Suffield House Rehabilitation and Healthcare Cente

In the surveyor’s words

From the most serious findings on record at Suffield House Rehabilitation and Healthcare Cente, in the surveyor’s own words.

• Actual harm, isolatedF689Jun 5, 2026

  Based on clinical record review, facility documentation, facility policies, and interviews, for one (1) of two (2) sampled residents (Resident #1) reviewed for falls, the facility failed to ensure a resident, who had a known history of forward leaning posture, impaired sitting balance, fatigue in the afternoon, and required staff assistance for transfers, was protected from falling forward from the wheelchair during a staff assisted transfer. This failure resulted in the resident falling forward from the wheelchair, striking the head, and sustaining cervical spine fractures. […]

• No harm, potential for more than minimal, isolatedF550Jul 29, 2026

  Based on interviews, observation, review of the clinical record, facility documentation and facility policy for 1 of the 2 sampled residents (Resident #52) reviewed for dignity, the facility failed to treat the resident with dignity following a request for assistance. The findings include:Resident #52's diagnoses included left lower leg fracture, right-sided muscle weakness with partial to complete nerve disruption and generalized muscle weakness.The significant change in status Minimum Data Set assessment dated [DATE] identified Resident #52 had a Brief Interview of Mental Status score of 12 indicating moderate cognitive impairment, dependent on staff with toileting hygiene, for lower body dressing and chair/bed to chair transfers and required partial/moderate assistance to roll left to… […]

• No harm, potential for more than minimal, isolatedF605Jul 29, 2026

  Based on observation, review of the clinical record, facility policy and interviews for 1 of 5 sampled residents (Resident #10) reviewed for unnecessary medications for antipsychotic use, the facility failed to attempt a Gradual Dose Reduction (GDR), document a past unsuccessful attempt of a GDR, failed to document target behaviors when the antipsychotic was used for agitation, and failed to document any non-pharmacological approaches used in an attempt to facilitate the reduction of psychotropic medication. […]

• No harm, potential for more than minimal, isolatedF609Jul 29, 2026

  Based on observations, interviews, facility documentation and review of facility policies for 1 of 2 sampled residents (Resident #64) reviewed for skin conditions, the facility failed to report an injury of unknown origin to the State Agency. The findings include:Resident #64's diagnoses included primary osteoarthritis of both hands, severe dementia, and glaucoma.The change of condition Minimum Data Set (MDS) assessment dated [DATE] identified Resident #64 had a Brief Interview of Mental Status of 99 indicating severe cognitive impairment and was fully dependent on staff for all Activities of Daily Living (ADL's) (eating, dressing, personal hygiene, bed mobility and transfers). […]

• No harm, potential for more than minimal, isolatedF610Jul 29, 2026

  Based on observations, interviews, facility documentation, and review of facility policies for 1 of 2 sampled residents (Resident #64) reviewed for skin conditions, the facility failed to thoroughly investigate an injury of unknown origin. The findings include:Resident #64's diagnoses included primary osteoarthritis of both hands, severe dementia, and glaucoma. The change of condition Minimum Data Set (MDS) assessment dated [DATE] identified Resident #64 had a Brief Interview of Mental Status of 99 indicating severe cognitive impairment and was fully dependent on staff for all Activities of Daily Living (ADL's) (eating, dressing, personal hygiene, bed mobility and transfers). […]