Advanced Center for Nursing & Rehab: Oxygen Tubing Failures - CT
Inspectors cited the facility on October 2, 2025, following a complaint investigation. The deficiency, tagged under infection prevention and control, was classified as having minimal harm or potential for actual harm and was found to affect some residents.
The problem was straightforward. Residents on supplemental oxygen are supposed to have their nasal cannula tubing swapped out every seven days, sooner if the tubing is visibly dirty or contaminated. The facility's own policy, dated January 19, 2018, said exactly that. It also said the date of each tubing change would be documented in the resident's medical record.
Neither part was happening consistently.
A licensed practical nurse at the facility, identified in the inspection report as LPN #5, told inspectors that residents using oxygen should have had a physician's order directing weekly tubing changes. That detail matters: if the order wasn't in place, the weekly change wasn't being driven by anything, not a standing directive, not a documented schedule, not a nurse checking a chart and seeing a date.
The facility's own written policy had been on the books for more than seven years by the time inspectors walked in. It described a system. Tubing would be changed. The change would be labeled. The date would go in the medical record. What inspectors found was that the system wasn't running.
Oxygen tubing that sits in place longer than a week accumulates moisture and becomes a breeding ground for bacteria. For residents who are already medically fragile, already dependent on supplemental oxygen because their lungs or heart aren't doing the work alone, tubing that carries contamination directly into the airway isn't a minor administrative gap. It is a direct route for infection.
Advanced Center for Nursing & Rehabilitation sits at 169 Davenport Avenue in New Haven. The complaint inspection covered multiple areas of care. This deficiency appeared on page 13 of a 15-page statement of deficiencies, suggesting inspectors found other problems during the same visit.
The inspection report does not name the residents whose tubing was affected, does not specify how many were involved beyond the designation of "some," and does not describe whether any resident suffered an infection or respiratory complication traceable to the tubing. The harm level was classified at the lower end of the scale. That classification reflects what inspectors could document, not a ceiling on what was possible.
What the record shows is a facility with a written policy it wasn't following, a nurse who described the correct procedure to inspectors as something that should have happened, and residents on oxygen whose tubing changes were going undocumented. Whether the tubing was actually being changed and simply not recorded, or not being changed at all, the inspection report does not resolve. Both possibilities leave residents exposed, one to contaminated equipment, the other to a paper trail that provides no protection and no accountability.
The facility's plan of correction was not included in the materials reviewed. For information on how Advanced Center for Nursing & Rehabilitation intends to address the deficiency, CMS directs inquiries to the facility or the Connecticut state survey agency.
What the policy promised, and what inspectors found, were not the same thing. For the residents breathing through that tubing, the difference was not abstract.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Advanced Center For Nursing & Rehabilitation from 2025-10-02 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.
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.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: September 11, 2026 · Our methodology
ADVANCED CENTER FOR NURSING & REHABILITATION in NEW HAVEN, CT was cited for violations during a health inspection on October 2, 2025.
Inspectors cited the facility on October 2, 2025, following a complaint investigation.
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.