Above average — CMS composite of the measures below.
A standard survey is most likely before around November 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 Touchpoints At Manchester during CMS and state inspections, most recent first.
A resident with severe cognitive impairment developed red, irritated eyes and was prescribed Artificial Tears, but the responsible party was not notified or documented as notified about the change in condition or new orders. After hospital evaluation and a diagnosis of conjunctivitis with new antibiotic eye drops, there was again no documentation of notification to the responsible party, despite facility policy requiring such communication and documentation.
A resident with a history of cancer, anxiety, and depression experienced a fall and later developed increased right hip pain and inability to fully extend the leg. Despite ongoing pain and new mobility limitations, staff did not notify the provider of this change in condition as required by facility policy. The resident was later diagnosed with a proximal femoral fracture after being sent to the emergency department.
A resident admitted with multiple medical conditions did not receive several ordered medications due to unavailability, and there was no documentation that the APRN or provider was notified of these omissions. Nursing staff did not record attempts to obtain medications from the Omnicell or alternative sources, and the MAR reflected multiple missed doses without provider notification, as required by facility protocol.
A resident with diabetes, CHF, and CKD was admitted with new insulin orders and blood glucose monitoring requirements. Although diabetic education and care conferences were documented, the IDT did not develop or update the care plan to address the resident's diabetes management within the required timeframe after assessment, contrary to facility policy.
A newly admitted resident with cellulitis and lumbar spondylosis did not receive medications as directed by hospital discharge and physician orders. Despite clear documentation and an RN-completed admission assessment, the facility failed to administer multiple prescribed medications at the specified dosages and times.
Failure to Notify Responsible Party and Document Change in Condition
Penalty
Summary
The facility failed to ensure the clinical record for a resident with severe cognitive impairment and chronic health conditions was complete and accurate, specifically regarding timely notification of a change in condition to the court-appointed Conservator of Person (COP). The resident developed red, irritated eyes, and a physician ordered Artificial Tears to be administered. However, there was no documentation that the COP was notified of the resident's eye condition or the new medication order. Subsequently, the COP requested hospital evaluation, where the resident was diagnosed with conjunctivitis and prescribed antibiotic eye drops. Upon the resident's return from the hospital, there was again no documentation that the COP was notified of the new diagnosis or the new medication orders. Interviews with facility staff, including the APRN, RN, ADNS, and DNS, confirmed that the COP should have been notified and that such notifications should have been documented in the medical record, but this was not done. The facility's policy required notification and documentation of changes in condition and new orders, but this was not followed in this case.
Failure to Notify Physician of Change in Resident Condition After Fall
Penalty
Summary
A deficiency occurred when the facility failed to notify the physician after a change in condition was identified for a resident who had a witnessed fall. The resident, with diagnoses including malignant neoplasm of the oropharynx, anxiety, and depression, had poor short- and long-term memory recall. After the fall, the resident complained of right hip and knee pain, but initial assessments and x-rays did not reveal acute injuries. The Advanced Practice Registered Nurse (APRN) was notified and ordered x-rays and neurological checks, and later evaluated the resident, instructing staff to monitor for any changes in status or symptoms. Over the following days, the resident continued to report significant right hip pain and became unable to fully extend the right leg. Although the nurse administered pain medication and informed the Nursing Supervisor, there was no documentation that the provider was notified of the resident's new inability to extend the leg, which represented a change in condition. Interviews with staff confirmed that the APRN expected to be notified of such changes and would have ordered further evaluation if informed. The Director of Nursing also confirmed that loss of range of motion should be classified as a change in condition requiring physician notification. The facility's policy required that any change in a resident's condition be reported to the physician after assessment by the charge nurse and RN supervisor. Despite this, the clinical record from the period in question did not reflect that the provider was notified when the resident was unable to fully extend the leg. The resident was later found to have a right hip proximal femoral fracture after being sent to the emergency department for worsening symptoms.
Failure to Notify Provider of Medication Omissions on Admission
Penalty
Summary
The facility failed to notify the Advanced Practice Registered Nurse (APRN) in a timely manner regarding multiple medication omissions for a resident admitted with diagnoses including cellulitis and lumbar spondylosis. Upon admission, the resident was alert, oriented, and required assistance with mobility. The resident had a comprehensive list of medications ordered to be administered at specific times, but several doses were missed due to unavailability of medications from the pharmacy and lack of documentation that alternative sources, such as the Omnicell, were utilized. Review of the Medication Administration Record (MAR) and nurse's notes revealed that numerous medications, including Tylenol, Clonazepam, Zanaflex, Albuterol, Keflex, Lyrica, Metformin, Remeron, Flonase, Breo Ellipta, and Cozaar, were not administered as ordered on the day of admission and subsequent days. There was no documentation that the provider was notified of these missed doses, nor was there evidence that the medications were obtained from the Omnicell or other facility stock. Interviews with nursing staff and the DNS confirmed that the process for new admissions required provider notification if medications were unavailable after one hour past the scheduled administration time, but there was no record that this occurred. Additionally, a grievance report from the resident indicated concerns about not receiving medications in a timely manner, but facility documentation did not support that all medications were administered as claimed. The DNS was unaware of the omissions until review and could not verify that any of the missed medications were obtained from the Omnicell. Facility policies regarding medication errors and provider notification were not provided for review.
Failure to Develop and Revise Diabetes Care Plan After Assessment
Penalty
Summary
The facility failed to revise and develop a comprehensive care plan addressing a resident's diabetes management following their admission and assessment. The resident, who had diagnoses including congestive heart failure, chronic kidney disease, and diabetes mellitus type II, was discharged from the hospital with a new insulin regimen and specific blood glucose monitoring instructions. Despite documentation of diabetic education and care conference discussions, the interdisciplinary team did not create or update the care plan to reflect the resident's diabetes diagnosis and related care needs within the required timeframe after the Minimum Data Set (MDS) assessment. Review of facility policy confirmed that a comprehensive, individualized care plan should have been developed by the interdisciplinary team within seven days of the MDS completion. Interviews with the Director of Nursing Services (DNS) revealed uncertainty as to why the care plan was not developed, despite the resident's recent changes in diabetic management and documented discussions about diabetic care. The omission was identified through review of clinical records, facility policy, and staff interviews.
Failure to Administer Medications per Physician Orders for Newly Admitted Resident
Penalty
Summary
A deficiency was identified when a newly admitted resident was not provided with medications in accordance with the hospital discharge summary directions and physician's orders. The clinical record review, facility documentation, and interviews revealed that upon admission, the resident had specific medication orders, including Tylenol, Lipitor, Clonazepam, Robaxin, Lyrica, Flonase, and Breo Ellipta, with detailed dosages and administration times. The facility failed to ensure these medications were administered as ordered. The resident in question had diagnoses of cellulitis and lumbar spondylosis and was alert, oriented, and independent with eating, but required assistance with transfers and mobility. The admission assessment was completed by an RN, and the medication orders were clearly documented. Despite this, the facility did not follow the prescribed medication regimen, resulting in a failure to provide appropriate treatment and care according to the resident's needs and physician's instructions.
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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 Manchester
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Westside Care Center | 0.1 mi | ★★★★★ | 2 | 0 |
| Manchester Rehabilitation And Healthcare Center | 0.8 mi | ★★★★★ | 17 | 0 |
| Glastonbury Center For Health & Rehabilitation | 3 mi | ★★★★★ | 12 | 0 |
| Civita Care Center At Salmon Brook | 4.2 mi | ★★★★★ | 4 | 0 |
| Riverside Health & Rehabilitation Center | 5.1 mi | ★★★★★ | 15 | 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.