Above 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 John L. Levitow Health Care Center during CMS and state inspections, most recent first.
A resident with a history of stroke, brain dysfunction, and dementia experienced a decline in ambulation ability, but the facility did not reassess or maintain ambulation interventions after the decline. Despite documentation of the resident's ability to perform some mobility tasks with assistance, ambulation was discontinued without a comprehensive evaluation, and no functional maintenance program was implemented. Staff and family interviews confirmed the resident's loss of ambulation was not properly addressed according to facility policy.
The facility did not provide varied recreational activities on Sundays, offering only a streamed Catholic mass as the sole scheduled program. Residents reported that no recreation staff were present on Sundays, and those unable to self-initiate activities or uninterested in religious services had no organized options for engagement.
Multiple residents reported that their food was often cold or not hot enough. Despite the facility's process for monitoring food temperatures and documentation showing compliance before service, a test tray observation revealed that some food items were served below the required 140°F, with discrepancies noted between thermometer readings. The facility's procedure required hot foods to be maintained at or above 140°F, but this standard was not consistently met.
A resident with mobility impairments and moderate cognitive impairment, who required two staff and a mechanical lift for transfers, was not consistently assisted out of bed before breakfast as per their preference. Staff were aware of the resident's wishes, but due to typical staffing levels, the request was often delayed until after breakfast, despite facility policy supporting resident choice and self-determination.
A resident with CHF experienced a significant weight gain of 12 lbs (5.3%) over 28 days, but the provider was not notified as required by facility policy and physician orders. The APRN, RN, and Dietician were unaware of the weight change due to communication lapses and misunderstandings about monitoring frequency, resulting in delayed assessment and intervention for symptoms of fluid overload.
A resident with CHF, COPD, and hypertension experienced a significant weight gain over 28 days without appropriate follow-up, as required by facility policy. Staff did not implement CHF assessments, failed to notify the provider of the weight gain, and did not track the resident's weight as required, resulting in unaddressed symptoms of fluid retention.
A resident with quadriplegia and moderate cognitive impairment, fully dependent on staff, was observed smoking without adequate supervision, as staff left the area while the resident smoked using only their lips, with ashes falling on their apron and the cigarette near their beard. The care plan's previous intervention of a smoking extender was discontinued without replacement, and staff did not consistently update or follow individualized interventions. Nursing assessments were completed without direct observation, and facility policy lacked clear guidance on smoking assessments.
Failure to Reassess Ambulation Ability After Decline in Function
Penalty
Summary
A deficiency occurred when the facility failed to reassess a resident's ambulation ability after a decline in function. The resident, who had a history of stroke, traumatic brain dysfunction, and dementia, was initially assessed as requiring supervision or touching assistance for ambulation. Over time, the resident experienced a decline, including increased cognitive impairment, lethargy, and changes in posture, which led to the discontinuation of ambulation interventions without a comprehensive reassessment of ambulation potential. Despite documentation indicating the resident was no longer ambulating and had transitioned to a modified postural tilt wheelchair, there was no evidence that the facility implemented a functional maintenance program to preserve ambulation abilities. Physical therapy screenings noted the resident could perform sit-to-stand transfers and march in place with assistance, but no skilled PT was initiated, and ambulation was not consistently attempted or documented. The resident's family expressed concerns about the loss of ambulation, but were informed that the resident did not qualify for PT services. Interviews with staff confirmed that the resident had previously ambulated with a walker but stopped after multiple falls and a significant medical decline. The facility's change in condition policy required assessment and notification of changes, but the resident's ambulation ability was not formally reassessed following the decline. This resulted in a failure to ensure the resident did not lose the ability to perform activities of daily living unless medically unavoidable.
Lack of Varied Recreational Activities on Sundays
Penalty
Summary
The facility failed to provide varied recreational activities for all residents on Sundays, offering only a streamed Catholic mass as the sole scheduled activity. Interviews with the Veteran Council revealed that while a recreation staff member was present on Saturdays, no staff were available on Sundays to facilitate activities, leaving residents without options for engagement unless they could initiate activities themselves or chose to participate in the religious service. The activity calendars from August 2024 through February 2025 confirmed that Catholic mass was the only activity listed on Sundays. The Administrator acknowledged the absence of a Chaplain for in-person services and confirmed that, aside from open access to certain rooms, no organized activities were provided by recreation or other departments for residents unable to participate independently or uninterested in spiritual programming.
Failure to Serve Food at Safe and Palatable Temperatures
Penalty
Summary
The facility failed to ensure that food was served at appropriate temperatures for palatability, as evidenced by multiple resident interviews and direct observation. Several residents reported that their food was often cold or not hot enough, with no specific meal identified. The Food Services Supervisor described the process for maintaining food temperature, which included documenting temperatures as food arrived from the main kitchen, taking temperatures five minutes before service, using plate warmers, and covering plates. A review of temperature logs showed that temperatures were recorded and met food code standards prior to service. However, during a test tray observation, discrepancies were found between the surveyor's and the Food Services Director's thermometers, with some food items, such as salmon and stuffed cabbage, measuring below the facility's infection control procedure requirement of 140 degrees Fahrenheit. The surveyor noted that the salmon felt cool to the touch, despite the Food Services Director stating that temperatures between 130 and 135 degrees Fahrenheit were acceptable. The facility's documented procedure required hot foods to be maintained at 140 degrees Fahrenheit or above, except during preparation, cooking, or cooling.
Failure to Accommodate Resident's Out-of-Bed Preference Due to Staffing
Penalty
Summary
A resident with diagnoses including spinal stenosis, difficulty walking, and chronic pain syndrome, who was moderately cognitively impaired and dependent on staff for mobility and transfers, expressed a preference to get out of bed before breakfast to use the gym. The resident required assistance from two staff members and the use of a sit-to-stand lift for transfers, as documented in the care plan and physician's orders. Despite the resident's repeated requests and staff awareness of this preference, the facility often did not accommodate the resident's desired schedule due to staffing limitations, resulting in the resident typically remaining in bed until after breakfast. Staff interviews confirmed that the resident's preference was known, but the usual staffing pattern of three nurse aides per unit made it difficult to honor the request, as two aides were needed for the transfer. On occasions when additional staff were present, the resident was able to get up earlier. The Director of Nursing and LPN acknowledged the situation, with the LPN stating she would assist if asked. The facility's policy emphasized respecting resident wishes and promoting self-determination, but the resident's preference was not consistently supported prior to the surveyor's inquiry.
Failure to Notify Provider of Significant Weight Gain in CHF Resident
Penalty
Summary
The facility failed to notify the provider of a significant weight gain in a resident with Congestive Heart Failure (CHF), as required by facility policy and physician orders. The resident, who had diagnoses including CHF, COPD, and hypertension, was ordered to be weighed weekly. Over a 28-day period, the resident experienced a 12 lb (5.3%) weight increase, which was not communicated to the provider. Interviews revealed that the Advanced Practice Registered Nurse (APRN) was unaware of the weight gain and would have taken clinical actions if notified. The Registered Nurse (RN) acknowledged that, despite the absence of explicit notification parameters, the significant weight gain should have been reported to the Dietician and nursing supervisor, but this did not occur. Further review showed that the Dietician was not tracking the resident's weekly weights due to a misunderstanding and was not informed of the weight gain. Facility policies required provider notification for a 5% weight change in one month and emphasized early recognition and management of heart failure symptoms. The lack of communication resulted in a delay in provider assessment and intervention for the resident, who was later found to have mild shortness of breath and pitting edema, with the weight gain attributed to fluid overload.
Failure to Monitor and Respond to CHF-Related Weight Gain
Penalty
Summary
A deficiency occurred when the facility failed to provide care in accordance with professional standards for a resident diagnosed with congestive heart failure (CHF), chronic obstructive pulmonary disease (COPD), and hypertension. The resident was ordered to be weighed weekly, but experienced a significant weight gain of 12 pounds (5.3%) over 28 days without appropriate follow-up. The facility's CHF policy required daily weights and provider notification for a weight gain of 3 pounds in a day or 5 pounds in a week, but these parameters were not reflected in the physician's orders for the resident. Additionally, there were no CHF assessment orders or weight parameters in place, and no follow-up assessments, reweights, or provider notifications were completed despite the significant weight gain. Interviews with facility staff revealed a lack of adherence to the CHF policy, with staff unable to explain why CHF assessments were not implemented for the resident. The dietician was not tracking the resident's weight, believing the resident was on a monthly rather than weekly weight schedule. Edema was reported by nursing aides but not followed up with appropriate clinical assessments or provider notifications. The resident was later found to have mild shortness of breath and +2 pitting edema, with the weight gain attributed to fluid retention. The facility's failure to monitor and respond to changes in the resident's condition was inconsistent with its own policies and professional standards of care.
Failure to Ensure Safe Supervision and Environment for Dependent Resident During Smoking
Penalty
Summary
A deficiency occurred when the facility failed to ensure a safe smoking environment for a resident with quadriplegia, moderate cognitive impairment, and total dependence on staff for daily activities. The resident required full mechanical lift for transfers and had a care plan identifying smoking as an area of concern, with interventions such as quarterly smoking assessments, staff supervision, use of a smoking apron, and assistance with lighting and disposing of cigarettes. Despite these interventions, the resident was observed smoking outside with a lengthy beard, using only their lips to hold the cigarette, as they were unable to use their hands. Staff supervision was inadequate, as the assigned smoking monitor left the resident unattended while assisting others, and the resident smoked the cigarette down to the filter with ashes falling on the apron and the cigarette moving near the beard. The resident's care plan previously included the use of a smoking extender, but this intervention was discontinued due to the resident's refusal, and no alternative intervention was implemented or documented. Quarterly smoking assessments were completed by nursing staff based on information from smoking monitors rather than direct observation, and there was a lack of documentation regarding the resident's refusal to use the smoking extender. The care plan was not updated to reflect new interventions after the extender was discontinued, and staff were not consistently aware of current interventions for the resident. Facility policy required clinicians to determine and document tobacco status, complete smoking assessments on admission and quarterly, and develop individualized care plans. However, there was no policy available regarding how to complete a smoking assessment, and staff interviews revealed inconsistent practices and lack of direct observation by licensed nurses. These actions and inactions resulted in the failure to provide adequate supervision and a safe environment for the resident during smoking activities.
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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 Rocky Hill
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| 60 West | 0.6 mi | ★★★★★ | 0 | 0 |
| Apple Rehab Rocky Hill | 1.1 mi | ★★★★★ | 1 | 0 |
| Maple View Health & Rehabilitation Center | 1.6 mi | ★★★★★ | 1 | 0 |
| Pilgrim Manor | 3.6 mi | ★★★★★ | 0 | 0 |
| Autumn Lake Healthcare At Cromwell | 3.6 mi | ★★★★★ | 0 | 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.