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 Southington Care Center during CMS and state inspections, most recent first.
Four residents with cognitive impairments and special dietary needs were observed eating meals in the hallway rather than in a dining area, with staff interviews revealing unclear reasons for this practice and care plans lacking documentation of hallway dining. The facility did not provide a dining policy, and staff cited fall risks and staffing shortages as possible factors.
The facility did not develop or implement an effective plan to address repeated incidents of missing and delayed resident laundry items. Multiple reports and resident interviews confirmed ongoing issues, with some residents experiencing repeated losses and significant delays in laundry return. Despite staff education and a change in linen vendors, the problem persisted, and the QAA Committee failed to review or address these incidents as part of their grievance process.
A staff member accessed a resident's credit card from an unlocked drawer in the resident's room and used it to make unauthorized purchases in the community. The resident, who had dementia and memory deficits, was unable to protect their property. The incident was discovered after the resident's family reported unknown charges, and facility investigation confirmed the misappropriation.
A facility failed to properly store bedpans and implement Enhanced Barrier Precautions (EBP) for several residents with conditions requiring such measures. Observations revealed improper storage of a bedpan and lack of necessary PPE and signage for residents with indwelling catheters, wounds, and infections. The Infection Preventionist cited delays in staff education and policy finalization as reasons for the oversight.
The facility failed to report significant weight gains for a resident with congestive heart failure and did not adhere to fluid restriction orders for another resident with heart failure. Despite physician orders and facility policies requiring notification of weight changes and fluid intake exceedance, the facility did not inform the physician or APRN. Interviews revealed a lack of awareness among staff regarding these protocols, leading to deficiencies in resident care.
A resident with congestive heart failure, dementia, and hypertension was not weighed daily as ordered by the physician, with multiple days of missing weights over several months. The Charge Nurse was responsible for ensuring daily weights and reporting significant changes, but this was not consistently done, violating the facility's Weight Tracking Policy.
A facility failed to accurately code a resident's MDS for PASRR Level II status. The resident, with serious mental illness diagnoses, required a PASRR Level II evaluation, but the MDS did not reflect this status. The MDS Coordinator acknowledged the coding errors for multiple assessment dates, which were identified during a surveyor inquiry.
Failure to Provide Dignified Dining Experience
Penalty
Summary
Surveyors identified that the facility failed to ensure a dignified dining experience for four residents who were reviewed for dining practices. These residents, all with significant cognitive impairments and various diagnoses such as dementia, depression, anxiety, dysphagia, and nutritional deficits, were observed eating their meals in the hallway rather than in a designated dining area. Observations on two consecutive mornings showed these residents lined up against the hallway wall, with some being fed by staff and others eating independently. The residents' care plans did not reflect that meals would be taken in the hallway, nor did they address the circumstances under which this would occur. Interviews with facility staff revealed a lack of clarity and consistency regarding the rationale for hallway dining. One RN stated that residents were placed in the hallway due to fall risks and insufficient staffing to open the dining room for breakfast. A nursing assistant was unaware of the reason for hallway dining, and the Director of Nursing Services (DNS) acknowledged awareness of the practice but could not specify which residents were affected. The DNS also noted that the dining room had not reopened for breakfast since the onset of COVID-19, and that nursing staff were responsible for ensuring residents were in the dining room if it was open. The Care Plan Coordinator confirmed that care plans did not address hallway dining, as she was unaware of which residents ate meals in the hallway. The facility was unable to provide a policy on dining when requested. Physician orders for the residents specified various dietary needs and precautions, including soft or puree diets, small bites, alternating solids and liquids, and supervision during meals. However, these orders and the residents' care plans did not address or justify the practice of eating in the hallway, nor did they document any individualized assessment or planning for this arrangement.
Failure to Address and Monitor Ongoing Resident Laundry Losses
Penalty
Summary
The facility failed to develop and implement an effective plan to address ongoing issues with missing and delayed resident laundry items. Documentation review revealed that from December 2024 to December 2025, there were 53 reports of missing laundry items, including clothing and blankets, with some residents experiencing repeated losses. Residents reported that laundry was sometimes mixed with facility linens and sent to an outside vendor, resulting in items not being returned. Additionally, laundry was sometimes delivered to the wrong rooms, causing further delays, with some residents waiting over a week or more than 11 days to have their items returned. Despite staff education and signage, residents continued to report missing or delayed laundry. Interviews with residents and staff confirmed ongoing concerns. Residents at a council meeting expressed dissatisfaction with the timeliness and accuracy of laundry return, noting inconsistencies in how laundry attendants managed the process. The Administrator acknowledged awareness of the problem but admitted that no formal root cause analysis or structured plan had been initiated to resolve the issue or monitor the effectiveness of any interventions. The Maintenance Director, responsible for the laundry department, confirmed a recent change in linen vendors, but missing items reports persisted after the change. Review of the Quality Assessment and Assurance (QAA) Committee meeting minutes showed that missing laundry items were not consistently reviewed or addressed as part of the facility's grievance process, despite multiple reports each month. The QAPI plan required the committee to address all systems of care, prioritize problems, and use root cause analysis, but the missing items log was not considered as part of grievances, and missing laundry issues were not discussed in committee meetings. This lack of systematic review and follow-up contributed to the ongoing deficiency.
Misappropriation of Resident Property by Staff Member
Penalty
Summary
A deficiency occurred when a staff member removed a resident's credit card from the resident's wallet, which was kept in an unlocked drawer in the resident's room, and used it to make unauthorized purchases in the community. The resident had diagnoses including dementia, multiple rib fractures, and muscle weakness, and was documented to have some short and long-term memory recall deficits. The unauthorized use of the credit card was discovered after the resident's family noticed unknown charges on the credit card statement and reported it to the facility. The facility's investigation confirmed that the credit card was missing and had been used for unauthorized purchases over a period of time. Video footage provided by the police enabled the facility to identify the staff member responsible. The staff member, a nurse aide, was able to access the resident's wallet and credit card due to the unsecured storage in the resident's room. Facility policy prohibits misappropriation of resident property, defining it as the wrongful use of a resident's belongings or money without consent.
Failure to Implement Infection Control Measures
Penalty
Summary
The facility failed to properly store bedpans for Resident #27, who was diagnosed with congestive heart failure, dementia, and hypertension. Observations on two separate occasions revealed that the bedpan was uncovered, unlabeled, and placed on the floor beside the toilet in the resident's bathroom. This was contrary to the facility's policy, which required bedpans to be cleansed, dried, covered, and stored in the resident's bedside cabinet. RN #1 confirmed the improper storage and acknowledged that the bedpan should have been stored correctly. For six residents, the facility failed to implement Enhanced Barrier Precautions (EBP) as required. Residents #30, #68, #77, #111, #118, and #675, all of whom had conditions necessitating EBP, did not have the necessary Personal Protective Equipment (PPE) available outside their rooms, nor was there signage indicating the need for EBP. These residents had various medical conditions, including indwelling catheters, wounds, and infections, which required EBP to prevent the spread of infection. The absence of PPE and signage was noted during a tour of the unit. The facility's Infection Preventionist, RN #5, acknowledged that EBP was not initiated for all residents who required it due to the need for staff and family education and the finalization of the facility's EBP policy. Despite previous in-service education on EBP, the facility did not adhere to its policy, which required clear signage and physician orders for residents with wounds or indwelling medical devices. This oversight led to a failure in implementing necessary infection control measures for the affected residents.
Failure to Report Weight Gain and Fluid Restriction Exceedance
Penalty
Summary
The facility failed to report significant weight gains for a resident diagnosed with congestive heart failure, dementia, and hypertension. Physician orders required daily weight monitoring and notification of any weight gain of 3 pounds in one day or 5 pounds in one week. However, the facility did not notify the physician or APRN of Resident #27's weight gains on multiple occasions, including a 7.6-pound gain in two days, a 9.6-pound gain in two days, and a 4.2-pound gain in two days. Interviews with nursing staff revealed a lack of awareness or understanding of the policy and physician orders, leading to the failure to report these significant weight changes. Additionally, the facility did not adhere to fluid restriction orders for another resident with acute diastolic heart failure and chronic systolic heart failure. The resident had a physician's order for a fluid restriction of 1900 ml in 24 hours, but records showed that the resident exceeded this limit on numerous occasions over several months. Despite the repeated exceedance of the fluid restriction, the facility failed to notify the APRN, as expected by the facility's policy and the APRN's own expectations. Interviews with the APRN and DNS confirmed that the facility's policy required notification of the physician or APRN when a resident exceeded fluid restrictions or experienced significant weight changes. The facility's failure to follow these protocols for both residents indicates a deficiency in adhering to physician orders and facility policies, potentially impacting the residents' health management.
Failure to Monitor Daily Weights for Resident with Congestive Heart Failure
Penalty
Summary
The facility failed to adhere to physician orders for daily weight monitoring of a resident diagnosed with congestive heart failure, dementia, and hypertension. The orders specified that the resident should be weighed daily, and any weight gain of 3 pounds in one day or 5 pounds in one week should be reported to the physician. However, a review of the weight records revealed multiple instances of missing daily weights over several months, including 8 days in November 2023, 13 days in December 2023, 15 days in January 2024, 10 days in February 2024, 9 days in March 2024, and 5 days in April 2024. Interviews and observations indicated that the Charge Nurse was responsible for ensuring the completion of daily weights and reporting any significant changes to the physician or APRN. Despite this responsibility, the Charge Nurse confirmed that the daily weights were not consistently completed as ordered, and no explanation was provided for the lapses. The facility's Weight Tracking Policy mandates daily weighing for residents with congestive heart failure and immediate notification to the physician and registered dietician in case of significant weight gain, which was not followed in this case.
Inaccurate MDS Coding for PASRR Level II
Penalty
Summary
The facility failed to ensure the comprehensive Minimum Data Set (MDS) assessment was accurately coded for a resident who required a PASRR Level II evaluation. The resident, who was admitted with diagnoses including schizoaffective disorder, major depressive disorder, and anxiety disorder, had a PASRR Level I report indicating the need for a Level II evaluation. The PASRR Level II report confirmed the resident's care needs were appropriate for a nursing facility setting. However, the annual MDS assessment did not reflect the resident's Level II PASRR status in Section A 1500, despite the resident having serious mental illness diagnoses. Interviews and clinical record reviews revealed that the MDS Coordinator failed to identify the coding errors in Section A 1500 of the MDS for multiple assessment dates. The omissions were acknowledged as errors by the MDS Coordinator, who stated that the MDS staff were responsible for answering questions A 1500 and A 1510. The failure to accurately code the resident's PASRR Level II status was identified during a surveyor inquiry, leading to a subsequent correction of the MDS.
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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 Southington
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Summit At Plantsville Center For Health & Rehabili | 0.9 mi | ★★★★★ | 13 | 0 |
| Livewell Connecticut | 1.9 mi | ★★★★★ | 1 | 0 |
| Bradley Home Infirmary/pavilion | 5.4 mi | ★★★★★ | 3 | 0 |
| Civita Care Center At Cheshire | 5.5 mi | ★★★★★ | 2 | 0 |
| Meriden Health And Rehab | 5.8 mi | ★★★★★ | 5 | 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.