TouchPoints at Manchester: Unexplained Ankle Fracture - CT
The resident, identified in inspection records only as Resident 107, required two staff members and a Hoyer lift for every transfer. She was fragile. She was on hospice. And at some point, she ended up with a broken ankle that the facility never explained.
The family learned about the fracture from hospice, not from the nursing home. A family member told inspectors on August 12 that they received an email from a hospice staff member describing the ankle fracture. The facility was managing the injury with an ace wrap, ice, and elevation. Hospice added arnica ointment for pain. The family member said there was no explanation from the facility about how the injury occurred. "Most of the updates were from the hospice provider," the family member told inspectors.
The nursing assistant who transferred Resident 107 around the time the injury was discovered, identified as NA #2, told inspectors she couldn't recall many details because it had been a while. She said she arrived to work and a nurse told her the resident had an injury, and she saw the wrapped ankle. She said she would never transfer the resident without a second person present. But she could not remember who that second person was, and she acknowledged she had not documented it.
A second nursing assistant, NA #3, told inspectors she remembered seeing a bruise or discoloration on the resident and reported it to a nurse. She remembered the resident required a two-person Hoyer transfer. She said it was a weekend nurse, but she couldn't recall much more. "That was awhile back," she said.
The facility's Director of Nursing Services conducted the investigation into the fracture. When inspectors sat down with her on the morning of August 13, she could not explain why she had never determined who helped NA #2 with the transfer. She acknowledged that identifying the second staff member was a stated question on the facility's own investigation form, and that knowing who was present would have been critical to determining whether the transfer had been done correctly and whether the fracture could have happened during it. She did not answer either question. She could not say whether the transfer had been performed appropriately, and she offered no explanation for how Resident 107's ankle was broken.
The facility is disputing the citation.
Resident 107 was fragile enough to be on hospice when the fracture occurred. She later lost weight and declined, though she did not meet the criteria to remain on hospice and was discharged from that service a few months before inspectors arrived. The family member who spoke with inspectors said they received no explanation from the facility then, and nothing had changed by the time investigators came asking.
The inspection, conducted in response to a complaint, assigned the violation a level of minimal harm or potential for actual harm, and noted that few residents were affected. The facility's own policy on mechanical lift transfers states that two people must be present for every transfer, one to operate the lift and one to guide the resident's lower body. Whether that happened the day Resident 107's ankle was fractured remains, by the facility's own admission, unknown.
A broken bone in a hospice patient on a Hoyer lift protocol is the kind of event that demands an answer. The facility's investigation produced none. The family got their information from hospice. The nursing assistants said they couldn't remember. The director of nursing said she wasn't sure why she hadn't asked the right questions. And the resident, who later lost weight and was eventually discharged from hospice care, moved through all of it without anyone at the facility ever accounting for what happened to her.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Touchpoints At Manchester from 2025-08-13 including all violations, facility responses, and corrective action plans.
Download the official CMS inspection PDF from Medicare.gov
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.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Corrections: We strive for accuracy in everything we publish. If you believe any fact in this article is incorrect, please contact us with details, and we will review and correct it promptly.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: October 23, 2026 · Our methodology
TOUCHPOINTS AT MANCHESTER in MANCHESTER, CT was cited for violations during a health inspection on August 13, 2025.
The resident, identified in inspection records only as Resident 107, required two staff members and a Hoyer lift for every transfer.
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.