Above average — CMS composite of the measures below.
A standard survey is most likely before around September 2026
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 Stone Bridge Center For Health & Rehabilitation during CMS and state inspections, most recent first.
Excessive Unit Temperatures: Two residents were found in an excessively hot unit when the HVAC was not working and the thermostat read 90 degrees F. EMS documented one resident as weak, unable to stand, with slowed speech, dry skin, and tenting, and the hospital noted possible heat exhaustion. The other resident was lethargic with poor intake, weight loss, and was hot to the touch; EMS reported the floor was exceptionally hot and the resident had a fan at the bedside.
Elopement Risk Assessment Not Completed Timely: A resident with schizoaffective disorder, Wernicke's encephalopathy, DM, and epilepsy left the facility without staff knowledge after telling a staff member a friend was picking him/her up and they were going to a diner. Staff watched the resident briefly from the receptionist desk, then the resident was found walking toward the road and was returned without injury. The resident had not had a documented elopement risk assessment for more than a year before the incident, despite care plan concerns for impaired thought processes and the DON stating assessments are completed on admission, readmission, and with a change in condition.
Two residents experienced accidents due to staff failing to use required assistive devices during transport and transfers. In one case, a resident's leg was caught under a wheelchair when leg rests were not used, and in another, a resident sustained a significant leg laceration during a transfer when a rolling walker and gait belt were not utilized as ordered. These incidents occurred despite clear care plans and staff knowledge of proper procedures.
Two residents with severe cognitive impairment and multiple chronic conditions were not assessed for or administered the pneumococcal vaccine, despite facility policy and documented consent. Clinical records lacked evidence of vaccine administration or refusal, and the Infection Preventionist confirmed the process was not completed as required.
A resident with severe cognitive impairment and mobility deficits was slapped by another resident with a history of wandering and aggression. The aggressive resident's care plan did not initially address wandering or aggressive behaviors, despite repeated incidents. The lack of effective interventions and care planning led to a resident-to-resident altercation.
A deficiency was identified when a resident with Alzheimer's disease and behavioral symptoms repeatedly wandered into other residents' rooms, but the comprehensive care plan did not address this behavior despite it being documented in assessments and progress notes. Staff interviews confirmed the omission, and the care plan was not updated to include interventions for wandering until months after admission.
A resident with Alzheimer's disease was administered Namenda despite repeated refusals from the responsible party and without notification to them. Staff interviews confirmed that the required notification and documentation did not occur, and the responsible party remained unaware of the medication change for several months.
A resident with multiple medical conditions was discharged home with health services arranged, but the facility failed to provide the required notification of the discharge to the Ombudsman's office. Review of records showed that reports of admissions, discharges, and transfers had not been submitted for several months, and the staff responsible was unaware of the required reporting frequency.
Excessive Unit Temperatures
Penalty
Summary
The facility failed to maintain comfortable temperatures within the required range of 71 to 81 degrees Fahrenheit for two residents reviewed for resident rights. On 4/15/26, the unit where Resident #2 and Resident #3 resided was reported by EMS and staff to be exceptionally hot, with a thermostat reading of 90 degrees Fahrenheit. The report states that the facility had no air conditioning for several days, and the indoor temperature had risen to about 90 degrees Fahrenheit. A photo submitted by Person #1 showed the thermostat reading 90 degrees Fahrenheit, and the thermostat manual indicated the device displayed the current ambient indoor temperature. Resident #2 had diagnoses including dementia, anemia, diabetes mellitus, restlessness-agitation, and anxiety disorder, and the MDS identified moderate cognitive impairment with assistance needed for ADLs. The resident’s care plan addressed impaired cognitive function related to dementia. On 4/15/26, staff noted weakness and changes in speech, and EMS was called for stroke-like symptoms. EMS documented that Resident #2 was weak, unable to stand as usual, had slower speech, and was hot to the touch with dry skin and tenting. EMS also documented that the facility was severely hot. The hospital record noted possible heat exhaustion, and the resident was kept overnight because the facility still had no air conditioning. Resident #3 had diagnoses including chronic respiratory failure, COPD, emphysema, diabetes mellitus, dementia, and anxiety disorder. The resident’s care plan identified deficits in self-care related to dementia, COPD, and chronic respiratory failure requiring supplemental oxygen. EMS was called because staff reported the resident had been lethargic for four days, with poor intake and recent weight loss. EMS documented that the third floor was exceptionally hot and that the resident had a fan at the foot of the bed. The hospital record noted generalized weakness, decreased oral intake, weight loss, altered mental status from baseline, poor hygiene, and that the resident felt hot to the touch while residing on a floor where the air conditioning was not working.
Elopement Risk Assessment Not Completed Timely
Penalty
Summary
The facility failed to ensure elopement risk assessments were completed timely for a resident who left the facility without staff knowledge. The resident had diagnoses including schizoaffective disorder, Wernicke's encephalopathy, diabetes mellitus, and epilepsy. The annual MDS identified the resident as cognitively intact with a BIMS score of 14/15, no wandering behaviors, and independent ambulation, while the care plan identified impaired thought processes related to schizoaffective disorder, suicidal ideations, Wernicke's encephalopathy, and alcohol dependence, with interventions to provide cues, reorient, and supervise as needed. The most recent documented elopement risk assessment was completed more than a year before the incident and identified the resident as not at risk for elopement. On 4/17/26, staff observed the resident outside and heard the resident say a friend was coming to pick him/her up and they were going to the diner. A staff member watched the resident from the receptionist desk, then left to notify another staff member of concerns. About five minutes later, the resident was no longer outside. Another resident reported the resident walked up the hill, and four staff members went to locate the resident. An off-duty staff member was already with the resident at the road, and the resident stated he/she was walking to the diner to wait for a friend. The resident returned to the facility without injury, and a new elopement assessment was completed after the event. The DON stated nursing staff are responsible for completing elopement risk assessments on admission, readmission, and with a change in condition, and the facility report noted the resident had not previously been identified as an elopement risk.
Failure to Prevent Accidents During Resident Transport and Transfers
Penalty
Summary
The facility failed to ensure that wheelchair leg rests were in place during the transport of a resident, resulting in an accident. One resident with a history of cerebral infarction, narcolepsy, anemia, peripheral vascular disease, and muscle weakness was dependent on staff for transfers and wheelchair mobility. During transport by a recreation aide, the resident's left leg became caught under the wheelchair because the leg rests were not used, despite facility expectations that leg rests be in place during transport. The aide confirmed that the leg rests were not in use at the time of the incident, and the director of nursing services acknowledged that this failure could result in accidents or injuries. Another deficiency involved the improper transfer of a resident with dementia, atrial fibrillation, anemia, and feeding difficulties. This resident required maximal assistance for transfers and was care planned to use a rolling walker with one staff assist. During a transfer from wheelchair to bed, the nurse aide did not use the required rolling walker or a gait belt, and allowed the resident to hug her during the transfer. The resident was exhausted and unable to follow directions, but the aide did not seek additional help or notify the charge nurse. As a result, the resident's right lower leg was lacerated, requiring emergency care and staples to close the wound. The director of nursing and regional clinical nurse confirmed that the transfer was not performed as ordered and that the lack of assistive device use contributed to the injury. In both cases, the facility did not provide documentation of a wheelchair transport policy when requested. The failures to follow established care plans and transfer techniques, as well as the lack of required equipment use during resident transport and transfers, directly led to accidents and injuries for the residents involved.
Failure to Assess and Administer Pneumococcal Vaccine to Residents
Penalty
Summary
The facility failed to ensure that two residents were properly assessed for and administered the pneumococcal vaccine as required. One resident, who had diagnoses including Alzheimer's disease, atrial fibrillation, and chronic systolic congestive heart failure, was admitted with severely impaired cognition. Despite providing consent for the pneumococcal vaccination series, there was no documentation in the clinical records that the vaccine was administered or refused. The Infection Preventionist confirmed that the resident should have received the vaccine upon consent, and it was the responsibility of the previous Infection Preventionist to ensure this process was completed. Another resident with diagnoses of type 2 diabetes mellitus, Alzheimer's disease, chronic kidney disease stage 3, and hyperlipidemia also had severely impaired cognition and had not received or been offered the pneumococcal vaccine. Clinical records did not show any prior vaccination history or documentation of refusal. The Infection Preventionist stated that the process involves the admitting nurse offering the vaccine, followed by review and administration by the Infection Preventionist, but acknowledged that this was not completed for the resident in question. Facility policy requires all residents to be evaluated and offered the pneumococcal vaccine per CDC guidelines, but this was not followed in these cases.
Failure to Prevent Resident-to-Resident Mistreatment Due to Inadequate Behavioral Interventions
Penalty
Summary
A resident with severe cognitive impairment, functional mobility deficits, and a history of agitation was involved in a resident-to-resident altercation. The resident, who was non-ambulatory and used a wheelchair, was seated in their room when another resident entered, refused to leave when asked, and then slapped the first resident in the face. The incident was documented, and the resident was assessed with no injuries found. The resident who initiated the altercation had a diagnosis of Alzheimer's disease with mood disturbance and a documented history of wandering into other residents' rooms, agitation, and both verbal and physical aggression toward staff and others. Despite repeated documentation of these behaviors over several months, the care plan did not initially address the resident's wandering or adequately mitigate the risk of aggressive behaviors toward other residents. The care plan was only revised to include interventions for wandering and 1:1 monitoring after the altercation occurred. Staff interviews revealed that the aggressive resident often refused medications, which impacted their behavior, and that family members were sometimes called to assist with redirection. Facility policy indicated that abuse investigations were not completed for staff assaults unless injury occurred. The failure to address the resident's wandering and aggressive behaviors in the care plan and to implement effective interventions led to the incident of resident-to-resident mistreatment.
Failure to Address Resident Wandering in Comprehensive Care Plan
Penalty
Summary
A deficiency occurred when the facility failed to develop a comprehensive care plan addressing a resident's behavior of wandering into other residents' rooms, despite this behavior being identified on both the admission and significant change MDS assessments. The resident, who was admitted with Alzheimer's disease and mood disturbance, exhibited repeated incidents of wandering, agitation, and aggression, as documented in multiple nursing progress notes. These behaviors included entering other residents' rooms, becoming agitated when redirected, and displaying physical and verbal aggression toward staff. Although the MDS assessments triggered behavioral symptoms and indicated that these should be included in the comprehensive care plan, the care plans dated after admission did not specifically address the wandering behavior. The care plan included interventions for emotional, intellectual, and social needs, as well as for potential aggression, but omitted targeted interventions for wandering into other residents' rooms. This omission persisted even after ongoing documentation of the resident's wandering and related behaviors in the clinical record. Interviews with facility staff, including LPNs and nursing supervisors, confirmed that the behavior of wandering into other residents' rooms should have been included in the care plan. The facility's policy required that the care plan be kept current and updated by all disciplines when new problems arise. Despite this, the care plan was not updated to address the resident's wandering behavior until several months after admission, following repeated incidents and staff acknowledgment of the oversight.
Failure to Notify Responsible Party of New Medication Order
Penalty
Summary
The facility failed to notify the responsible party of a resident with Alzheimer's disease and dysphagia when a new medication, Namenda, was added to the resident's medication regimen. Despite multiple documented refusals by the responsible party to add Namenda, and clear notes from the APRN indicating ongoing refusal and education provided, the medication was ordered by the physician and subsequently administered to the resident over several months. There was no documentation in the nurses' notes or elsewhere that the responsible party was informed of the new order or the administration of Namenda. Interviews with staff confirmed that the process for new medication orders requires the approving RN supervisor to notify the responsible party and document this notification, which did not occur in this case. The responsible party reported being unaware of the medication change and expected to be notified to provide input on medication management. The facility was unable to provide a policy regarding notification of changes, and staff interviews revealed gaps in the process for reviewing and communicating medication changes during care conferences.
Failure to Notify Ombudsman of Resident Discharge
Penalty
Summary
The facility failed to provide the required notification to the Ombudsman's office regarding the transfer and discharge of a resident diagnosed with acute osteomyelitis of the left foot and ankle, and type 2 diabetes mellitus with diabetic neuropathy. The resident, who had intact cognition and required moderate assistance with activities of daily living, was discharged home with health services arranged. Documentation showed that the social worker met with the resident to discuss the discharge and arranged transportation, but the required notification to the Ombudsman's office was not completed at the time of discharge. A review of facility records revealed that the last report of admissions, discharges, and transfers sent to the State Ombudsman's office was in February, despite multiple discharges and transfers occurring in the subsequent months. The social worker responsible for submitting these reports indicated she was unaware that the reports were required monthly and had fallen behind in reporting. The administrator confirmed that it was the social worker's responsibility to submit the reports monthly, but there was no written policy in place regarding this process.
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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 Newtown
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| River Glen Health Care Center | 5.7 mi | ★★★★★ | 0 | 0 |
| Springs At East Hill, The | 7.3 mi | — | 0 | 0 |
| Bethel Health Care Center | 7.5 mi | ★★★★★ | 0 | 0 |
| St Joseph's Center | 7.6 mi | — | 0 | 0 |
| Pomperaug Woods Health Center | 7.7 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.