Not rated by CMS — ratings are suppressed for new or low-volume facilities.
Past the typical resurvey interval — a standard survey could occur at any time
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 Countryside Manor Of Bristol during CMS and state inspections, most recent first.
The facility failed to properly date food items, ensure hand hygiene, and consistently monitor dishwashing temperatures. Observations revealed missing expiration dates on stored food, improper handwashing by a Dietary Aide, and incomplete dishwashing temperature logs. The Director of Dining Services acknowledged these lapses in protocol.
The facility failed to report allegations of mistreatment for two residents to the State Agency and Protective Services. A resident with a traumatic brain injury had a bruise on the left hand, initially attributed to a blood draw, but later found to be of unknown origin. Another resident with Alzheimer's experienced a verbal altercation with a family member, which was not reported as abuse. The facility did not follow its policies on reporting injuries of unknown source or suspected abuse.
A resident with cognitive impairment and physical limitations did not receive adequate grooming assistance from the facility staff. Despite the resident's expressed preferences for shorter fingernails and a clean-shaven face, these needs were not met since admission. The nursing staff was unaware of the resident's grooming preferences, and the facility's nail care policy was not followed.
A resident with hemiplegia and dementia did not receive physician-ordered geri-sleeves for skin protection, as observed on multiple occasions. Despite a physician's order, the geri-sleeves were not applied, and the Treatment Administration Record was inaccurately signed. The DNS confirmed the need for geri-sleeves due to the resident's history of self-scratching, but they were not found in the resident's room, and the NA care card was not updated to reflect the order.
A resident with hemiplegia and dementia did not receive the prescribed resting hand splint as ordered, despite staff documentation indicating its application. Observations revealed the absence of the splint on multiple occasions, and interviews with the DNS, LPN, and PT confirmed the oversight. The splint was intended to prevent further contracture and maintain skin integrity, but nursing staff failed to apply it during AM care.
The facility failed to maintain accurate smoking assessments for two residents, leading to deficiencies in their care plans. One resident was inaccurately identified as a former smoker, while another was incorrectly assessed as a nonsmoker. Additionally, the courtyard gazebo was found to be unsafe, with splintered wood and exposed nails, accessible to residents for two weeks before repair.
The facility failed to change and label oxygen tubing for two residents as per physician orders and facility policy. One resident with COPD, heart failure, and diabetes had tubing that was not changed as scheduled, while another resident with heart failure, pneumonia, and septicemia had tubing that was not labeled or dated. Observations and interviews confirmed these deficiencies.
The facility continued to perform glucoscan and COVID-19 testing without a valid CLIA certificate of waiver, which had expired due to non-payment. The Administrator was unaware of the expiration until informed by a surveyor, and the facility was non-compliant for 23 days, affecting 22 residents with blood glucose testing orders and 3 residents with COVID-19 testing orders.
The facility did not verbally and periodically inform residents of their rights. Resident Council members reported that staff do not review these rights with them. The Recreation Director stopped including resident rights in meetings around the COVID-19 pandemic. The Social Worker, responsible for informing residents, had not attended a Resident Council meeting since before the pandemic and stated that rights are not reviewed verbally during or after admission.
The facility was found to have deficiencies in maintaining a homelike and sanitary environment. Dining chairs were stored in a shower room, and a ladder and fly strip with dead bugs were found in another. Broken blinds were also identified in several resident rooms, detracting from the homelike atmosphere. The Infection Control Nurse and Maintenance Director confirmed these issues.
A facility failed to update a resident's care plan after significant changes in their medical treatment and behavioral tendencies. The resident, with quadriplegia and chronic pain, had a Baclofen pump removed and started on oral Baclofen, but the care plan was not revised to reflect this change. Additionally, the resident's tendency to call 911 when upset was not documented in the care plan, despite being known to staff.
Deficiencies in Food Storage, Hand Hygiene, and Dishwashing Temperature Monitoring
Penalty
Summary
The facility failed to ensure proper food storage and handling practices in the Dietary department. During a tour, it was observed that several food items, including flour, thickener, peas, manicotti, and breakfast sausage links, were stored without expiration dates. The Director of Dining Services acknowledged the absence of expiration dates and was unable to determine when the products would expire. Additionally, a Dietary Aide was observed handling food without performing proper hand hygiene after touching the inside of a garbage container lid, which was acknowledged by both the aide and the Director of Dining Services as a lapse in protocol. Furthermore, the facility did not consistently monitor dishwashing temperatures as required by their policy. The Dishwashing Temperature Log revealed multiple instances where temperatures were not recorded for breakfast, lunch, and supper services. The Director of Dining Services admitted to reviewing the logs for completeness but was unaware of the missing entries. The facility's policy mandates that dishwashing temperatures be documented three times daily, but this was not adhered to, leading to incomplete records.
Failure to Report Allegations of Mistreatment
Penalty
Summary
The facility failed to report allegations of mistreatment for two residents to the State Agency (SA) and Connecticut Protective Services for the Elderly (PSE). For Resident #14, who had a history of traumatic brain injury, hemiplegia, and dementia, a bruise was observed on the left hand. The family called the police, suspecting mistreatment. The Director of Nursing Services (DNS) initially attributed the bruise to a blood draw, but it was later revealed that the blood was drawn from the right arm. Despite this, the DNS did not report the bruise of unknown origin to the SA, citing a lack of awareness of the 24-hour reporting requirement. For Resident #49, who had Alzheimer's disease, dementia, and legal blindness, a verbal altercation with a family member was witnessed. The family member was observed yelling and banging hands on a table in front of the resident. Despite the incident being witnessed and the need for supervised visits being identified, the facility did not report the incident as verbal/mental abuse to the SA or PSE. The DNS and other staff were aware of the incidents but did not view them as abuse, leading to a failure in reporting. The facility's policies on grievance and abuse prohibition were not followed, as incidents involving injuries of unknown source or suspected abuse were not reported within the required timeframe. The DNS and other staff members were aware of the reporting requirements but failed to act accordingly, resulting in deficiencies in handling and reporting suspected abuse and mistreatment cases.
Failure to Provide Adequate Grooming for a Dependent Resident
Penalty
Summary
The facility failed to maintain adequate grooming for Resident #76, who was dependent on staff for activities of daily living (ADLs) due to moderate cognitive impairment and physical limitations. Despite a physician's order and care plan indicating the need for assistance with ADLs and toileting, observations revealed that the resident had excessively long fingernails and facial hair. The resident expressed a preference for shorter fingernails and a clean-shaven face, which had not been addressed since their admission to the facility. Interviews with the nursing staff revealed a lack of awareness regarding the resident's grooming preferences. Nurse Aide #2, responsible for providing the resident's weekly bed bath, did not offer nail trimming or shaving services, as she was unaware of the resident's desires. The Licensed Practical Nurse (LPN) confirmed the resident's need for nail care and shaving, noting the resident's complaints about food getting stuck under their nails. The facility's nail care policy required nursing aides to provide nail care, but this was not adhered to in the case of Resident #76.
Failure to Apply Physician-Ordered Geri-Sleeves
Penalty
Summary
The facility failed to follow a physician's order for the application of protective skin devices, specifically geri-sleeves, for a resident with a history of hemiplegia, hemiparesis, and dementia. The resident was identified as being at risk for skin breakdown, and a physician's order dated 9/11/24 directed the application of geri-sleeves to the resident's bilateral upper extremities in the morning as tolerated. However, observations on multiple occasions revealed that the resident was without the geri-sleeves, exposing their skin from the upper arms to the hands. Interviews with staff, including an LPN and the DNS, confirmed that the geri-sleeves were not applied as ordered, and the Treatment Administration Record (TAR) was inaccurately signed as if they had been applied. The DNS acknowledged that the resident required the geri-sleeves due to a history of self-scratching, and the NA care card should have been updated to reflect the physician's order. Despite the order, the geri-sleeves were not found in the resident's room, and the DNS indicated a need to obtain a new pair. The facility did not provide a policy regarding the application of geri-sleeves when requested. The deficiency was further highlighted by the fact that the need for geri-sleeves was not documented on the NA care card, and the TAR inaccurately reflected their application on several dates.
Failure to Apply Resting Hand Splint as Ordered
Penalty
Summary
The facility failed to follow a physician's order for the application of a resting hand splint for a resident diagnosed with hemiplegia and hemiparesis following a stroke, affecting the left dominant side, and unspecified dementia. The resident was severely cognitively impaired and dependent on staff for mobility and transfers. The care plan required the application of a left resting hand splint in the morning and its removal at bedtime. However, observations on multiple occasions revealed that the resident was not wearing the splint as ordered, despite staff signatures on the Treatment Administration Record indicating otherwise. Interviews and observations with the Director of Nursing Services (DNS), an LPN, and a Physical Therapist (PT) confirmed that the splint was not applied as required. The DNS and LPN found the splint under blankets on the resident's bedside table and acknowledged that it should have been applied. The PT emphasized the importance of the splint in preventing further tightness and contracture and maintaining skin integrity. Despite training provided by the rehabilitation department, the nursing staff failed to apply the splint during AM care, leading to the deficiency.
Deficiencies in Smoking Assessments and Courtyard Safety
Penalty
Summary
The facility failed to ensure accurate and updated smoking assessments for two residents, leading to deficiencies in their care plans. Resident #34, who was admitted with diagnoses including diabetes, alcohol dependence, and depression, had a smoking evaluation that inaccurately identified them as a former smoker despite being observed smoking under supervision. The Director of Nursing (DNS) acknowledged that the resident resumed smoking on August 7, 2024, but the Smoking Evaluation and Safety Screen was not updated until September 24, 2024. Similarly, Resident #51, with diagnoses including COPD and nicotine dependence, was inaccurately assessed as a nonsmoker on August 13, 2024, despite continuing to smoke three times a day. The DNS confirmed that the assessment was completed by a nurse unfamiliar with the resident's smoking status, leading to an inaccurate evaluation. Additionally, the facility failed to maintain a safe environment in the courtyard gazebo, which was observed to have splintered wood, exposed nails, and missing wood panels. This damage was present for approximately two weeks, during which time residents had access to the area. The Maintenance Director and Maintenance Person #1 confirmed the gazebo's condition, which was only repaired after the State Agencies Building, Fire, Safety Inspectors' visit. These deficiencies highlight lapses in both resident care assessments and environmental safety within the facility.
Failure to Change and Label Oxygen Tubing
Penalty
Summary
The facility failed to provide safe and appropriate respiratory care for two residents by not adhering to physician orders and facility policy regarding the changing and labeling of oxygen tubing. Resident #23, who had chronic obstructive pulmonary disease, heart failure, and diabetes, had a physician's order to change oxygen tubing every Tuesday during the 11:00 PM to 7:00 AM shift. However, the oxygen tubing was last documented as changed on 9/17/24, but an observation on 9/19/24 revealed the tubing was still labeled from 9/11/24. This discrepancy was confirmed by RN #2, who acknowledged the tubing should have been changed according to the facility's policy. Similarly, Resident #29, who had heart failure, pneumonia, and septicemia, also had a physician's order to change oxygen tubing weekly on the same shift. Despite the Treatment Administration Record indicating the tubing was changed on 9/17/24, observations on 9/19/24 and 9/23/24 showed the tubing lacked a label and date. RN #2 confirmed the tubing was not labeled or dated and was responsible for ensuring the change occurred. The facility's policy, dated 11/2020, required the replacement and dating of cannula and tubing weekly or when visibly soiled or damaged.
Expired CLIA Certificate Leads to Non-compliant Testing
Penalty
Summary
The facility failed to maintain a current Clinical Laboratory Improvement Amendment (CLIA) certificate of waiver, which is necessary for performing certain laboratory tests. The CLIA certificate of waiver expired due to non-payment, and the facility continued to perform glucoscan testing without the required certification. The Administrator was unaware of the expiration until informed by a surveyor, after which she contacted the State Agency (SA) to address the issue. The facility was without a valid CLIA certificate of waiver for 23 days. During the period of non-compliance, 22 residents had physician's orders for blood glucose testing by glucometer, and 3 residents had orders for nasal swab testing for COVID-19, all conducted without the necessary CLIA certification. The Administrator and Director of Nursing Services (DNS) acknowledged the lapse in compliance and confirmed that the facility continued testing during the period when the certificate was expired.
Failure to Periodically Inform Residents of Their Rights
Penalty
Summary
The facility failed to verbally and periodically inform residents of their rights, as identified through staff interviews and a Resident Council meeting. During the Resident Council meeting, members reported that facility staff do not review resident rights with them periodically. The Recreation Director acknowledged that she had included resident rights in past Resident Council meetings but ceased doing so around the time of the COVID-19 pandemic. The Social Worker, who is responsible for informing residents of their rights, admitted to not attending a Resident Council meeting since before the pandemic. She stated that residents receive a pamphlet upon admission that reviews some rights and are shown where the full set of rights is posted in the facility, but these rights are not reviewed verbally during admission or periodically thereafter.
Facility Fails to Maintain Homelike and Sanitary Environment
Penalty
Summary
The facility failed to maintain a homelike and sanitary environment in its shower rooms and resident rooms. During an initial tour, it was observed that the C Wing shower room was being used to store 12 burgundy facility dining chairs, while the B Wing shower room contained a metal 4-step foldable ladder and a fly strip with dead bugs hanging from the ceiling. The facility's Infection Control Nurse confirmed these observations and noted that a resident had been showered in the B Wing shower room while the fly strip was present. Both the Infection Control Nurse and the Maintenance Director acknowledged that these items should not have been stored in the shower rooms, as it compromised the homelike environment. Additionally, the Maintenance Director identified broken blinds in several resident rooms, which further detracted from the homelike atmosphere. An audit of the blinds was conducted after a visit from state Building, Fire, Safety Inspectors, and replacements were ordered. However, at the time of the survey, the broken blinds had not yet been replaced, leaving the affected rooms in a less than homelike condition.
Failure to Update Resident Care Plan for Pain Management and Behavioral Needs
Penalty
Summary
The facility failed to revise the Resident Care Plan (RCP) for a resident with quadriplegia, chronic pain syndrome, and intermittent explosive disorder, following significant changes in their medical treatment. After the resident was readmitted to the facility post-hospitalization for an abdominal wall hematoma and infection related to a Baclofen pump, the pump was removed, and oral Baclofen was initiated. However, the RCP was not updated to reflect the removal of the Baclofen pump or the change in medication administration route, despite a care plan meeting occurring shortly after the resident's return. The RCP continued to include outdated interventions, such as scheduling appointments for Baclofen pump refills, which were no longer applicable. Additionally, the facility did not update the RCP to address the resident's behavioral tendencies, such as calling 911 when upset, which was not documented despite being known to the staff. The resident had a history of emotional reactions, verbal abusiveness, and medication refusals, which were partially addressed in the RCP. However, the specific behavior of calling 911 was not included until after surveyor inquiry, indicating a lack of timely updates to the care plan to reflect the resident's current needs and behaviors.
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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 Bristol
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Civita Care Sheriden Woods | 2.8 mi | ★★★★★ | 33 | 0 |
| Village Green Rehabilitation And Healthcare Center | 2.9 mi | ★★★★★ | 1 | 0 |
| Ingraham Manor Rehab And Nursing | 3.4 mi | ★★★★★ | 6 | 1 |
| Pines At Bristol For Nursing & Rehabilitation, The | 3.4 mi | ★★★★★ | 3 | 0 |
| Apple Rehab Farmington Valley | 4 mi | ★★★★★ | 1 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.