The most recent inspection on September 24, 2025, found deficiencies related to a prior violation letter but confirmed those issues were corrected by August 39, 2025. Earlier inspections showed a pattern of citations involving resident care, medication management, infection control, and documentation, with some complaints substantiated and others unsubstantiated. Complaint investigations in 2020 and 2019 identified issues such as failure to notify physicians timely after falls, inadequate infection control practices during COVID-19, and medication errors, but enforcement actions like fines or license suspensions were not listed in the available reports. Most complaints were either unsubstantiated or addressed through plans of correction, and the facility submitted corrective plans and demonstrated improvements over time. The overall trend suggests the facility has worked to resolve prior deficiencies, with the most recent report indicating compliance with corrective measures.
Deficiencies (last 6 years)
Deficiencies (over 6 years)4.7 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
16% better than Connecticut average
Connecticut average: 5.6 deficiencies/year
Deficiencies per year
86420
2018
2019
2020
2021
2023
2025
Census
Latest occupancy rate94% occupied
Based on a September 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Census over time
Inspection Report Plan of CorrectionCensus: 122Capacity: 130Deficiencies: 5Sep 24, 2025
Visit Reason
A desk audit was conducted to review the implementation of the Plan of Correction for a prior Violation letter dated August 14, 2025.
Findings
Violations #1 through #5 were identified as corrected as of August 39, 2025. The Director of Nursing was notified of the corrections on September 24, 2025.
Deficiencies (5)
Description
Violation #1
Violation #2
Violation #3
Violation #4
Violation #5
Report Facts
Violations corrected: 5
Employees Mentioned
Name
Title
Context
Kathy Lopez
Director of Nursing
Notified of correction of violations #1-#5 on September 24, 2025
The inspection was conducted as a licensing inspection and to investigate complaints identified by complaint investigation numbers 124427 CT, 124416, and CT 2573687.
Findings
The report indicates that violations of the General Statutes of Connecticut and/or regulations of Connecticut State Agencies were identified at the time of this inspection, with an attached violation letter referenced.
Complaint Details
Complaint investigation numbers 124427 CT, 124416, and CT 2573687 were referenced in relation to this inspection.
The inspection was conducted as a complaint investigation related to complaint numbers #42277 and #42362.
Findings
No violations of the General Statutes of Connecticut and/or the regulations of Connecticut State Agencies were identified at the time of this inspection.
Complaint Details
Complaint investigation related to complaint numbers #42277 and #42362; no violations were found.
The inspection was conducted as a renewal licensing inspection of the Regency House Nursing Center.
Findings
Violations of the General Statutes of Connecticut and/or regulations were identified at the time of this inspection. Additional narrative or violation details are referenced but not included in the provided pages.
The inspection was conducted as a renewal licensing inspection for Regency House Nursing Home.
Findings
The facility was found to be in compliance with visitation policies and no violations of the General Statutes or regulations were identified during this inspection. The facility did not apply for CMP funds but did apply for a CRF grant.
An unannounced visit was made to Regency House Nursing And Rehabilitation Center by the Department of Public Health for the purpose of conducting an annual survey.
Findings
The report details multiple violations of Connecticut State regulations identified during the visit, including issues with resident care, nursing assessments, medication storage, infection control, and oxygen therapy management. Plans of correction were submitted addressing each violation with measures to prevent recurrence and ensure compliance.
Deficiencies (5)
Description
Failure to ensure timely RN assessment after a resident fall before transfer.
Failure to ensure oxygen tubing was dated to identify last change.
Failure to ensure cleaning supplies and personal supplies were stored appropriately and multidose medications were dated when opened; failure to remove expired medications from medication cart.
Failure to disinfect the facility glucometer after resident use in accordance with facility policy.
Failure to properly disinfect glucometers according to facility policy.
Report Facts
Plan of correction submission deadline: Aug 21, 2021Dates of observations and incidents: Jul 7, 2021Dates of observations and incidents: Jul 20, 2021Dates of observations and incidents: Jul 26, 2021Dates of observations and incidents: Jul 27, 2021
Employees Mentioned
Name
Title
Context
Maureen Golas Markure
Supervising Nurse Consultant
Signed the notice letter and responsible for overseeing the inspection
APRN #1
Named in findings related to resident care and elopement risk assessment
RN #1
Interviewed regarding resident care and elopement risk
The inspection was conducted as a renewal licensing inspection for the facility.
Findings
The facility was found to be in compliance with visitation policies and did not apply for CMP funds. The report indicates no violations were identified at the time of inspection.
Unannounced visits were made to Regency House Nursing And Rehabilitation Center to conduct an investigation and a COVID-19 focused infection control survey.
Findings
The facility was found to have multiple violations including failure to notify the physician when a resident continued to complain of pain after a fall, failure to address abnormal diagnostic X-ray findings timely, failure to ensure post-fall monitoring was completed per policy, failure to address complaints of pain adequately, and failure to implement appropriate infection control practices to prevent spread of infection.
Complaint Details
The visit was complaint-related, focusing on falls and infection control practices. The facility was found noncompliant in multiple areas related to resident care and infection control.
Deficiencies (4)
Description
Failed to contact the physician as directed when pain continued after a fall for Resident #1.
Failed to ensure appropriate care and treatment for Resident #1 who was non-ambulatory, including failure to address abnormal diagnostic X-ray findings timely and failure to ensure post-fall monitoring was completed according to policy.
Failed to ensure complaints of pain were addressed after a fall for Resident #1.
Failed to ensure appropriate infection control practices were implemented to prevent and control the spread of infection, including improper use of isolation gowns by staff.
Report Facts
Date of fall event: Apr 26, 2020Date of X-ray: Apr 27, 2020Plan of correction submission deadline: Jun 5, 2020Audit frequency: 4
Employees Mentioned
Name
Title
Context
Susan Newton
Supervising Nurse Consultant
Author of the inspection report letter
David O. Bond
Administrator
Facility administrator addressed in the report
LPN #7
Licensed Practical Nurse
Did not inform supervisor of resident's continued pain after fall
RN #4
Registered Nurse
Supervisor who was to be notified of resident's continued pain
APRN #2
Advanced Practice Registered Nurse
Directed staff to notify if resident continued to complain of pain
LPN #1
Licensed Practical Nurse
Observed resident's bed elevated at time of fall
NA #1
Nurse Aide
Observed bed elevated and resident's habit of playing with bed controls
RN #3
Registered Nurse
Helped X-ray technician and reported X-rays taken
LPN #4
Licensed Practical Nurse
Charge nurse on shift unaware of X-ray results and resident's pain complaints
RN #1
Registered Nurse
Nursing supervisor who did not receive X-ray results report
RN #2
Unit Manager
Called APRN and sent resident to emergency department after discovering X-ray results
LPN #6
Licensed Practical Nurse
Did not medicate resident with as needed Tylenol after pain complaints
NA #3
Nurse Aide
Reported resident's pain complaints during repositioning
NA #4
Nurse Aide
Reported resident's pain complaints during repositioning
Administrator
Interviewed about PPE gown shortages and isolation gown usage
A Covid-19 focused survey was conducted to determine compliance with 42 CFR Part 483 requirements for LTC facilities including infection control and prevention, and an investigation for complaint CT #27447 was completed.
Findings
The facility failed to notify the physician timely after a resident's fall with continued pain, failed to provide appropriate care and treatment including timely response to abnormal X-ray findings, failed to monitor post-fall resident properly, and failed to manage pain adequately. Infection control practices were also found deficient related to improper use of isolation gowns.
Complaint Details
Investigation related to complaint CT #27447 regarding failure to notify physician and inadequate care after resident fall with pain complaints.
Severity Breakdown
SS=D: 3SS=G: 1
Deficiencies (4)
Description
Severity
Failed to notify physician promptly when pain continued after a fall.
SS=D
Failed to ensure appropriate care and treatment after fall including timely response to abnormal X-ray findings and post-fall monitoring.
SS=G
Failed to ensure complaints of pain were addressed after a fall.
SS=D
Failed to implement appropriate infection control practices to prevent spread of infection, including improper use of isolation gowns.
SS=D
Report Facts
Deficiencies cited: 4Fall date: Apr 26, 2020X-ray order time: 1100X-ray taken time: 2210X-ray results received time: 2239Pain monitoring shifts prior to fall: 75Pain complaints shifts prior to fall: 2
Employees Mentioned
Name
Title
Context
LPN #7
Licensed Practical Nurse
Named in failure to notify physician of continued pain after fall
RN #4
Registered Nurse
Supervised on day of fall, failed to ensure notification to APRN of continued pain
APRN #2
Advanced Practice Registered Nurse
Directed to be notified if resident continued to complain of pain after fall
LPN #1
Licensed Practical Nurse
Witnessed resident fall from elevated bed
NA #1
Nurse Aide
Reported resident habit of elevating bed and found resident on floor
NA #2
Nurse Aide
Reported resident needed assistance and found resident on floor
LPN #4
Licensed Practical Nurse
Charge nurse on shift after fall, unaware of X-ray results and pain complaints
RN #1
Registered Nurse
Nursing supervisor on shift after fall, did not receive report of pending X-ray results
RN #2
Unit Manager
Discovered X-ray results and arranged transfer to hospital
LPN #6
Licensed Practical Nurse
Failed to medicate resident with as needed pain medication after complaints
NA #3
Nurse Aide
Reported resident pain during repositioning not communicated to nurse
NA #4
Nurse Aide
Reported resident pain during repositioning not communicated to nurse
An unannounced visit was made to Regency House Nursing and Rehabilitation Center on May 9, 2020 for the purpose of conducting a COVID-19 Focused survey.
Findings
The facility failed to update policies and improperly reused disposable gowns contrary to CDC recommendations during the COVID-19 pandemic, risking staff and resident safety. Observations and interviews confirmed gowns were reused throughout shifts without proper guidelines on discarding or extended use.
Complaint Details
Complaint #27385 triggered the visit. No substantiation status was stated.
Deficiencies (1)
Description
Facility failed to update policies and failed to utilize personal protective equipment according to CDC recommendations by reusing disposable gowns instead of extending their use, risking infection control.
Report Facts
Disposable gowns available: 600Facility units with COVID-19 residents: 4
Employees Mentioned
Name
Title
Context
Karen Gworek
Supervising Nurse Consultant
Signed the notice letter and directed questions regarding violations
David Bond
Administrator
Named in relation to the facility and plan of correction
Director of Nursing
Interviewed regarding PPE policies and COVID-19 resident cohorting
Licensed Practical Nurse #1
Charge Nurse
Interviewed about gown use practices during COVID-19 care
Licensed Practical Nurse #2
Interviewed about gown use and safety concerns during COVID-19 care
A COVID-19 Focused Survey was conducted to determine compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities, including proper infection prevention and control practices to prevent the development and transmission of COVID-19.
Findings
The facility failed to update policies and failed to utilize personal protective equipment according to CDC recommendations during the COVID-19 pandemic by extending the use of disposable gowns instead of reusing them, putting staff and residents at risk of infection. Observations and interviews confirmed gowns were reused throughout shifts and hung outside resident rooms, contrary to proper infection control practices.
Severity Breakdown
SS=E: 1
Deficiencies (1)
Description
Severity
Failure to update policies and failure to utilize personal protective equipment according to CDC recommendations during the COVID-19 pandemic by extending the use of disposable gowns instead of reusing disposable gowns.
An unannounced visit was made to Regency House Nursing and Rehabilitation Center on May 9, 2020 by a representative of the Facility Licensing and Investigations Section of the Department of Public Health for the purpose of conducting a COVID-19 focused survey.
Findings
The facility had 600 disposable gowns available, but staff were reusing disposable gowns throughout shifts when caring for COVID-19 positive residents, contrary to CDC guidelines. The Director of Nursing was unable to provide documentation of CDC recommendations on extended use versus reuse of PPE. The facility's cohort guidelines lacked clarity on when gowns should be discarded. The policy allowed staff to reuse gowns for entire shifts, which was a concern for infection control.
Deficiencies (1)
Description
Staff were not following proper procedure for PPE usage, specifically reusing disposable gowns throughout shifts when caring for COVID-19 positive residents.
The visit was conducted for monitoring COVID-19 infection control and included a complaint investigation (Complaint #27385).
Findings
The inspection identified violations related to the extended use and reuse of disposable gowns for COVID-19 positive residents, with concerns about staff safety and adherence to CDC guidelines. A plan of correction was required to address these issues.
Complaint Details
Complaint investigation #27385 was conducted as part of the visit. The complaint was related to infection control practices concerning COVID-19.
Deficiencies (1)
Description
Improper reuse of disposable gowns for COVID-19 positive residents, contrary to CDC guidelines.
Report Facts
Licensed Bed Capacity: 130Census: 94Disposable Gowns: 600
Employees Mentioned
Name
Title
Context
Donna Dwyer
Director of Nursing
Interviewed regarding COVID-19 cohorting and gown usage policies.
Karen Gworek
Supervising Nurse Consultant
Signed the complaint investigation letter.
LPN #1
Licensed Practical Nurse
Interviewed about gown usage when caring for COVID-19 positive residents.
LPN #2
Licensed Practical Nurse
Interviewed about gown usage and safety concerns during COVID-19 care.
A COVID-19 Focused Survey was conducted to determine compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities, including proper infection prevention and control practices to prevent the development and transmission of COVID-19.
Findings
No deficiencies were cited as a result of this COVID-19 focused survey.
The inspection was conducted as a complaint investigation related to multiple complaint numbers (CT00023992, CT0023782, CT00024018, CT00024140) and to assess violations of Connecticut State regulations.
Findings
Violations of Connecticut General Statutes and regulations were identified during the inspection, resulting in a citation (19-23). A desk audit conducted later found that violations 1-4 were corrected. The facility was required to submit a plan of correction by May 6, 2019.
Complaint Details
The visit was complaint-related, investigating complaints #23992, #23782, #24018, and #24140. Violations were substantiated as indicated by the issuance of citation #19-23.
Deficiencies (1)
Description
Violations of the General Statutes of Connecticut and/or regulations were identified during the complaint investigation.
Report Facts
Licensed Bed Capacity: 130Census: 120Citation Number: 19Citation Number: 23
Employees Mentioned
Name
Title
Context
David Bond
Administrator
Named as personnel contacted during the inspection and in relation to findings.
Donna Dwyer
RN
Named as personnel contacted during the inspection.
Siobhan O'Neill
Nurse Consultant
Conducted desk audit and provided findings on correction of violations.
Inspection Report Plan of CorrectionDeficiencies: 5Apr 11, 2019
Visit Reason
Unannounced visits were made to Regency House Nursing And Rehabilitation Center to conduct multiple investigations and a certification survey.
Findings
The report details violations related to resident care, including issues with advanced directives, medication administration, skin integrity, hospice notification, and documentation. Plans of correction were submitted addressing these deficiencies with education, audits, and monitoring.
Deficiencies (5)
Description
Failure to ensure resident code status was correctly identified and honored.
Failure to notify responsible party of medication changes or changes in condition.
Failure to ensure skin integrity impairment was addressed and documented.
Failure to notify hospice service of changes in resident condition.
Medication error involving methotrexate administration and failure to follow physician orders.
Report Facts
Complaints referenced: 4Dates of plan of correction completion: Completed 5/2/19, 5/21/19, and 8/8/18
Employees Mentioned
Name
Title
Context
Cher Michael
Supervising Nurse Consultant
Signed the amended violation letter
RN #1
Registered Nurse
Witnessed consent form, involved in medication error and skin integrity findings
Person #2
Responsible party for Resident #128, involved in notification findings
Physician (MD) #3
Physician
Interviewed regarding medication sensitivities
Director of Nurses
Interviewed regarding skin integrity audit and findings
Licensed Practical Nurse (LPN) #1
Licensed Practical Nurse
Performed weekly skin integrity checks
RN #3
Registered Nurse
Interviewed regarding hospice notification
Hospice nurse
Interviewed regarding hospice assessments
Corporate nurse
Interviewed regarding hospice service notification
RN #1
Registered Nurse
Involved in medication administration error and disciplinary action
Licensed Practical Nurse (LPN) #4
Licensed Practical Nurse
Interviewed regarding medication order verification
Licensed Practical Nurse (LPN) #5
Licensed Practical Nurse
Interviewed regarding medication pass and error notification
APRN #2
Advanced Practice Registered Nurse
Consulted on medication error and treatment
Physician (MD) #1
Physician
Interviewed regarding methotrexate administration and toxicity
Pharmacist #1
Pharmacist
Interviewed regarding methotrexate dosing and medication alerts
The inspection was conducted as a renewal licensing inspection and included review of complaint investigations CT# 21847 and CT# 22556.
Findings
Violations of the General Statutes of Connecticut and/or regulations of Connecticut State Agencies were identified at the time of this inspection, as referenced in an attached violation letter dated 2018-03-19.
Complaint Details
The inspection included review of complaint investigations CT# 21847 and CT# 22556.
Employees Mentioned
Name
Title
Context
David Bind
Administrator
Personnel contacted during the inspection
Donna Dwyer
DNS
Personnel contacted during the inspection
Report
Aug 1, 2025
File
complaint-inspection_2025-08-01.pdf
Report
Aug 1, 2025
File
health-inspection_2025-08-01.pdf
Report
Jul 24, 2024
File
complaint-inspection_2024-07-24.pdf
Report
Oct 10, 2023
File
health-inspection_2023-10-10.pdf
Report
Jul 27, 2021
File
health-inspection_2021-07-27.pdf
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