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 Suffield House Rehabilitation And Healthcare Cente during CMS and state inspections, most recent first.
Two residents experienced significant bruising and made or were subject to allegations of rough care or injuries of unknown origin. In both cases, required incident reports were delayed or incomplete, and the State Agency was not notified as mandated by policy and regulation. Staff cited lack of access to the reporting system and personal judgment about the cause of injuries as reasons for not reporting.
A resident with dementia and a history of multiple falls experienced repeated unwitnessed falls, including one resulting in a spinal fracture, due to the facility's failure to provide adequate supervision and implement individualized fall prevention measures. Despite escalating interventions and staff awareness of the resident's high risk, close observation protocols such as 1:1 supervision or frequent safety checks were not put in place, largely due to staffing limitations.
A resident with Juvenile Rheumatoid Arthritis and anxiety requested to be out of bed before breakfast to attend exercise classes, as documented in their care plan and physician's orders. However, observations showed the resident still in bed past the requested time on multiple occasions. Staff interviews revealed that the request was not consistently met due to complex care needs and staffing shortages, impacting the resident's ability to participate in activities.
A resident with Juvenile Rheumatoid Arthritis was not ambulated according to their restorative care plan due to staffing shortages. The care plan required supervised ambulation every shift, but records showed it was only done on the day shift for 10 days in December. Staff interviews confirmed the inability to follow the plan due to insufficient staffing and time constraints.
A resident with atrial fibrillation and hypertension experienced palpitations and requested a PRN medication. The nurse administered the resident's morning dose of Diltiazem HCL extended release 240 mg instead of the PRN Diltiazem HCl 30 mg, due to a misunderstanding of the dosage and mechanism. The Director of Nursing confirmed the PRN medication was available in-house but not sent by the pharmacy. The nurse practitioner was unaware of the incorrect dosage given. Although the resident felt relief, the medication took longer to act, indicating a failure to follow physician's orders.
Two residents suffered injuries due to the facility's failure to adhere to care plans and policies. One resident, with mobility issues, was transported without wheelchair footrests, resulting in a fractured talus. Another resident, requiring substantial assistance, was transferred by a single aide without the necessary equipment, leading to a fall and abrasion. These incidents underscore the importance of following care plans and ensuring staff awareness of resident needs.
A facility failed to consistently monitor a resident's fluid intake and output, despite the resident's diagnosis of End Stage Renal Disease and risk for dehydration. The resident's dietary assessment indicated a daily fluid need, and a physician's order required monitoring every shift. However, multiple entries were missing from the intake and output records, making it impossible to determine if the resident met their fluid goals. The DNS acknowledged the missing entries and could not explain the incomplete records, indicating a failure to adhere to facility policy and physician's orders.
A resident with dementia and limited mobility was subjected to staff abuse when a nursing assistant tapped the resident's forehead, grabbed and shook their arm, and made aggressive statements during care. The incident was witnessed by two LPNs, who intervened and reported the behavior to the nursing supervisor. Facility policy requires residents to be free from abuse, and staff interviews confirmed the actions were inappropriate.
Failure to Timely Report Allegations of Mistreatment and Injuries of Unknown Origin
Penalty
Summary
The facility failed to ensure timely notification to the State Agency upon learning of allegations of mistreatment and injuries of unknown origin for two residents. In the first case, a resident with heart failure and on dual antiplatelet therapy was found to have a large, discolored bruise on the back of the left upper arm. The resident reported to staff that a night aide had been rough during weighing, but could not identify the individual. Despite this allegation and the presence of a significant bruise, the incident report was not completed until two days after the event, and the State Agency was not notified as required. The Assistant Director of Nursing (ADNS) cited lack of access to the online reporting system as a reason for not reporting, and the Director of Nursing (DNS) stated she did not report because the resident later denied intentional harm. In the second case, another resident with severe cognitive impairment and contractures was found to have bilateral bruising under the arms, including marks resembling fingerprints and a handprint. The resident was unable to explain the cause of the bruising. Staff updated the care plan to require two staff for transfers and sent home tight clothing, but did not initiate or document a full investigation. The incident report indicated no investigation was initiated, and the State Agency was not notified of the injury of unknown origin. The DNS believed the bruising was due to tight clothing and did not consider it reportable after her own investigation, and did not consult the State Agency for clarification. Facility policy and state regulations require immediate reporting of all alleged violations, including abuse or injuries of unknown origin, to the State Agency within two hours. Both cases demonstrated a failure to follow these requirements, as allegations and significant injuries were either not reported or reported late, and documentation was incomplete or not included in official records. Staff interviews confirmed a lack of understanding or access to the reporting system, and incident reports were sometimes kept in personal files rather than official facility records.
Failure to Provide Adequate Supervision for High Fall Risk Resident
Penalty
Summary
A deficiency occurred when the facility failed to provide adequate supervision and prevent accident hazards for a resident with significant cognitive impairment and a history of multiple falls. The resident, who had diagnoses including dementia and was non-ambulatory following an amputation, was admitted with impaired cognitive status, disorientation, and decreased safety awareness. Despite these risk factors, the initial fall risk assessment categorized the resident as low risk, and interventions were limited to basic fall precautions such as keeping the bed in the lowest position, ensuring the call bell was within reach, and maintaining a clutter-free environment. Over the course of the resident's stay, there were at least seven documented falls, many of which were unwitnessed and occurred despite repeated updates to the resident's care plan. Interventions were added incrementally after each fall, such as bolsters to the bed, padding, frequent toileting, and eventually a chair alarm. However, the resident continued to exhibit impulsive behaviors, attempts to self-transfer, and was only re-directable for short periods. Staff interviews revealed that the facility did not implement 1:1 supervision or 15-minute safety checks, citing staffing limitations. The resident's family was approached about hiring a private nurse aide for supervision, but this was not consistently in place, and at times the aide left or was not replaced. Throughout the period in question, staff and supervisors acknowledged the resident's high fall risk and behavioral challenges, but the facility was unable to provide the level of supervision required to prevent further incidents. The resident continued to experience falls, including one resulting in a stable L1 spinal fracture, and staff reported that close observation protocols were not documented or implemented. The facility's fall prevention program required individualized care based on risk, but the actions taken were insufficient to address the resident's ongoing needs, leading to repeated accidents and injury.
Failure to Honor Resident's Request to Be Out of Bed Before Breakfast
Penalty
Summary
The facility failed to honor a resident's request to be out of bed before breakfast, as documented in the care plan and physician's orders. The resident, who has diagnoses including Juvenile Rheumatoid Arthritis and adjustment disorder with anxiety, expressed a desire to be out of bed by breakfast or 10:30 AM at the latest to attend exercise classes. Despite this, observations on multiple occasions showed the resident still in bed past the requested time. Interviews with staff revealed that the resident's request was not consistently met due to complex care needs and staffing shortages. The resident's care plan and a nurse's aide information sheet both directed that the resident be out of bed before breakfast daily. However, interviews with staff, including a registered nurse and nurse aides, indicated that the resident was often not out of bed until 10:00 AM or 11:00 AM. The Director of Recreation noted that the resident loves attending activities but is often unable to participate in the exercise program due to not being out of bed in time. This inconsistency in meeting the resident's request highlights a failure to support resident choice and self-determination as outlined in the facility's resident rights policy.
Failure to Follow Restorative Ambulation Program Due to Staffing Issues
Penalty
Summary
The facility failed to ensure that a resident, identified as Resident #26, was ambulated according to their restorative care plan. Resident #26, who has diagnoses including Juvenile Rheumatoid Arthritis and Systemic Disorders of Connective Tissue, was on a restorative ambulation program requiring supervised ambulation with a platform walker 1-2 times per day. However, a review of the Nurse Aide flow sheets for December 2024 revealed that the resident was only provided supervised ambulation on the day shift for 10 days out of the month, with no ambulation provided on the evening or night shifts. Interviews with facility staff, including a physical therapist and nursing aides, indicated that Resident #26 should be ambulated every shift with supervision. However, due to staffing shortages and the complexity of the resident's needs, the ambulation program was not consistently followed. The nursing supervisor and nurse aides acknowledged the inability to adhere to the care plan due to insufficient staffing and time constraints, particularly on shifts when the resident required additional care such as showering.
Failure to Administer PRN Medication as Ordered
Penalty
Summary
The facility failed to administer a PRN medication according to physician's orders for a resident with atrial fibrillation and hypertension. The resident, who was cognitively intact and independent with ADLs, had a care plan that included monitoring for cardiopulmonary distress and administering medications as ordered. On a specific date, the resident experienced palpitations and requested the PRN Diltiazem HCl 30 mg. However, the nurse administered the resident's morning dose of Diltiazem HCL extended release 240 mg instead, as she was unaware of the different dosage and mechanism of action. The nurse had inquired about the availability of the PRN medication in the emergency stock but was incorrectly informed it was not available. The Director of Nursing Services confirmed that the PRN medication was ordered on admission but was not sent by the pharmacy as it was available in-house. The nurse practitioner was notified of the resident's symptoms and ordered the PRN medication, unaware that the incorrect dosage was administered. Although the resident reported relief from symptoms, the medication took longer to act. The facility's policy requires medications to be administered as ordered by the physician, and the incident highlights a failure to adhere to this policy, resulting in a deficiency.
Failure to Follow Care Plans Leads to Resident Injuries
Penalty
Summary
The facility failed to apply footrests to a resident's wheelchair as per the care plan, leading to an accident. Resident #59, who had a history of mobility issues, was being transported by a recreational assistant without footrests on the wheelchair. During the transport, the resident's foot touched the ground, causing an ankle twist and subsequent pain. Despite the resident's preference to move around without footrests, the facility policy required their use during transport, which was not adhered to, resulting in a fractured talus. Another incident involved Resident #78, who was severely cognitively impaired and required substantial assistance for transfers. The resident was being transferred by a nurse aide who was unaware of the requirement for two-person assistance and the use of a pivot disk. During the transfer, the resident pushed off the wheelchair, which rolled backward, causing the resident to slide to the floor and sustain an abrasion. The nurse aide was working alone and did not follow the care plan, which contributed to the fall. Both incidents highlight a failure in adhering to care plans and facility policies regarding resident safety during transport and transfers. The lack of proper equipment use and insufficient staff awareness of resident needs led to preventable accidents, resulting in injuries to the residents involved.
Failure to Monitor Resident's Fluid Intake and Output
Penalty
Summary
The facility failed to consistently monitor the intake and output of a resident diagnosed with End Stage Renal Disease, who was at risk for dehydration. The resident's dietary nutrition assessment indicated a daily fluid need of 1440 CC, and a physician's order required monitoring of intake and output every shift for three days or until the goal was met. However, the Comprehensive Intake and Output Record for the resident showed multiple missing entries over a period of several weeks, with no documentation for certain days. This lack of documentation made it impossible to determine if the resident met their fluid goals as assessed by the dietician. The Director of Nursing Services (DNS) acknowledged the missing entries and was unable to provide an explanation for the incomplete records. The facility's policy required nursing personnel to maintain accurate records of fluid balance per physician's orders, with specific responsibilities assigned to different shifts. Despite these requirements, the intake and output records were not consistently maintained, and the DNS could not confirm if the facility's electronic system had documentation for the period in question. This deficiency in monitoring and documentation of the resident's fluid intake and output represents a failure to adhere to the facility's policy and physician's orders.
Failure to Protect Resident from Staff Abuse During Care
Penalty
Summary
A resident with a history of dementia, major depressive disorder, and a recent left hip surgical repair requiring a mechanical lift and wheelchair was involved in an incident where staff failed to protect them from abuse. During the night shift, the resident became agitated and combative while care was being provided. A nursing assistant was observed by two LPNs to have tapped or jabbed the resident's forehead with her finger while repeatedly telling the resident they had the wrong aide. The nursing assistant also grabbed and shook the resident's upper arm and aggressively stated, "you're going to remember my face." These actions were witnessed by other staff, who intervened and instructed the nursing assistant to leave the resident's room. The incident was immediately reported to the nursing supervisor, who directed the nursing assistant to leave the facility. The facility's policies state that residents have the right to be free from abuse and neglect, and define abuse as the willful infliction of injury, intimidation, or punishment causing physical harm, pain, or mental anguish. Interviews with staff confirmed that the nursing assistant's actions were inappropriate and not in line with facility expectations for managing combative behaviors. The Director of Nursing Services acknowledged that staff are educated to step back, ensure resident safety, and reapproach or seek assistance if a resident is combative, which was not followed in this case.
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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 Suffield
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Parkway Pavilion Health And Rehabilitation Center | 1 mi | ★★★★★ | 2 | 0 |
| St Joseph's Residence | 1.4 mi | ★★★★★ | 0 | 0 |
| Touchpoints At Chestnut | 4.2 mi | ★★★★★ | 3 | 0 |
| Bickford Health Care Center | 4.2 mi | ★★★★★ | 51 | 2 |
| Fresh River Healthcare | 4.2 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.