Below average — CMS composite of the measures below.
The next survey window likely opens around February 2027
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 Thompson House Nursing Home during CMS and state inspections, most recent first.
A facility failed to maintain an effective call light system, leaving all first-floor residents without a reliable way to alert staff when assistance was needed. When the call light was disconnected from the wall in two sampled rooms, only a barely audible beep was heard at the nurses' station and no visual indicator was present. A resident with multiple comorbidities and high fall risk was found deceased on the floor with the call light detached and unalarmed. Staff and administration confirmed there were no policies or regular testing procedures for the call system, and that call lights were frequently pulled out by residents.
Multiple residents at high risk for falls and requiring increased supervision did not receive consistent implementation or documentation of care plan interventions, such as hourly safety rounds, motion sensor use, and scheduled toileting. One resident was found deceased on the floor with no evidence of required checks or care, while others experienced falls due to missed interventions and staff unawareness of care plan requirements. Staff interviews revealed extended breaks, lack of communication, and infrequent care plan review, and the facility lacked key policies related to supervision and incident response.
Three residents at high risk for falls did not receive required supervision or safety interventions, including hourly checks, functioning motion sensors, and a working call light system. One resident was found deceased after an unwitnessed fall during a period when staff left the unit unattended for extended breaks. Documentation of care and awareness of care plan interventions among staff were lacking, and multiple unwitnessed falls occurred without proper incident reporting or care plan updates.
Failure to Maintain Effective Resident Call System Resulting in Immediate Jeopardy
Penalty
Summary
The facility failed to ensure that an effective and functioning resident call system was accessible to all residents on the first floor. Specifically, the call light system did not provide an adequate audible or visual alert to staff when the call light was disconnected from the wall at the bedside. This deficiency was observed in multiple rooms, including the rooms of two residents, where disconnecting the call light resulted in only a barely audible beep at the nurses' station and no visual indicator above the rooms. Staff interviews confirmed that the call light system was not effectively notifying them when disconnected, and frequent manual checks were relied upon instead. One resident, who had end-stage heart failure, chronic kidney disease, hypertension, and was on hospice care, required substantial to maximal assistance for toileting and hygiene and was at high risk for falls. The resident was care planned for hourly checks and had a pad-style call light intervention to be kept within reach at all times. Despite these interventions, the resident was found deceased on the floor with the call light detached and unalarmed at the nurses' station. The resident had a history of multiple falls and was receiving scheduled and PRN laxatives for bowel management, with evidence of recent bowel incontinence at the time of the incident. Further investigation revealed that the facility did not have any policies or routine procedures in place to ensure the call system's audible and visual indicators remained operational. The DON and Administrator confirmed that the call lights were easy to pull out of the wall, that residents did so frequently, and that there was no system in place for regular testing or maintenance of the call light system. These failures resulted in all residents on the first floor being left without a reliable means of calling for assistance during emergencies.
Failure to Implement and Document Comprehensive Care Plans for High-Risk Residents
Penalty
Summary
The facility failed to implement and document comprehensive care plans for multiple residents at high risk for falls and requiring increased supervision. For one resident with end-stage heart failure, chronic kidney disease, and on hospice care, the care plan required hourly safety rounds and use of a motion sensor due to high fall risk and impaired mobility. Despite these interventions, there was no evidence of consistent hourly rounding or toileting care, and the resident was found deceased on the floor with a detached call light and feces present. Staff interviews revealed that assigned personnel took extended breaks without proper communication, were unaware of the resident's need for increased supervision, and failed to document care or the circumstances of the resident's death in the medical record. Another resident with dementia, muscle weakness, and high fall risk had care plan interventions including hourly checks in common areas, use of a motion sensor, and scheduled toileting. Documentation showed that these interventions were not consistently implemented, with gaps in toileting hygiene records and a fall occurring when the motion sensor failed to detect movement due to improper placement. Staff interviews indicated a lack of awareness of specific care plan interventions and infrequent review of care plans, leading to missed or improperly executed fall prevention strategies. A third resident with Parkinson's disease and a history of multiple unwitnessed falls had care plan interventions for motion sensor use, frequent checks, and toileting assistance. Despite these interventions, the resident experienced repeated falls, including one resulting in a hip fracture and hospitalization. The care plan was not updated after the fall, and incident reports were not completed. Staff and leadership interviews confirmed a lack of documentation and monitoring of the effectiveness of hourly checks, as well as confusion regarding which residents required increased supervision. The facility also lacked policies for supervision, call light use, and response to untimely death, contributing to the deficiencies.
Failure to Prevent Accidents Due to Inadequate Supervision and Equipment Maintenance
Penalty
Summary
The facility failed to ensure an environment free from accident hazards and did not provide adequate supervision to prevent avoidable accidents for three residents, all of whom were at high risk for falls. For one resident with end-stage heart failure, chronic kidney disease, and on hospice care, staff did not implement care-planned hourly safety rounds, did not ensure functioning motion sensors, and failed to maintain a working call light system. On the night of the incident, nursing staff left the unit unattended for extended breaks, during which the resident experienced an unwitnessed fall and was found deceased on the floor with the call light detached. There was no evidence of hourly rounding or toileting hygiene being completed as required, and staff were unaware of the resident's need for increased supervision. Documentation of care and the circumstances surrounding the resident's death was also lacking. Another resident with dementia, muscle weakness, and other comorbidities, who was also at high risk for falls, did not receive the required hourly checks or toileting assistance as outlined in their care plan. The motion sensor in the resident's room was not properly positioned to detect movement from all sides of the bed, resulting in a fall that was not detected by the alarm system. Staff interviews revealed a lack of awareness regarding the resident's specific fall interventions and care plan requirements, and documentation of overnight care was missing or incomplete. A third resident with Parkinson's disease and a history of multiple unwitnessed falls had care plan interventions for frequent checks and motion sensor use, but these interventions were not consistently implemented or documented. The resident experienced multiple unwitnessed falls, including one that resulted in a hip fracture and hospitalization. Facility leadership confirmed that care plans were not updated after falls, incident reports were not completed, and there was no documentation or monitoring of the effectiveness of hourly checks. Staff interviews consistently revealed a lack of awareness of which residents required increased supervision, and the facility lacked policies for supervision, call light maintenance, and response to untimely deaths.
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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 Brattleboro
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Pine Heights At Brattleboro Center For Nursing & R | 0.2 mi | ★★★★★ | 6 | 0 |
| Vernon Green Nursing Home | 6.4 mi | ★★★★★ | 12 | 0 |
| Cheshire County Home | 10.2 mi | ★★★★★ | 4 | 0 |
| Applewood Center | 10.8 mi | ★★★★★ | 0 | 0 |
| Covenant Living Of Keene | 14.5 mi | ★★★★★ | 0 | 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.