Hartford Nursing & Rehabilitation Center

Inspectors wroteThis citation pertains to intake 3051101. Based on interview and record review, the facility failed to ensure emergency Physician services were provided in a timely manner for one resident (R101) of three residents reviewed for a change of condition.

Inspectors wroteBased on observation, interview, and record review, the facility failed to maintain best practices in the food service area resulting in the potential to spread food borne illness to all residents that consume food from the kitchen. Findings Include:On 1/27/2026 at 9:59 AM, observation of the walk-in cooler found an increased accumulation of black spotted debris on the top surfaces of the hard plastic shelving used to store food product. When asked how often the storage shelves get cleaned, Dietary Manager (DM) F stated they get power washed, but it's been so cold we have not been able to take them outside. On 1/27/2026 at 10:19 AM, an interview with DM F found that the clean utensil bin is cleaned weekly. Observation inside of the bin found an assortment of clean utensils stored among food crumbs and debris. Upon wiping the inside of the bin, it was found to be greasy. [...]

Inspectors wroteBased on observation, interview, and record review, the facility failed to have an active and ongoing plan for reducing the risk of legionella and other opportunistic pathogens of premise plumbing (OPPP), resulting in the potential for increased risk of respiratory infection among all residents in the facility.

Inspectors wroteBased on observation and interview the facility failed to maintain general cleanliness and repair of the premises. This resulted in an increased potential for contamination and a possible decrease in the satisfaction of living, affecting all residents.

Inspectors wroteThis citation pertains to intake 2720882. Based on observation, interview, and record review the facility failed to pass water in a timely manner to ensure adequate hydration for five residents (R94, R76, R18, R156, and R33) of seven residents reviewed for hydration, resulting in the potential for increased risk for dehydration.

Inspectors wroteThis citation pertains to intakes 2656662 and 2661216Based on observation, interview, and record review, the facility failed to ensure meals were served at palatable temperatures in two of two records reviewed, resulting in decreased food consumption and potential nutritional decline. Findings Include:It was reported to the State Agency that food served to the residents was not at palatable temperatures. On 1/27/2025 at 11:57 AM, an interview with Dietary Manager F found that the facility has heated bases, but they are not in use for today's meal. Further observation found plates between 75F-85F with no visible plate warmer being utilized. When asked what she expects for hot food on the steam table, DM F stated that it should be at least 150F so that residents can get their food at 135F or higher. [...]

Inspectors wroteBased on observation, interview, and record review the facility failed to give information for Advance Medical Directives (AMD, the written instruction relating to the provision of health care) to one (R2) of two residents or their representatives reviewed for code status, resulting in R2's code status being changed to a full code (all possible life saving measures will be provided if the person's heart stops or they stop breathing).

Inspectors wroteBased on interview and record review, the facility failed to transmit a Minimum Data Set (MDS) assessment for one (R173) of three residents reviewed for MDS assessment transmittal requirements.

Inspectors wroteBased on observation, interview, and record review, the facility failed to accurately complete Minimum Data Set (MDS) assessments for two (R2 and R4) of three residents reviewed for MDS assessments.

Inspectors wroteBased on observation, interview and record review, the facility failed to refer one (R158) of two residents reviewed, with a serious mental disorder, to the state designated authority for review of the pre-admission screening and resident review (PASARR) program. This resulted in the likelihood of decline related to unidentified needs.

Inspectors wroteBased on observation, interview, and record review, the facility failed to follow standards of practice for medication administration for one resident (R183) of four residents reviewed for medication administration.

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure two residents (R118 and R33) out of four residents reviewed for accidents had wheelchair footrests in place during wheelchair mobility.

Inspectors wroteBased on observation, interview, and record review, the facility failed to follow physician's orders to apply oxygen for one resident (R118) out of four residents reviewed for oxygen use.

Inspectors wroteBased on observation, interview, and record review the facility failed to obtain a Legal Guardian (LG) for one (R2) of one legally incapacitated resident resulting in R2 not having a court appointed legal guardian since 2024.

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure the physician ordered diet was provided to one resident (R203) of two residents reviewed for diet and nutrition, resulting in the potential for the resident to aspirate or choke.

Inspectors wroteBased on interview and record review, the facility failed to ensure one resident (R33) out of five residents reviewed for immunizations, was provided influenza and pneumococcal vaccination and education resulting in the potential for development and spread of influenza and pneumonia among vulnerable residents in the facility.

Inspectors wroteBased on interview and record review, the facility failed to ensure one resident (R33) out of five residents reviewed for immunizations, was provided Covid-19 vaccination and education resulting in the potential for development and spread of Covid-19 among vulnerable residents in the facility.

Inspectors wroteThis citation pertains to intakes 1227387 and 1227390. Based on interview and record review the facility failed to implement fall prevention interventions for one (R101) of three residents reviewed for accidents, hazards, and adequate supervision, resulting in multiple falls with the potential for injuries.

Inspectors wroteThis citation pertains to intake #MI00151498. Based on observation, interview and record review, the facility failed to utilize a two-person assist while turning and reposition a resident while performing care for one resident (R903) of three residents reviewed for accidents, resulting in a fall with injury. R903 sustained a right hip fracture that required surgical repair.

Inspectors wroteBased on observation, interview and record review the facility failed to ensure resident equipment was cleaned and sanitized sanitary equipment for 14 of 14 residents that resided on the third floor. Findings Include: On 11/22/24 at 9:00AM, a shower chair was observed in the hallway with visible dried feces. In addition, the sit to stand machine (device used for positioning residents) was noted to be soiled with dirt and food particles. On 11/22/24 at 9:10 AM, LPN A was queried concerning who was responsible for cleaning the resident's equipment. LPN A indicated the equipment should have been cleaned by the midnight shift. LPN A further indicated the equipment should have been cleaned after each use to prevent cross contamination. On 11/22/24 at 9:20 AM, the Nursing Home Administrator, (NHA) was shown the shower chair while she was rounding on the unit. [...]

Inspectors wroteBased on observation, interview, and record review the facility failed to maintain the cleanliness of a geriatric recliner for one (R78) of two residents reviewed for clean, comfortable and homelike environment.

Inspectors wroteBased on interview and record review, the facility failed to ensure a Minimum Data Set (MDS) assessment was completed and transmitted to CMS (Center for Medicare and Medicaid) within 14 days after completion for one (R54) reviewed during the Resident Assessment review, resulting in inaccurate tracking of resident assessments (admission, quarterly, and discharge).

Inspectors wroteBased on observation, interview, and record review the facility failed to provide timely ADL (Activities of daily living) care to include nail care and beard care for one resident (R28) of three residents reviewed for ADL care resulting in dissatisfaction with care.

Inspectors wroteBased on interview and record review the facility failed to include one resident (R93) out of four residents reviewed for limited ROM in the restorative program.

Inspectors wroteBased on observation, interview, and record review the facility failed to ensure respiratory care equipment was stored in a sanitary manner for one resident (R276) out of two residents reviewed for respiratory care resulting in the potential for respiratory infections.

Inspectors wroteBased on observation, interview, and record review the facility failed to ensure routine dental services were provided to one resident (R63) of three residents reviewed for routine dental services, resulting in unmet oral health needs, discomfort, and loss of dignity.

Inspectors wroteThis citation pertains to intake MI00143137. Based on interview and record review the facility failed to ensure an x-ray for one resident (R906) was completed in a timely manner.

Inspectors wroteThis citation pertains to intake MI00142795. Based on interview and record review the facility failed to provide adequate supervision during care for one resident (R905) out of three residents reviewed for ADL (Activities of Daily Living) resulting in a fall with injury.

Inspectors wroteThis citation relates to intake MI00129792. Based on observation, interview, and record review the facility failed to provide a functional designated hand washing sink in resident room [ROOM NUMBER]'s restroom, and a safe and sanitary environment in the facility's Cardiac and C-unit's soiled utility rooms resulting in the increased potential for harm.

Inspectors wroteThis citation has two deficient practice statements. Deficient Practice Statement #1. This citation pertains to Intake MI00139389. Based on observation, interview, and record review, the facility failed to ensure prescribed medications octreotide acetate injection (used to treat severe diarrhea) and triamcinolone acetonide ointment (used to treat various skin conditions) were provided in a timely manner for two residents (R102 and R121) reviewed for quality of care, resulting in resident frustration, and the potential for unmet care needs.

Inspectors wroteThis citation pertains to Intakes MI00136145 and MI00138771 Based on interview and record review, the facility failed to provide timely treatment and interventions to promote the healing of pressure ulcers for three residents (R151, R168, and R163) out of seven residents reviewed for wound care, resulting in the potential for worsening of the pressure injury.