New London Sub-Acute: Infection Oversight Gap - CT
Inspectors who visited the facility on March 27, 2025, found that the Infection Preventionist, a licensed practical nurse who took over the role sometime in September or October of 2024, missed every quality meeting from July through December of 2024. She attended the January 2025 meeting. That was it. Six of seven opportunities, gone.
The monthly meetings are where the facility's leadership is supposed to gather and assess what is going wrong, what risks are building, what needs to change. The Quality Assessment and Assurance committee met in July, August, September, October, November, and December of 2024. Sign-in sheets reviewed by inspectors confirmed it. The infection preventionist's name appeared on none of them.
The administrator, interviewed on March 24, offered an explanation. The previous infection preventionist had resigned in August 2024. The facility did not immediately hire a replacement. That gap, the administrator said, was the reason the role went unrepresented at meeting after meeting.
It was a staffing problem, in other words. The administrator acknowledged that while some staff positions are shared across facilities within the parent organization, the infection preventionist role is not one of them. When the person in that seat left, the seat stayed empty.
What makes the gap harder to explain away is what inspectors found when they looked at the facility's own written policy for how these meetings are supposed to work. The policy says the quality committee must include, at minimum, the administrator, the director of nursing, the medical director, and three other staff members. The infection preventionist is not listed anywhere in that document.
The facility had written the role out of its own internal requirements, even though federal guidelines specify it must be included.
That distinction matters. A policy that doesn't require the infection preventionist's presence gives no one a formal reason to notice her absence, no checklist to flag the vacancy, no mechanism to escalate the problem. The administrator can point to staffing turnover. The policy can shrug. The meetings go on without the one person whose job is to watch for patterns of infection spreading through the building.
The LPN who now holds the infection preventionist role told inspectors she began her oversight of the program around September or October of 2024. That timing means she was in the position, or close to it, during at least some of the months the meetings went forward without her. Whether she was invited, whether anyone noticed she wasn't there, whether the topic came up at all, the inspection report does not say.
Inspectors rated the violation at the lowest level of potential harm. No resident was identified as having been directly hurt by the gap in oversight. The finding applied to some residents, not all.
But infection prevention oversight in a nursing facility is not a formality. It is the mechanism through which a facility catches early warning signs, clusters of illness, lapses in hygiene practice, and patterns that, left unexamined, can move through a population of elderly and medically vulnerable residents faster than any other threat. The person assigned to watch for those patterns was not in the room where decisions were being made for half a year.
The facility's plan to correct the deficiency was not included in the inspection materials reviewed for this report.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for New London Sub-acute and Nursing from 2025-03-27 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
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Last verified: November 3, 2026 · Our methodology
NEW LONDON SUB-ACUTE AND NURSING in WATERFORD, CT was cited for violations during a health inspection on March 27, 2025.
She attended the January 2025 meeting.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.