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 Whitney Center during CMS and state inspections, most recent first.
The facility failed to support resident council meetings after the departure of the social worker who facilitated them. A resident expressed a desire to continue participating in these meetings, which had not been held for over a year. The DNS and administrator acknowledged the oversight in not designating another staff member to organize the meetings, and no resident council policy was provided.
The facility failed to ensure that residents' code status was reviewed and documented upon admission, leading to a deficiency. Several residents, despite being capable of making their own decisions, did not have their code status discussed or documented within the required timeframe. This resulted in a lack of signed Resuscitation Status Forms in their medical records, as acknowledged by the DNS and medical staff.
The facility failed to document hot and cold food temperatures appropriately, with missing and altered logs observed during a kitchen tour. The Dietary Director was unaware of the issue, and the Chef Manager later acknowledged the logs were filled in after the initial review. Despite having a policy on food temperatures, it was initially unknown to the Chef Manager.
A resident under hospice care for late-stage Alzheimer's experienced severe wrist pain, but the facility failed to notify the hospice provider and resident representative. The LPN observed the injury and reported it to an absent RN, resulting in a lack of consistent follow-up. The DNS was unaware of the issue until a surveyor inquiry, and the facility's policy on change of condition was not followed, leading to a deficiency.
A resident with severe Alzheimer's dementia experienced severe wrist pain of unknown origin, but the LTC facility failed to notify the state agency within the required timeframes. An LPN documented the injury, and an x-ray showed joint space narrowing without fracture. The DNS was unaware of the issue until a surveyor inquiry, and no investigation or report was initiated as required by facility policy.
A resident with severe Alzheimer's dementia experienced a swollen right wrist with severe pain, but the LTC facility failed to investigate the injury of unknown origin. The LPN reported the incident to an RN, but no assessment or investigation was conducted, and the event was not reported to the state agency, contrary to facility policy.
A facility failed to notify the state-designated authority of a new diagnosis of psychotic disorder with delusions for a resident, leading to a deficiency in the PASARR process. The resident was initially admitted with other diagnoses, and the new diagnosis was identified in a psychiatric progress note but not updated in PASARR records. Interviews revealed a lack of communication and procedural oversight, with staff unaware of the new diagnosis and no facility policy for PASARR updates.
The facility failed to follow physician orders and professional standards, resulting in missed weight monitoring for a resident on Lasix, lack of compression stocking application for a resident with lymphedema, and inadequate neurological checks after unwitnessed falls. Additionally, a resident with a wrist injury did not receive timely RN assessment or pain management, and documentation was incomplete.
A resident with limited mobility was improperly transferred by a single nurse aide, contrary to the physician's order requiring a Sara lift with two-person assistance. This led to the resident being lowered to the floor and subsequently diagnosed with a nondisplaced fracture. The nurse aide, from an agency, did not follow the care plan despite being informed of the transfer requirements.
A resident with late-stage Alzheimer's under hospice care experienced severe wrist pain, but the facility failed to assess and manage the pain adequately. The LPN noted the injury but did not administer pain medication or ensure a full assessment was conducted. The RN supervisor was on leave, and no consistent nurse covered her absence, leading to a lack of communication and documentation. The DNS was unaware of the issue until the surveyor's inquiry, highlighting a failure to follow the facility's pain management policy.
Failure to Support Resident Council Meetings
Penalty
Summary
The facility failed to honor the residents' right to organize and participate in resident groups, specifically the resident council. The last documented resident council meeting was held over a year ago, and there were no meeting minutes available from December 2023 through November 2024. During an interview, a resident expressed that they used to attend these meetings regularly and found them beneficial for sharing ideas. However, the resident noted that the meetings had not occurred for a long time, and they wished to continue participating in them. The deficiency arose after the departure of the facility's social worker, who previously facilitated the resident council meetings. The Director of Nursing Services (DNS) confirmed that the meetings had not been held since the social worker left about a year ago. The facility administrator acknowledged that it was an oversight not to designate another staff member to organize the meetings. Despite daily communication with residents, the lack of formal meetings meant that no patterns in residents' concerns were identified. The facility did not provide a resident council policy when requested.
Failure to Document and Review Code Status for Residents
Penalty
Summary
The facility failed to ensure that the code status of residents was reviewed and documented upon admission and as needed, which resulted in a deficiency. For Resident #14, the clinical record did not contain a signed advanced directive form or documentation of discussions regarding advance directives with the resident's representative. Despite having orders for do not resuscitate (DNR) and do not hospitalize (DNH), there was no care plan related to these choices, and the Director of Nursing Services (DNS) acknowledged issues with completing advance directive forms. Resident #174 was admitted without a documented code status in the baseline care plan or physician orders. The admission assessment indicated the resident was alert and oriented, yet the code status was not addressed within the required 48 hours. It was only after surveyor inquiry that the Resuscitation Status Form was signed, indicating the resident's wish to receive cardiopulmonary resuscitation (CPR). Similarly, Resident #175 and Resident #176 did not have their code status discussed or documented upon admission. Both residents were capable of signing their own forms, but the facility failed to address their code status within the stipulated timeframe. Interviews with the DNS and medical staff revealed that the responsibility to verify and document code status was not fulfilled, leading to a lack of signed Resuscitation Status Forms in the residents' medical records.
Failure to Document Food Temperatures
Penalty
Summary
The facility failed to ensure that hot and cold food temperatures for meals were obtained and documented appropriately. During a tour of the facility kitchen, it was observed that multiple dates in the food service temperature logs were missing temperatures or were completely blank. Specifically, from 11/19/24 to 11/30/24, there were no breakfast logs available for review, and several meals had no recorded food temperatures. Additionally, the breakfast logs that were available listed identical meal items without dates, and there was no documentation related to cold food items. This lack of documentation was confirmed during an interview with the Dietary Director, who was unaware that the food temperatures were not being logged with every meal. Further investigation revealed that the food temperature logs had been altered after the initial review, with meal temperatures added for the dates previously reviewed. The Dietary Stock Clerk was unable to identify who altered the documents or why. The Chef Manager acknowledged the issues with the logs and stated that the logs had been filled in after the initial review. Despite the facility having a policy related to food temperatures, the Chef Manager was initially unaware of its existence. The policy directed that all food production staff were responsible for recording and maintaining proper food temperatures, and that logs should be maintained in the dietary department per the record retention policy.
Failure to Notify Hospice and Representative of Resident's Severe Wrist Pain
Penalty
Summary
The facility failed to immediately notify the hospice provider and the resident representative when a resident, who was under hospice care due to late-stage severe Alzheimer's dementia, experienced new severe wrist pain. The resident, admitted in December 2018, had diagnoses including Alzheimer's dementia, hypertension, and failure to thrive. The care plan for the resident included interventions to observe closely for signs of pain and notify the physician of breakthrough pain. However, when the resident complained of wrist pain and was found to have a swollen right wrist with tenderness and severe pain, the facility did not notify the hospice provider or the resident representative. The nurse's note documented the resident's wrist condition as a late entry, and an x-ray showed joint space narrowing with no fracture. Despite this, the clinical record lacked evidence of any additional monitoring, assessments, or documentation of the wrist injury after the initial report. Interviews with facility staff revealed that the LPN who observed the injury reported it to an RN, who was not present due to leave, and there was no consistent nurse covering during her absence. The DNS was unaware of the issue until the surveyor's inquiry and stated that the injury should have been reported to the state agency, and the resident's pain should have been assessed and monitored. The facility's policy on change of condition required licensed nursing staff to document any change in condition and notify the physician and resident representative within 24 hours. However, this protocol was not followed in the case of the resident's wrist injury. The failure to notify the appropriate parties and document the incident accurately led to a deficiency in the facility's care for the resident.
Failure to Report Resident Injury of Unknown Origin
Penalty
Summary
The facility failed to notify the state agency within the required timeframes when a resident, who had been under hospice care due to late-stage severe Alzheimer's dementia, complained of new severe wrist pain of unknown origin. The resident, admitted in December 2018, had severely impaired cognition and was dependent on staff for daily activities. On August 12, 2024, an LPN documented that the resident had a swollen right wrist with tenderness and severe pain, and a physician ordered an x-ray, which showed joint space narrowing but no fracture. However, the nurse's note was entered as a late entry the following day, and no reportable event form was initiated or submitted to the state agency regarding the incident. Interviews revealed that the LPN reported the injury to an RN, who was expected to conduct a full assessment and initiate an investigation, but this did not occur. The Director of Nursing Services (DNS) was unaware of the issue until the surveyor's inquiry and confirmed that an investigation should have been conducted and reported to the state agency. The facility was unable to provide a policy related to reporting injuries of unknown origin, although their existing policy directed staff to report any such injuries immediately to ensure proper investigation and documentation.
Failure to Investigate Injury of Unknown Origin
Penalty
Summary
The facility failed to investigate an injury of unknown origin for Resident #8, who was under hospice care due to late-stage severe Alzheimer's dementia. The resident was admitted with diagnoses including Alzheimer's dementia, hypertension, and failure to thrive. On August 12, 2024, a nurse's note documented that Resident #8 had a swollen right wrist with tenderness and severe pain, and an x-ray was ordered, which showed joint space narrowing but no fracture. However, there was no reportable event form initiated or submitted to the state agency regarding this injury. Interviews revealed that the LPN assigned to Resident #8 on the day of the injury reported the incident to an RN, who was expected to conduct a full assessment and initiate an investigation. The Director of Nursing Services (DNS) was unaware of the injury until the surveyor's inquiry and confirmed that an investigation should have been conducted. The facility's policy mandates that any injury of unknown origin be thoroughly investigated and reported, but this protocol was not followed in this case.
Failure to Update PASARR for New Diagnosis
Penalty
Summary
The facility failed to notify the appropriate state-designated authority of a new diagnosis of psychotic disorder with delusions for a resident, leading to a deficiency in the Preadmission Screening and Resident Review (PASARR) process. The resident was admitted in August 2020 with diagnoses including Parkinson's Disease, depression, anxiety, and dementia. Initially, the PASARR Level 1 Screen did not identify a diagnosis of psychotic disorder or delusional disorder. However, a psychiatric APRN progress note dated June 7, 2021, identified the resident as having an active diagnosis of psychotic disorder with delusions. Despite this, the diagnosis was not updated in the PASARR records, and the state-designated authority was not notified. Interviews with facility staff revealed a lack of communication and procedural oversight. RN #2, responsible for updating diagnoses in the electronic medical record, added the diagnosis of psychotic disorder with delusions backdated to June 7, 2021, but did not ensure the PASARR was updated. The prior social worker, responsible for PASARR updates, indicated he was unaware of the new diagnosis and relied on facility staff to inform him of such changes. The Director of Nursing Services confirmed there was no facility policy for PASARR, contributing to the oversight and failure to notify the state-designated authority of the resident's new diagnosis.
Deficiencies in Resident Care and Documentation
Penalty
Summary
The facility failed to provide appropriate treatment and care according to physician orders and professional standards for several residents. For one resident with chronic leg edema, the facility did not consistently obtain weights as ordered every other day, which was crucial for monitoring fluid retention due to the resident's sedentary lifestyle and use of Lasix. Despite the physician's order and the resident's condition, weights were missed on multiple occasions, and there was no documentation of refusal or rationale for the missed weights. Another resident with hereditary lymphedema and Parkinson's disease did not receive compression stockings as ordered by the physician. Observations confirmed the absence of compression stockings on multiple occasions, and the resident expressed a strong desire to have them applied daily. The charge nurse acknowledged that the staff did not always apply the stockings and failed to document any refusals or notify the physician, contrary to the facility's expectations. The facility also failed to conduct necessary neurological checks and post-fall assessments for residents who experienced unwitnessed falls with potential head injuries. One resident had multiple unwitnessed falls with reported head strikes, yet there was no documentation of neurological monitoring or post-fall assessments. Another resident with Alzheimer's and a history of falls did not receive the required neurological assessments following two unwitnessed falls, and the facility's documentation was incomplete. Additionally, a resident with a wrist injury did not receive a timely RN assessment or adequate pain management, and there was a lack of documentation regarding the injury and subsequent care.
Failure to Follow Transfer Protocols Results in Resident Injury
Penalty
Summary
The facility failed to ensure that a resident was transferred according to the physician's order, which required the use of a Sara lift with the assistance of two staff members. This deficiency occurred when a nurse aide, identified as NA #3, attempted to transfer the resident by herself after the resident indicated that they could be transferred with one staff member. During the transfer, the resident became weak and had to be lowered to the floor, resulting in a fall. The resident involved in the incident was admitted to the facility with diagnoses including the presence of a left artificial knee joint, cardiac pacemaker, and atrial fibrillation. The resident's care plan and physician's orders specified the need for a Sara lift with two-person assistance for transfers due to limited mobility and a history of multiple surgeries. Despite these instructions, NA #3, who was from an agency, did not follow the plan of care and attempted the transfer alone, leading to the resident being lowered to the floor. Following the incident, the resident was assessed and initially showed no signs of injury. However, subsequent medical evaluation revealed a nondisplaced fracture of the left distal tibia and loosening of the fibula/tibial screw, indicating a significant injury resulting from the fall. The facility's documentation and interviews highlighted that NA #3 was informed of the resident's care plan but failed to adhere to it, contributing to the deficiency.
Failure to Manage Resident's Severe Wrist Pain
Penalty
Summary
The facility failed to adequately assess and manage a resident's severe wrist pain, leading to a deficiency in pain management. The resident, who had been under hospice care due to late-stage severe Alzheimer's dementia, was found to have a swollen and painful right wrist. Despite the resident's visible distress and complaints of pain, the clinical record did not reflect any administration of pain medication or a comprehensive assessment by the nursing staff during the relevant period. The Licensed Practical Nurse (LPN) assigned to the resident on the day of the incident noted the wrist injury and reported it to a Registered Nurse (RN) supervisor. However, the RN supervisor was on leave, and there was no consistent nurse covering her absence. Consequently, no full assessment was conducted, and the physician was not contacted. The facility's documentation failed to include any interventions or follow-up actions regarding the resident's pain and wrist injury. Interviews with facility staff revealed a lack of communication and documentation regarding the resident's condition. The Director of Nursing Services (DNS) was unaware of the issue until the surveyor's inquiry and acknowledged that the injury should have been reported and investigated. The facility's policy on pain management, which requires individualized treatment plans and thorough assessments, was not followed, resulting in inadequate care for the resident's pain and injury.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 701 citations issued within 25 miles in the last 12 months — including the 9 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
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.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Hamden
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Leeway, Inc | 1.8 mi | ★★★★★ | 10 | 0 |
| Arden Care Center | 2 mi | ★★★★★ | 28 | 0 |
| Grimes Center | 2.7 mi | ★★★★★ | 13 | 0 |
| Mary Wade Home, The Incorporated | 2.8 mi | ★★★★★ | 4 | 0 |
| Montowese Center For Health & Rehabilitation | 3 mi | ★★★★★ | 1 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Whitney Center.
100% money-back within 48 hours.
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.