Average — CMS composite of the measures below.
The next survey window likely opens around February 2027
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Connecticut Baptist Homes, Inc during CMS and state inspections, most recent first.
Failure to monitor significant weight loss and provide ordered nutrition: Two residents with multiple medical conditions experienced continued weight loss because ordered weekly weights were missed, reweights were not obtained after losses of 5 lbs or more, and the physician/Dietitian were not timely notified. One resident also did not receive an ordered nutritional supplement until later, while the other was not served ordered pudding with lunch and ice cream with supper, and staff did not track intake or consistently prompt/assist with meals.
Expired supplies were found in both medication rooms, including syringes, tests, suppositories, Linzess, emergency box items, atropine sulfate, and clarithromycin, despite a signed overnight checklist indicating expiration checks were completed. In a separate observation, an RN left a medication cart unlocked in the hallway with the top drawer open while administering meds to a resident, and both the RN and Nursing Supervisor stated the cart should have been secured.
Food items in the dietary area were found without required open dates or expiration dates, and a container of cranberry juice in the beverage cooler was left uncapped. In the dishwashing area, clean plates and lid covers were stacked while still wet, and some items still had visible debris. In 2 nourishment room freezers, no thermometers were present and freezer temps were not logged, while the facility’s policy required labeling of non-TCS foods and routine refrigerator temp monitoring.
A facility failed to ensure resident personal care items were properly labeled, covered, and stored in shared bathrooms. During observations with an RN, multiple wash basins, bedpans, and a urinal were found on the floor, on handrails, or on the back of toilets, with several items uncovered and unlabeled. The RN stated these items should be stored in a cabinet and labeled with the resident's name, and the IP stated she had previously observed similar issues during environmental rounds.
Failure to timely notify MD, RD, and family of significant weight loss. Two residents had documented, ongoing weight loss that met the facility’s reweigh and notification thresholds, but staff did not promptly notify the MD, RD, or responsible party. One resident’s family was not informed until a care plan meeting, and for the other resident the RD and APRN were not notified when the additional weight loss was identified. Interviews showed nursing staff did not review prior weights or complete the required notifications per policy.
A resident with dementia and a history of fracture had multiple unwitnessed falls, but nursing documentation did not show required neuro checks were completed after several of the events. Notes described the resident as confused, found on or near the floor, and without apparent injury or pain, yet no neuro assessments were documented for most falls; one neuro form was started but 14 of 22 assessments were missing. The RN Supervisor stated the resident’s confusion meant neuro assessments should have been completed and documented after each unwitnessed fall.
A resident with dementia and pressure ulcer risk had an air mattress that was set above the ordered weight-based setting on multiple observations, and an LPN and RN confirmed it was incorrect. Another resident with DVT and lymphedema did not receive ordered weekly weights after readmission, with missing weight documentation for several scheduled weeks despite staff stating NAs and the unit nurse were responsible for completing and recording them.
Failure to apply an ordered left-hand splint for a resident with dementia and a hand contracture. Surveyors observed the resident out of bed in a wheelchair without the splint on multiple occasions. The NA said she could not find the splint and did not notify the charge nurse, while the RN had already documented the splint as applied on the TAR despite not knowing it was missing. The splint was later found at the nurses station.
A resident with dementia, osteoporosis, and impaired mobility was dependent for transfers and ordered to be moved with a mechanical lift and 2 staff. During observation, a nurse aide transferred the resident from a wheelchair to bed alone without another staff member present, and an RN stated the aide should not have done the transfer without assistance. Facility policy required staff to use mechanical handling devices in accordance with policy, instruction, and training.
A resident with impaired cognition eloped from the facility due to inadequate monitoring, while another resident fell and sustained a head injury during a transfer performed by a single aide without a gait belt. A third resident suffered a fracture during an improper transfer attempt. The facility failed to adhere to monitoring and transfer protocols.
The facility failed to maintain accurate records of staff training, as required by their policies. Documentation of annual in-servicing and competency training was missing following the resignation of the former Staff Development Nurse. Interviews revealed that the necessary documents had not been seen since the nurse's departure, and a new Infection Control/Staff Development Nurse was hired to oversee ongoing education.
The facility failed to maintain accurate records of the required 12 hours of annual nurse aide training, including dementia management and abuse prevention. Documentation was missing following the resignation of the former Staff Development Nurse, and the facility could not provide evidence of compliance with training policies.
The facility failed to conduct required neurological assessments for a resident after an unwitnessed fall and did not complete weekly skin assessments for another resident as per physician's orders. The first resident, at high risk for falls, did not receive neurological checks post-fall, while the second resident, with severe cognitive impairment, missed five out of ten scheduled skin assessments.
The facility failed to monitor orthostatic blood pressure for two residents on antipsychotic medications as per physician orders. One resident, with dementia and a history of falls, did not have the required weekly measurements documented. Another resident, with Alzheimer's and behavioral issues, lacked monthly orthostatic blood pressure documentation despite orders. The facility's policy mandates such monitoring for residents on new or adjusted antipsychotic medications, which was not followed, leading to a deficiency.
Failure to Monitor Weight Loss and Provide Ordered Nutrition
Penalty
Summary
The facility failed to timely identify and respond to significant weight loss for two residents, including failure to complete ordered weekly weights, failure to obtain reweights after weight loss of 5 pounds or more per facility policy, failure to notify the physician and dietitian of documented weight loss, and failure to implement or provide ordered nutritional supplements. The report states these failures resulted in delays in assessment and intervention, allowing both residents to continue losing weight over multiple weeks. One resident had diagnoses including cerebrovascular disease, anxiety, and dementia, and was identified on the care plan as being at risk for malnutrition. A physician ordered weekly weights for 4 weeks and then monthly, but the record did not show that the ordered weekly weights were completed on multiple dates. The resident’s documented weights showed a loss from 136.2 pounds to 125 pounds, then to 123 pounds, and later to 117.8 pounds over a period of weeks. A nutritional supplement order was not placed until after the significant weight loss had already been documented, and an appetite stimulant was not ordered until later. The dietitian stated she had emailed nursing about the weight loss and requested weekly weights and a nutritional supplement, but the RN did not act on the request and described it as an oversight. The second resident had diagnoses including type 2 diabetes mellitus, GERD, and protein-calorie malnutrition, and the MDS identified significant weight loss and a mechanically altered/therapeutic diet. The dietitian documented a significant weight change and ordered weekly weights, and the physician later ordered pudding with lunch and ice cream with supper, along with a mechanical soft diet with thin liquids. The record showed missed weekly weights, continued weight loss from 140.8 pounds to 127.4 pounds and then to 116.8 pounds and 116.4 pounds, and delayed notification of the dietitian while she was away. During dining observations, the resident was not served pudding with lunch as ordered, the meal ticket did not list it, and the resident was not prompted, cued, assisted, or offered an alternative meal. A later observation showed the resident still not eating independently until staff prompted the resident and provided requested items. Staff interviews confirmed that weight trends were not consistently reviewed, reweights were not obtained after significant loss, and the ordered pudding and ice cream were not being tracked for consumption.
Expired Medications and Unsecured Medication Cart
Penalty
Summary
Drugs and biologicals were not maintained in accordance with accepted storage and labeling principles in 2 of 2 medication rooms. During observation and interview with the Nursing Supervisor, the 2nd floor medication room contained multiple expired supplies, including Covid19 AG Binox now tests, syringes of several sizes, and hydrocortisone acetate suppositories. In the 3rd floor medication room, expired supplies were also found, including syringes of several sizes, 30 Linzess 145 mcg capsules, filter straws in the emergency medication box, safety glide needles in the emergency medication box, an expired atropine sulfate vial, and expired clarithromycin tablets. The Nursing Supervisor stated the expired items should have been discarded and identified the 11:00 PM to 7:00 AM shift as responsible for checking expiration dates, although the checklist for that shift had been signed as completed. In a separate observation during medication administration, an RN prepared medication for a resident, entered the resident's room, and left the medication cart unlocked in the hallway with the top drawer open and containing various over-the-counter medication bottles. The RN stated the cart should always be locked when unattended and acknowledged forgetting to lock it. The Nursing Supervisor also stated medication carts should be locked during medication administration when the assigned nurse is not present and that it was the nurse's responsibility to ensure it was secured. Facility policy required outdated or expired medications and biologicals to be destroyed or returned and all medications and biologicals to be securely stored in a locked cabinet, cart, or medication room inaccessible to residents and visitors.
Food Labeling, Dishwashing, and Freezer Temperature Monitoring Deficiencies
Penalty
Summary
Food items in the Dietary department were found without required dating and labeling. During a tour of the department, an 18 qt clear plastic bin containing loose flour, an 18 qt clear plastic bin containing loose breadcrumbs, and a 22 qt clear bin containing loose oatmeal did not identify the date the items were transferred from the original packaging and did not have an expiration date. The blue lids on the flour and breadcrumb bins had an accumulation of white powdery debris and were dusty. A 46-oz plastic coated box-type container of cranberry juice in the beverage cooler was also uncapped, leaving the juice exposed to the air. In the dishwashing area, clean dishes and lid covers were removed from the dishwasher and stacked on a metal cart on the clean side of the dishwashing room. The stacked dome plastic entree lid covers were wet on the inside, and stacked plates on the cart included one with yellow dried-on debris and one lid cover with brown sticky debris along the rim. In the nourishment rooms on the 2nd and 3rd floors, the refrigerators had temperatures documented, but the freezer compartments had no thermometers present and no freezer temperatures were recorded. The facility policy required non-TCS foods removed from original packaging to be labeled with the item name, open date, original manufacturer's expiration date, and associate initials, and the refrigerator temperature log required monitoring every 24 hours; the policy did not identify a freezer temperature logging frequency.
Personal Care Items Improperly Stored and Unlabeled
Penalty
Summary
The facility failed to provide and implement an infection prevention and control program when personal care items in resident bathrooms were not properly labeled, covered, or stored according to facility policy. During observations on 3/25/26 at 11:33 AM and 1:00 PM with RN #1, multiple shared bathrooms on two nursing units were found to contain wash basins, bedpans, and a urinal placed on the floor, on the back of toilets, or hanging from handrails. Several of the items were uncovered, and many were unlabeled as to which resident they belonged to. Specific observations included two wash basins and one urinal in one shared bathroom that were unlabeled and not covered, a bedpan on a handrail that was uncovered and unlabeled, and multiple other wash basins in shared bathrooms that were either on the floor, uncovered, or unlabeled. RN #1 stated resident personal hygiene items such as basins, bedpans, and urinals were to be stored in a cabinet and not on the floor, and that all items were to be labeled with the resident's name. LPN #1, the Infection Preventionist, stated she last completed environmental rounds in December 2025 and had observed unlabeled and improperly stored personal hygiene items during those rounds. The facility policy on Personal Care Items directed that items be handled to prevent the spread of infection, marked with the resident's name, and stored in the resident's bedside cabinet or drawer after being placed in a bag.
Failure to Timely Notify Physician, Dietician, and Family of Significant Weight Loss
Penalty
Summary
The facility failed to ensure timely notification of significant weight loss for two residents. Resident #3 had diagnoses including cerebrovascular disease, anxiety, and dementia, and was identified on the care plan as being at risk for malnutrition. The weight record showed a decline from 136.2 lbs. to 125 lbs. in 24 days, then to 123 lbs. in 31 days, and later to 117.8 lbs. in 57 days. Although the facility policy required a reweight the next day for a loss of 5 lbs. or more and notification of the physician, dietician, and responsible party if the loss continued, the resident’s family was not notified of the significant weight loss from 12/8/25 through 1/1/26 until the care plan meeting on 1/26/26. Resident #26 had diagnoses including Type 2 diabetes mellitus, GERD, and unspecified protein-calorie malnutrition, and the MDS and care plan identified weight loss and risk for malnutrition. The weight record showed a decline from 140.8 lbs. to 127.4 lbs., then to 125.8 lbs., 128.2 lbs., 116.8 lbs., and 116.4 lbs., reflecting continued significant loss over time. The dietician stated she was not notified of the additional 11.4 lb. loss identified on 1/10/26 until she returned to the facility on 1/20/26, and review of the communication book and email did not show notification. The physician/APRN and the resident representative were also not notified of the continued weight loss at that time. Interviews with nursing staff and the APRN showed that the nurse who obtained and documented the 1/10/26 weight did not review prior weights and assumed another nurse would have recognized the trend and made the required notifications. The RN supervisor stated the nurse should have notified the physician, dietician, and responsible party the same day, and the APRN stated she would have expected same-day notification, reweighing, assessment, and review of supplements and appetite medication. The facility’s weight policy required monthly weights unless otherwise ordered, a reweight the next day for a 5 lb. loss or gain, and notification of the physician, dietician, and responsible party if the repeat weight confirmed the change.
Failure to Complete Neuro Checks After Unwitnessed Falls
Penalty
Summary
The facility failed to complete neurological assessments after multiple unwitnessed falls for a resident admitted in February 2025 with unspecified dementia, a displaced left femur fracture, and osteoporosis with a current pathological fracture. The resident’s quarterly MDS identified severe cognitive impairment and need for assistance with transfers, bed mobility, and toileting. The care plan identified the resident as at risk for falls and included interventions such as toileting before and after meals, proper footwear, and keeping the environment safe. Facility records showed unwitnessed falls on 9/20/25, 11/10/25, 11/12/25, 11/14/25, and 11/27/25. Nursing notes for the first four falls documented that the resident was found on or next to the floor, had baseline confusion or no complaints of pain, and had no apparent injury, but did not indicate neurological assessments were initiated or completed. For the 11/27/25 fall, a neurological assessment form was started, but 14 of 22 required assessments were not documented. During interview and record review on 3/30/26, the RN Supervisor covering for the DNS stated neurological assessments should have been completed for the resident’s unwitnessed falls because the resident was confused and could not reliably report whether a head strike occurred, and that it was the charge nurse’s responsibility to ensure the assessments were initiated, completed, and documented.
Incorrect air mattress setting and missed ordered weekly weights
Penalty
Summary
The facility failed to ensure an air mattress was set according to physician orders for a resident with dementia, chronic respiratory failure, and anxiety. The physician ordered an air mattress to be set according to the resident’s weight and checked every shift for inflation and function. The resident’s quarterly MDS identified moderate cognitive impairment, dependence on staff for several activities of daily living, risk for pressure ulcer development, and use of a pressure-reducing bed surface. The care plan also identified a potential for pressure ulcer development related to impaired mobility and incontinence, with interventions including a pressure-reducing mattress. Observations showed the resident lying on an air mattress that was set at 250 lbs. on two occasions and later at 225 lbs., while the resident’s documented weight was 152 lbs. An LPN identified the mattress was set incorrectly and stated nursing staff were responsible for ensuring it was set correctly according to the resident’s weight. An RN also stated the mattress should have been set at 150 lbs. and that all nurses were responsible for checking it every shift per facility policy. The facility policy stated support surfaces were to be used in accordance with physician orders. The facility also failed to complete weekly weights for another resident after readmission, despite a physician order directing weekly weights for 4 weeks and then monthly. The resident had diagnoses including metabolic encephalopathy, type 2 diabetes mellitus, and essential hypertension, and the care plan addressed impaired circulation related to DVT and lymphedema of the right lower extremity. Although the record showed a readmission weight and one later weight entry, weekly weights were not documented for three scheduled weeks. Staff interviews identified that NAs completed weights and the unit nurse was responsible for ensuring they were completed and documented, but no one could identify why the ordered weekly weights were missed.
Failure to Apply Ordered Hand Splint
Penalty
Summary
The facility failed to apply a left upper extremity splint per physician order for a resident with a hand contracture. Resident #6 had diagnoses including unspecified dementia with agitation, spondylolysis, and age-related osteoporosis. An OT evaluation noted worsening hand tremors, worsening tone, increased left hand tightness, and risk for development of a hand contracture and skin breakdown. The care plan and physician's order directed that the left-hand splint be applied when the resident was out of bed and removed when in bed, with skin integrity monitored before and after application. Survey observations found the resident out of bed in a customized wheelchair on multiple occasions without the splint in place. During interview, the NA stated she could not locate the splint and had not informed the charge nurse. RN #2 initially documented the splint as applied on the TAR but stated he was unsure why the resident did not have it on and was unaware it could not be located. The splint was later found at the nurses station, and the rehab director stated nursing staff were responsible for ensuring the splint was applied as ordered and that the charge nurse should have notified rehab if the splint could not be located.
Mechanical Lift Transfer Completed Without Required 2-Staff Assistance
Penalty
Summary
The facility failed to complete a mechanical lift transfer with 2 staff members for a resident who had unspecified dementia with agitation, spondylolysis, and age-related osteoporosis. The quarterly MDS identified the resident as severely cognitively impaired and dependent for toileting, bed mobility, and transfers, and the resident care plan identified impaired mobility, non-ambulatory status, fall risk, total assistance with transfers using a mechanical lift with the assist of 2 staff, and total dependence on staff for repositioning and turning in bed. A physician’s order also directed transfer with assist of 2 staff using a mechanical lift and identified the resident as non-ambulatory. During observation, a nurse aide was seen transferring the resident from a wheelchair to bed with the mechanical lift without another staff member present to assist. The resident was observed connected to the lift and being moved over the bed while suspended by the lift, and the nurse aide then lowered the resident onto the mattress. An RN entered the room and stated the nurse aide should have asked for assistance and should not have transferred the resident alone. The RN covering for the DON and the Administrator also stated the nurse aide should have had a second staff person in the room when using the mechanical lift, and the facility policy on safe resident handling required staff to use mechanical handling devices in accordance with policy, instruction, and training.
Inadequate Supervision and Transfer Procedures Lead to Resident Incidents
Penalty
Summary
The facility failed to adequately monitor and document the whereabouts of a resident with severely impaired cognition and a high risk for elopement, leading to the resident exiting the facility unsupervised. Despite being on a 15-minute check schedule, the documentation by a nurse aide conflicted with surveillance footage, which showed the resident leaving the facility and being unattended for over 30 minutes. The Director of Nursing Services (DNS) was unaware of the duration the resident was outside until reviewing the surveillance video with the surveyor. Another resident, who required two-person assistance for transfers due to hemiplegia and hemiparesis, was transferred by a single nurse aide without a gait belt, resulting in a fall and head injury. The nurse aide admitted to not reading the care card or using a gait belt, contrary to the facility's policy. The DNS confirmed that the nurse aide should have followed the physician's order for two-person assistance and used a gait belt during the transfer. A third resident, who was at high risk for falls, was injured during a transfer when a nurse aide attempted to transfer the resident alone without a gait belt. The resident sustained a fracture, and the nurse aide had to call for assistance. The facility's policy required the use of a gait belt for transfers, which was not adhered to in this instance. The DNS noted that the nurse aide was unable to explain how the injury occurred during the transfer.
Deficiency in Staff Training Documentation
Penalty
Summary
The facility failed to maintain an accurate record of an effective training program for all staff members, as required by their policies. The facility assessment outlined that every staff member should have knowledge competency in various areas, including infection control, resident rights, and emergency response, among others. However, upon request, the facility was unable to provide sufficient documentation of the completion of employee's annual in-servicing and competency training. This included missing completed and signed Annual Inservice Education Fair packets and competency forms. Interviews with the Administrator and the Director of Nursing Services (DNS) revealed that the documentation had been missing since the resignation of the former Staff Development Nurse in November 2023. The Administrator acknowledged the absence of staff competency forms and tracking documentation for the required annual 12-hour nurse aide training. The DNS confirmed that the in-service and competency documents were stored together in a box, which had not been seen since the former Staff Development Nurse left. The facility had hired a new Infection Control/Staff Development Nurse, who was tasked with overseeing ongoing education and implementing a new online education program.
Deficiency in Nurse Aide Training Documentation
Penalty
Summary
The facility failed to maintain an accurate record of continuing nurse aide competence, specifically the required 12 hours of annual training, including dementia management and resident abuse prevention. Upon request, the facility was unable to provide sufficient documentation of completed and signed Annual Inservice Education Fair packets and competency forms. Interviews with the Administrator and the Director of Nursing Services (DNS) revealed that the documentation had been missing since November 2023, following the resignation of the former Staff Development Nurse. The DNS confirmed that the facility conducts 12 hours of in-service training annually using various methods, but the documentation to support this was not available. The facility's policies require the development and maintenance of an effective training program for all staff, with certified nursing assistants receiving a minimum of 12 hours of education annually. The Competency Evaluation policy mandates the evaluation of employees to ensure appropriate competencies and skills. However, the facility was unable to locate the necessary documentation to verify compliance with these policies. The DNS mentioned that the in-service and competency documents were stored together in a box, which has not been seen since the former Staff Development Nurse left. A new Infection Control/Staff Development Nurse has been hired to oversee ongoing education, but the lack of documentation remains a significant issue.
Failure to Conduct Neurological and Skin Assessments
Penalty
Summary
The facility failed to complete neurological vital signs for a resident after an unwitnessed fall. The resident, who had diagnoses including dementia and diabetes, was identified as being at high risk for falls. Despite the care plan indicating the need for close supervision, the resident experienced an unwitnessed fall while attempting to remove shoes from a wheelchair. The facility's policy required neurological assessments after falls, but these were not conducted for the resident, as confirmed by the Director of Nursing Services (DNS) during an interview. Additionally, the facility did not adhere to a physician's order for weekly skin assessments for another resident with severe cognitive impairment and incontinence. The resident was at risk for skin impairment, and the care plan required weekly skin assessments on shower days. However, the facility failed to complete these assessments on five occasions over a ten-week period. This oversight was identified during a review of the resident's records, and the DNS acknowledged the responsibility of the nursing staff to perform these assessments as per the facility's policy.
Failure to Monitor Orthostatic Blood Pressure for Residents on Antipsychotics
Penalty
Summary
The facility failed to ensure that orthostatic blood pressure monitoring was completed as per the physician's order for two residents receiving antipsychotic medications. Resident #20, who was admitted with diagnoses including dementia and a history of falls, had a physician's order to obtain orthostatic blood pressures weekly for four weeks. However, the medical administration records for April and May 2023 did not show that these measurements were taken. Interviews with LPN #4 and the Director of Nursing Services (DNS) confirmed that the orthostatic blood pressures were not completed as required, with only one instance documented in a laying down position. Resident #42, diagnosed with Alzheimer's disease and other conditions, was also on antipsychotic medications and had a physician's order for monthly orthostatic blood pressures. Despite this, there was no documentation of these measurements in the electronic medical record for April and May 2024. The psychiatric APRN had ordered weekly orthostatic blood pressures initially due to changes in the resident's antipsychotic medication, but these were not documented as completed. The DNS confirmed that the expected protocol was not followed, and the orthostatic blood pressures were not recorded as per the physician's order. The facility's policy on the use of psychotropic medications requires that such drugs are only administered when necessary and that their effects are monitored and documented. The policy also mandates orthostatic blood pressure monitoring for residents on new or adjusted antipsychotic medications. In both cases, the facility did not adhere to these policies, resulting in a deficiency related to the monitoring of residents receiving antipsychotic medications.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Meriden
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Apple Rehab Coccomo | 0.6 mi | ★★★★★ | 0 | 0 |
| Complete Care At Meriden | 1.3 mi | ★★★★★ | 13 | 0 |
| Meriden Health And Rehab | 2.6 mi | ★★★★★ | 5 | 0 |
| Silver Springs Care Center | 2.7 mi | ★★★★★ | 4 | 0 |
| Curtis Home St Elizabeth Center, The | 2.8 mi | ★★★★★ | 0 | 0 |
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