interview and record review, the facility failed to ensure resident meal intake was accurately recorded, nutritional supplements were provided as ordered, weights were timely obtained and evaluated, significant weight loss was identified, and nutritional interventions were implemented and evaluated for effectiveness for 3 of 5 sampled residents (Residents 14, 49, & 29) reviewed for nutrition. Resident 14 experienced harm when they had a severe weight loss of 14.89% over six months. Resident 49 experienced harm when they had a 11.09% weight loss in 34 days before it was identified by staff. This failure placed all residents at risk of malnourishment, weakness, unidentified care needs, and a diminished quality of life. […]