Below average — CMS composite of the measures below.
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 Curtis Home St Elizabeth Center, The during CMS and state inspections, most recent first.
A resident with dementia experienced multiple falls due to inadequate supervision and failure to follow care plan interventions, resulting in a head injury. Another resident, who smoked, was exposed to a fire hazard due to improper disposal of smoking materials. The facility's policies on fall prevention and smoking safety were not adequately followed.
The facility submitted inaccurate PBJ staffing data for the 3rd quarter of 2024, showing no RN coverage for 8 consecutive hours, low weekend staffing, and no licensed nurses 24/7. The Business Office Manager mistakenly submitted RCH staffing data instead of skilled nursing home staffing, leading to the error.
The facility failed to honor resident choices, impacting three residents. One resident's window was screwed shut, causing distress; another resident's preference to keep their door closed was ignored; and a third resident was taken out of bed against their wishes due to a misunderstanding about aspiration precautions.
The facility failed to consistently monitor and document weights for residents with CHF and nutritional risks, leading to missed daily and weekly weight checks as per physician orders. A resident with CHF was not weighed for three days, and another resident with nutritional risks did not have weekly or monthly weights documented. Additionally, a resident experienced significant weight gain without a documented nursing assessment. Staff cited being too busy and lack of communication as reasons for these oversights.
The facility failed to label and date opened food items in the Dietary Department, violating its food storage policy. Additionally, the nourishment room's freezer temperatures were inadequately documented, with only 2 out of 28 days recorded in February. The Dietary Director confirmed the lapses in both labeling and temperature monitoring practices.
A resident with a history of cancer and malnutrition experienced significant weight changes, but the facility failed to notify the dietician and responsible party as required. Despite a 16.5% weight gain in one month and a 14% loss over three months, there was no documentation of communication with the dietician or responsible party. Interviews revealed a lack of consistent weight tracking and communication, contributing to the deficiency.
The facility failed to report allegations of abuse involving two residents to the state agency in a timely manner. A resident with cognitive impairment was allegedly mishandled by a nurse aide during a transfer, and another resident reported witnessing the incident and experiencing verbal mistreatment. Despite being informed, the DNS did not report the incidents as required by the facility's abuse policy, resulting in a delay of 7 to 8 days before reporting.
Two residents reported abuse by a nursing assistant, including rough handling and use of profane language. Despite the facility's policy requiring prompt investigation, the Director of Nursing Services did not initiate an investigation until several days after being informed by a surveyor.
A facility failed to implement required respiratory assessments for a resident with CHF, as outlined in the Resident Care Plan. Despite the plan's directive for assessments each shift, records from December 2024 to January 2025 showed no documentation of these assessments. The DNS confirmed the oversight, acknowledging the absence of a specific form and the failure to document the assessments.
A diabetic resident with neuropathy and other conditions did not receive timely podiatry services due to administrative oversights and miscommunication within the facility. Despite having a physician's order and recommendations for podiatry care, the resident's toenails became excessively long and thick. The facility's process for scheduling podiatry services was flawed, leading to delays in care.
The facility failed to implement Enhanced Barrier Precautions for a resident with a growing stage 2 pressure ulcer and did not follow proper infection control procedures for blood glucose monitoring for another resident. The absence of EBP signage and precaution carts, along with the failure to disinfect a glucose meter after use, were observed. Interviews confirmed the facility's policies, but these were not adhered to, resulting in deficiencies in infection control practices.
The facility failed to complete annual performance evaluations for two nurse aides, one full-time and one per diem. The Human Resource Coordinator confirmed the absence of evaluations, and the DNS admitted to not having completed any evaluations due to time constraints. The issue was recognized by the DNS and the new administrator, with plans to address it through a QAPI plan.
Two residents experienced significant weight changes that were not accurately coded in their MDS assessments. One resident had notable weight loss on two occasions, while another had both significant weight gain and loss. The MDS Coordinator and dietician failed to ensure accurate documentation and coding, leading to deficiencies in care.
The facility failed to maintain a clean medication room, with observations noting a dirty floor and cluttered counter. RN and housekeeping staff interviews revealed confusion over cleaning responsibilities, with the Administrator confirming the need for daily cleaning. A housekeeping policy was not provided.
Inadequate Supervision and Safety Measures Lead to Resident Incidents
Penalty
Summary
The facility failed to provide adequate supervision to prevent a fall with injury for a resident diagnosed with dementia and other conditions. The resident, who was severely cognitively impaired and required assistance for mobility and transfers, had a care plan that included the use of a low bed with floor mats and a mechanical lift for transfers. Despite these interventions, the resident experienced multiple falls, including a significant incident where the resident rolled off the bed and sustained a head laceration. The nursing assistant involved in the incident had raised the bed and left the resident unattended, which was against the care plan's directives. Additionally, the facility failed to ensure a safe environment for a resident who smoked. The resident, who was severely cognitively impaired and required supervision while smoking, was observed using a wastepaper container to extinguish cigarettes, which posed a fire hazard. The facility's policy required the use of self-extinguishing devices, but the wastepaper container was not removed until after the surveyor's inquiry. Interviews with staff revealed inconsistencies in the accounts of the fall incident, and it was noted that the nursing assistant involved had not received proper orientation for the night shift. The facility's policies on fall prevention and smoking safety were not adequately followed, leading to these deficiencies in resident care and safety.
Inaccurate PBJ Staffing Data Submission
Penalty
Summary
The facility failed to submit accurate Payroll Based Journal (PBJ) staffing data for the 3rd quarter of 2024, covering the period from April 1, 2024, through June 30, 2024. The submitted report indicated deficiencies such as no Registered Nurse (RN) coverage for 8 consecutive hours a day, low weekend staffing, and no licensed nurses available 24 hours a day. An interview with the Business Office Manager revealed that she inadvertently submitted incorrect data. She mistakenly removed the skilled nursing staff from the payroll list instead of the Residential Care Home (RCH) nursing staff, leading to the submission of staffing data that reflected RCH staffing rather than the skilled nursing home staffing. This error was realized after the submission had been made.
Failure to Honor Resident Choices in LTC Facility
Penalty
Summary
The facility failed to honor the resident's right to choose, as evidenced by the case of Resident #8, whose window was screwed shut by the Administrator. Despite being cognitively intact and independent in personal care, Resident #8 was unable to open the window for fresh air, which caused distress and anxiety. The Administrator justified this action by citing the cold weather and the comfort of the roommate, but did not acknowledge the resident's expressed dissatisfaction or the impact on their well-being. In another instance, Resident #11, who had moderate cognitive impairment and was dependent on assistance for mobility, expressed a desire to keep their door shut to prevent other residents from entering uninvited. However, staff insisted on keeping the door open, citing personal preference and facility practices. The Director of Nursing Services was unaware of the resident's preference and suggested implementing 15-minute checks to accommodate the resident's choice. Resident #45, who had intact cognition and was at risk for depression, expressed a desire to remain in bed past 7:00 AM, but was routinely taken out of bed against their wishes. This was due to a misunderstanding by staff regarding aspiration precautions, which were not applicable to the resident. Despite the facility's practice of honoring resident choices, the staff prioritized getting residents up for breakfast, which conflicted with Resident #45's expressed preferences.
Failure to Monitor and Document Resident Weights
Penalty
Summary
The facility failed to consistently obtain and document daily weights for residents with specific medical conditions, as per physician orders. Resident #28, diagnosed with chronic systolic congestive heart failure (CHF), was not weighed on three consecutive days despite a physician's order to monitor daily weight changes. The Licensed Practical Nurse (LPN) and Registered Nurse (RN) involved were unable to provide a reason for the oversight, and the Director of Nursing Services (DNS) was unaware of the missed weights until informed. The charge nurse on duty admitted to not communicating the need for daily weights to the Nurse Aide (NA), citing being too busy as the reason for the lapse. Resident #45, who had a terminal condition and was at risk for nutritional deficits, did not have weekly weights taken as required by facility policy following admission. Additionally, monthly weights were not documented for two months, and reweights were not consistently obtained when significant weight changes occurred. The RN responsible for Resident #45's care was unable to explain the missing weights and reweights, indicating a lack of adherence to the facility's weight monitoring policy. Resident #58, with diagnoses including CHF and atrial fibrillation, experienced a significant weight gain over a short period, but the facility failed to document a nursing assessment when this occurred. The Advanced Practice Registered Nurse (APRN) was notified of the weight gain, but no parameters for notifying the physician or APRN about weight changes were specified in the orders. The DNS acknowledged that an RN should have completed an assessment with such a change in condition, but this was not done, highlighting a gap in the facility's response to significant weight changes.
Deficiencies in Food Storage and Temperature Monitoring
Penalty
Summary
The facility failed to ensure proper labeling and dating of opened food items in the Dietary Department. During a tour, it was observed that multiple bags of pasta, sugar, and other food items were opened without being labeled with the date they were opened, contrary to the facility's policy. The Dietary Director confirmed that all opened items should be labeled with the date, but this was not adhered to, leading to a deficiency in food storage practices. Additionally, the facility did not consistently document the temperatures of the nourishment room's freezer. For the month of February, temperatures were only recorded for 2 out of 28 days, and on 16 days, only check marks were noted without actual temperature readings. The Dietary Director acknowledged that the staff responsible for monitoring the temperatures were not maintaining the logs correctly and was unsure of the policy regarding temperature monitoring. This lack of proper documentation and adherence to policy resulted in a deficiency in monitoring refrigerator and freezer temperatures.
Failure to Notify Dietician and Responsible Party of Significant Weight Changes
Penalty
Summary
The facility failed to notify the dietician and responsible party of significant weight changes for a resident, leading to a deficiency in nutritional management. The resident, who was admitted with diagnoses including malignant neoplasm of the brain, moderate protein-calorie malnutrition, and IBS, experienced a significant weight gain of 44.8 lbs. (16.5%) in one month and a subsequent weight loss of 36.8 lbs. (14%) over three months. Despite these significant changes, there was no documentation indicating that the dietician or responsible party was informed, as required by the facility's weight policy. Interviews with facility staff revealed a lack of consistent weight tracking and communication regarding significant weight changes. RN #2 acknowledged that nursing staff did not track weight over time and relied on the dietician to review weight records independently. The dietician, hired in November 2024, was unaware of the resident's weight changes prior to her employment and was not informed of subsequent weight losses. The Director of Nursing Services indicated that reweighing should occur if a weight is suspected to be incorrect, but this practice was not followed. The facility's policy mandates reporting significant weight changes to the attending physician, responsible party, and dietician, which was not adhered to in this case.
Failure to Timely Report Allegations of Abuse
Penalty
Summary
The facility failed to report allegations of abuse involving two residents to the state agency in a timely manner. Resident #15, who had mild cognitive impairment and required assistance for transfers, was allegedly thrown into a wheelchair by a nurse aide (NA #3) during a transfer. This incident was witnessed by Resident #29, who reported it to the Director of Nursing Services (DNS) and the Administrator. Resident #29, who had PTSD, a history of alcohol abuse, depression, and dementia, also reported that NA #3 used profane language towards them. Despite these reports, the DNS did not recall the incidents and did not report them to the state agency as required by the facility's abuse policy. The facility's abuse policy mandates that allegations of abuse or mistreatment be reported to the state agency within specific timeframes, depending on the severity of the incident. However, the allegations involving Resident #15 and Resident #29 were reported 7 and 8 days after the facility was made aware of them, respectively. The DNS acknowledged the responsibility to report such allegations but misunderstood the nature of the incidents, leading to a delay in reporting. This failure to report in a timely manner constitutes a deficiency in the facility's compliance with regulatory requirements for handling allegations of abuse.
Failure to Investigate Abuse Allegations Timely
Penalty
Summary
The facility failed to investigate an allegation of abuse in a timely manner for two residents. Resident #15, who has mild cognitive impairment and mobility issues, was allegedly thrown into a wheelchair by NA #3 during a transfer. Resident #29, who has PTSD, a history of alcohol abuse, depression, and dementia, witnessed the incident and reported it to the Director of Nursing Services (DNS) and the Administrator. Resident #29 also reported that NA #3 used profane language towards them. Despite these reports, the DNS did not recall the incidents and no investigation was initiated until prompted by a surveyor. The facility's abuse policy requires that all allegations of mistreatment, neglect, or abuse be investigated and reported promptly. However, the DNS failed to initiate investigations for the allegations involving Resident #15 and Resident #29 until several days after being informed by the surveyor. The DNS acknowledged the responsibility to investigate such allegations, regardless of the resident's history of accusatory behavior. This delay in investigation is a violation of the facility's policy and state law requirements for timely reporting and documentation of abuse allegations.
Failure to Implement Respiratory Assessments for Resident with CHF
Penalty
Summary
The facility failed to implement the interventions outlined in the Resident Care Plan (RCP) for a resident diagnosed with congestive heart failure (CHF), atrial defibrillation, type 2 diabetes, and a history of coronary bypass surgery. The RCP, dated December 17, 2024, identified a potential for respiratory distress and required a respiratory assessment to be performed every shift. However, a review of the Medication and Treatment Administration Records for December 2024 and January 2025 did not show that these assessments were completed as required. Further review of nursing notes from December 19, 2024, through January 28, 2025, revealed that while some observations were made, such as clear lungs and bilateral lower extremity edema, there was no documentation of the required respiratory assessments each shift. An interview with the Director of Nursing Services (DNS) confirmed that the RCP required these assessments, but they were not documented in the clinical record. The DNS acknowledged the lack of a specific form for respiratory assessments and the failure to complete the required documentation.
Failure to Provide Timely Podiatry Services to Diabetic Resident
Penalty
Summary
The facility failed to provide necessary podiatry services to a diabetic resident, identified as Resident #19, who had diagnoses including diabetes mellitus type 2 with neuropathy, gout, and Parkinson's disease. The resident required substantial assistance for personal hygiene and was dependent on staff for lower body dressing and transfers. Despite having a physician's order for podiatry services and recommendations from the Wound/Ostomy APRN for a podiatry consult due to toenail dystrophy, the resident did not receive timely podiatry care. The facility's process for arranging podiatry services was flawed, as evidenced by the correspondence between the podiatry service provider and the facility's DNS. The resident was placed on a do-not-treat list pending verification of VA-covered services, which delayed the provision of care. The DNS was unaware of the requirement to copy the Administrator on emails, which further prolonged the delay. Additionally, the facility's policy directed NAs to clip toenails unless the resident was diabetic or had thick nails, in which case the resident would be seen by the podiatrist. However, Resident #19 was not scheduled for podiatry services despite being on the list. Interviews with staff revealed a lack of clarity and documentation regarding the scheduling of podiatry services for Resident #19. The resident was overdue for podiatry care, having not received services since admission to the facility. The Director of Finance confirmed that the facility pays for all resident podiatry services, including those for veterans, and that the VA contract allowed for in-house services. Despite these provisions, the resident's podiatry needs were not met in a timely manner, resulting in excessively long and thick toenails that required attention.
Infection Control Deficiencies in Wound Care and Glucose Monitoring
Penalty
Summary
The facility failed to adhere to infection control standards for Resident #4, who had a stage 2 pressure ulcer on the sacral region. Initially, the wound measured 0.8 cm x 0.8 cm, but it increased to 2.5 cm x 3.5 cm x 0.2 cm over time. Despite the facility's policy to implement Enhanced Barrier Precautions (EBP) for residents with large wounds, defined as 2.0 cm x 2.0 cm or greater, Resident #4 was not placed on EBP until the wound size increased significantly. Observations revealed the absence of EBP signage and precaution carts outside Resident #4's room, and a Licensed Practical Nurse (LPN) was seen performing a dressing change without wearing a gown. The facility also failed to follow proper infection control procedures for blood glucose monitoring for Resident #36, who had diabetes and other related complications. A Registered Nurse (RN) was observed using a glucose meter to check Resident #36's blood sugar level but did not clean or disinfect the meter after use before placing it back in the medication cart. This action was against the facility's policy, which required disinfecting glucose meters after each use. The RN acknowledged the oversight and subsequently cleaned the meter before using it for another resident. Interviews with the Infection Preventionist and the Director of Nursing Services (DNS) confirmed the facility's policy on EBP and the requirement to clean glucose meters after each use. However, the facility's failure to implement these policies resulted in deficiencies in infection control practices for both residents. The Infection Preventionist was unable to provide documentation supporting the criteria used for EBP, leading to a revision of the facility's policy to remove the term 'large' from the description of wounds requiring EBP.
Failure to Complete Annual Performance Evaluations for Nurse Aides
Penalty
Summary
The facility failed to ensure annual employee performance evaluations were completed for two of four nurse aides. A review of employee files and interviews revealed that performance evaluations for NA #3 and NA #5 were missing. NA #3, a full-time employee hired in 2011, and NA #5, a per diem employee hired in 2020, did not have documented evaluations in their files. The Human Resource Coordinator confirmed the absence of evaluations and noted that she had not received any from the Nursing Department. The Director of Nursing Services (DNS) admitted to not having completed any evaluations for nursing staff during her tenure, citing a lack of time as the reason. The DNS acknowledged the issue and mentioned discussions with the new administrator about addressing it through a Quality Assessment Performance Improvement (QAPI) plan.
Failure to Accurately Code MDS for Significant Weight Changes
Penalty
Summary
The facility failed to accurately code the Minimum Data Set (MDS) assessments for significant weight changes for two residents, leading to deficiencies in their care. Resident #8, diagnosed with anxiety, hypothyroidism, and asthma, experienced significant weight loss on two occasions. The MDS assessments did not reflect these changes, despite the Yearly Weight Record showing a loss of 13.1 lbs. (8.1%) in one month and 16.4 lbs. (10.49%) over six months. The MDS Coordinator, RN #6, acknowledged the incorrect coding and indicated that it was the dietician's responsibility to document significant weight changes in the MDS. Resident #45, with diagnoses including malignant neoplasm of the brain, moderate protein-calorie malnutrition, and IBS, also had significant weight changes that were not accurately coded in the MDS. The resident's weight record showed a gain of 38.8 lbs. (17.1%) over three months and a loss of 39.4 lbs. (14.8%) over six months. However, these changes were not noted in the MDS assessments. The dietician, who was responsible for weight tracking, did not perform calculations for the MDS assessments due to not being employed at the facility during the relevant periods or uncertainty about the accuracy of previous weights. Interviews with the MDS Coordinator and the dietician revealed a lack of clarity and responsibility in ensuring accurate weight documentation and coding in the MDS. The MDS Coordinator relied on the dietician's information for data entry but did not verify its accuracy. The Resident Assessment Instrument (RAI) manual specifies that significant weight changes should be coded, but this was not adhered to, resulting in the deficiencies noted in the report.
Medication Room Cleanliness Deficiency
Penalty
Summary
The facility failed to maintain a clean and sanitary medication room, as observed during a survey. The medication room floor was found to be dirty with a brown substance and littered with paper, while the counter was cluttered with brown boxes and papers. RN #2 acknowledged the condition of the room and stated that it was the responsibility of the housekeeping staff to keep the floor clean and the nurses to ensure the room was free of clutter. Interviews with housekeeping staff revealed confusion regarding the responsibility for cleaning the medication room. Housekeeper #1 and Housekeeper #2 both indicated that it was not their responsibility to clean the medication room, with Housekeeper #2 stating she only cleaned the nursing station. The Administrator confirmed that housekeeping was responsible for cleaning the medication room daily, but upon inspection, acknowledged the room's unclean state. A facility policy for housekeeping was requested but not provided.
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What surveyors actually found near you
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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) |
|---|---|---|---|---|
| Silver Springs Care Center | 0.1 mi | ★★★★★ | 4 | 0 |
| Meriden Health And Rehab | 0.5 mi | ★★★★★ | 5 | 0 |
| Bradley Home Infirmary/pavilion | 1.4 mi | ★★★★★ | 3 | 0 |
| Complete Care At Meriden | 2 mi | ★★★★★ | 13 | 0 |
| Connecticut Baptist Homes, Inc | 2.8 mi | ★★★★★ | 9 | 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.