New London Sub-Acute: Medication Failures Continue - CT
New London Sub-Acute and Nursing had promised federal inspectors in June that increased auditing would solve their medication administration failures. Instead, residents continued missing scheduled doses for days at a time, and staff administered medications late without notifying doctors.
The facility's Plan of Correction committed to three months of audits with quality assurance oversight after inspectors found significant medication errors in June. Federal inspectors returned August 20 to find the same problems persisting.
Resident #1 missed medications from June 30 through July 9, then again on July 26, 27, and 28. Resident #6 went without scheduled medications from July 21 through July 24. After the facility's correction period supposedly ended, Resident #2 missed medications from August 5 through August 8.
Late administrations followed a similar pattern. Resident #6 received medications late on July 13, July 17, and July 26 during the correction period. After that period ended, the same resident received late medications on August 2 and August 18.
Resident #4 received medications late on August 2. Resident #15 received late medications on August 4, August 11, and August 13.
The Director of Nursing told inspectors she was unaware that late medication administrations were still happening. The facility's audits had failed to capture this ongoing information, despite running since June 27.
The Administrator couldn't explain why their June 30 Plan of Correction had proven ineffective. He acknowledged they were conducting random resident audits for medication administrations but admitted these audits failed to identify that both late and omitted medication administrations continued.
During a July 16 quality assurance meeting, facility leadership reviewed the June 30 survey results and noted that audits were ongoing and showed compliance improvement. The August inspection revealed this assessment was wrong.
Federal inspectors had originally found the medication failures during a complaint survey completed June 30. That investigation identified residents who weren't receiving scheduled medications and cases where providers weren't notified of missed or late administrations.
The facility's quality assurance policy from April 2025 makes the Administrator and Director of Nursing responsible for developing, leading, and closely monitoring the quality improvement program. The policy requires ensuring adequate resources for these efforts.
When confronted with the continued failures during the August 21 inspection, the Administrator told inspectors the facility would develop new processes. He said upcoming audits would increase to daily frequency and involve multiple staff members.
The August 20 revisit was specifically intended to verify the facility had corrected the June 30 findings. Instead, inspectors found the facility "failed to ensure medications were administered and was unable to be put back into compliance."
Some residents experienced both missed and late medications. Resident #6 missed scheduled doses from July 21 through July 24, then received late medications on July 13, July 17, July 26, August 2, and August 18.
The inspection report notes that providers were not notified of these medication administration failures, a separate violation that compounds the risk to residents who depend on timely medication for their health conditions.
Federal inspectors classified this as a failure to maintain compliance with previously cited deficiencies, indicating the facility had been warned about these exact problems before the June complaint survey.
The facility's quality assurance program is required to identify, track, and resolve issues that affect resident care and safety. The continued medication errors suggest this system failed at each step of that process.
The Administrator's promise of daily audits by multiple staff represents an acknowledgment that the previous monitoring system was inadequate. However, the facility had already committed to intensive auditing in June, making the August failures particularly concerning for federal oversight.
Residents affected by these medication errors depend on nursing home staff to ensure they receive prescribed treatments that manage chronic conditions, prevent complications, and maintain their health. Missing doses for multiple consecutive days can disrupt treatment effectiveness and potentially worsen underlying medical conditions.
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 2025-08-21 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: Official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).
Editorial process: AI-synthesized regulatory data, reviewed for accuracy by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: June 20, 2026 · Our methodology
NEW LONDON SUB-ACUTE AND NURSING in WATERFORD, CT was cited for violations during a health inspection on August 21, 2025.
New London Sub-Acute and Nursing had promised federal inspectors in June that increased auditing would solve their medication administration failures.
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.