Torrington Center for Nursing & Rehabilitation LLC

In the surveyor’s words

From the most serious findings on record at Torrington Center for Nursing & Rehabilitation LLC, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF657Aug 28, 2024

  Based on clinical record review, review of facility policy and interviews for nine sampled residents (#26, #27, #32, #43, #50, #61, #64, #69, and #376) reviewed for care planning, the facility failed to ensure the interdisciplinary team (IDT) resident care plan meetings were held following comprehensive and quarterly assessments and failed to ensure comprehensive care plans were developed by the IDT team with resident/family/responsible party involvement. The findings include: 1. […]

• No harm, potential for more than minimal, patternF578May 11, 2026

  Based on clinical record review, facility documentation, facility policy, and interviews for 1 of 2 residents (Resident #28) reviewed for Advanced Directives, the facility failed to implement advanced directives according to the resident's expressed wishes. The findings include:Resident #28 had diagnoses that included dementia, hyperlipidemia, and edema. The physician's orders signed monthly from 3/19/24 through 5/5/26 directed a Full Code (despite Resident #28's wishes from 4/7/25 to be a DNR).The quarterly Minimum Data Set (MDS) dated [DATE] identified Resident #28 had moderately cognitively impaired, was independent for transfers, toileting, and required partial moderate assistance for bathing. […]

• No harm, potential for more than minimal, patternF565Aug 28, 2024

  Based on review of the resident council meeting minutes, review of facility documentation, review of facility policy and interviews, the facility failed to respond to concerns identified by the resident council regarding the need to speak with a Social Worker in the facility. The findings include: Review of the Resident Council meeting minutes dated 4/26/24, 5/31/24, 6/28/24, and 7/26/24 identified the expressed wish to speak with the Social Worker and although, there were designated resident council department response forms that were utilized to answer resident council requests, concerns and grievances, there were no resolutions identified to the residents' expressed aspirations and no indication that the social worker had attended any of the meetings to address the requests from the… […]

• No harm, potential for more than minimal, patternF584Aug 28, 2024

  1. Based on observations, and interviews, the facility failed to provide a homelike, safe, and sanitary environment for two shower rooms on the central and middle unit and for the identified carpeted areas on the central unit. The findings include: Observation of the shower room area on 8/21/24 at 10:16 AM identified two of three shower rooms in the central shower area to have several items stored to include two rolling shower chairs stacked two high, six IV poles, a lounging shower chair, a utility cart, a cardboard box, and a black substance on the ceiling and a shower curtain with holes in it. The third shower room contained two rolling shower chairs. Observation on 8/21/24 at 10:25 AM of the south wing hallway identified several dark brown stains of unknown substance on the carpet. […]

• No harm, potential for more than minimal, patternF745Aug 28, 2024

  Based on clinical record reviews and interviews for five sample residents (Resident #26, #35, #69, and #376) who required psychosocial support, the facility failed to ensure a Social Worker was available to meet resident needs. The findings include: 1. Resident #26 was admitted to the facility on [DATE] with diagnoses that included pericardial effusion, hypertensive heart disease with heart failure, orthostatic hypotension, atrial fibrillation, and implantable cardiac defibrillator. The RCP dated 7/4/24 identified Resident #26 was at risk for alteration in psychosocial well-being. […]