Southington Care Center

In the surveyor’s words

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

• No harm, potential for more than minimal, patternF684Dec 19, 2025

  Based on review of the clinical record, facility policy, and interviews for 1 of 2 residents (Resident #109) reviewed for skin conditions (non-pressure), the facility failed to ensure weekly wound assessments were completed to include the necessary information per facility. The findings include: Resident #109's diagnoses included dementia, congestive heart failure, and pilonidal cyst (a small sac on the tailbone that can contain hair or fluid) without abscess.The quarterly Minimum Data Set (MDS) assessment dated [DATE] identified Resident #109 was severely cognitively impaired, required setup or clean-up assistance with eating, and supervision or touching assistance with bed mobility and transfers. […]

• No harm, potential for more than minimal, patternF880May 9, 2024

  50177 Based on observations, review of the clinical record, facility policy, and interviews for 1 sampled resident (Resident #27) observed on tour, the facility failed to properly store bed pans and for 6 of 6 residents (Resident #30, Resident #68, Resident #77, Resident #111, Resident #118, and Resident #675) reviewed for Infection Prevention, the facility failed to appropriately implement Enhanced Barrier Precautions (EBP) and The findings include: 1. Resident #27's diagnosis included congestive heart failure, dementia, and hypertension. […]

• No harm, potential for more than minimal, patternF695Oct 12, 2021

  Based on observations, review of the clinical record, review of facility policy, and interviews for 3 of 3 sampled residents (Resident #57, #91 and #255) reviewed for respiratory care, the facility failed to ensure acceptable infection control practices were implemented regarding care of oxygen tubing, nasal cannulas, and a respiratory mouthpiece. The findings include: 1. Resident #57's diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . A physician's orders [MEDICAL RECORD OR PHYSICIAN ORDER] . The quarterly MDS assessment dated [DATE] identified Resident #57 had severe cognitive impairment, required extensive assistance with bed mobility, dressing, toileting personal hygiene and was totally dependent for transfers. […]

• No harm, potential for more than minimal, isolatedF880Jul 2, 2026

  Based on review of facility documentation, Legionella water testing records, facility policies, and staff interviews reviewed for infection control, the facility failed to implement an effective Legionella water management monitoring program following repeated positive Legionella test results. Specifically, the facility continued monthly environmental testing despite ongoing positive findings from February 2026 through June 2026 and did not follow the post-remediation testing intervals recommended by the Healthcare Infection Control Practices Advisory Committee (HICPAC) guidance. The findings include:Review of Legionella water testing records revealed monthly environmental testing was conducted from December 2025 through June 2026. […]

• No harm, potential for more than minimal, isolatedF550Dec 19, 2025

  Based on interviews, review of the clinical records, and observations for 4 of 5 (Resident #43, #72, #89 and #92) sampled residents reviewed for dining, the facility failed to ensure a dignified dining experience. The findings include: 1. Resident #43 was admitted to the facility in December of 2023 with diagnoses that included dementia, depression, and nutritional deficits. The quarterly Minimum Data Set assessment dated [DATE] identified Resident #43 was severely cognitively impaired and required maximum assist for activities of daily living, set up for meals, and no had active signs or symptom of swallowing disorders.Physician's orders dated 10/8/25 identified a low lactose, soft diet with small portions.The Resident Care Plan (RCP) dated 10/8/25 identified Resident #43 was at risk… […]