Sheriden Woods: Safety Hazards Cause Resident Harm - CT
The January 16 incident, documented in a federal inspection completed January 30, traces a failure that moved through an entire overnight cycle of care. A licensed practical nurse on the 3-to-11 shift, identified in the report as LPN #2, lifted Resident #1's left leg during a late-night check and the resident cried out. LPN #2 recognized afterward that she should have given Tylenol at that moment. She did not. She notified the nursing supervisor instead and moved on.
The resident had already received Tylenol once that evening. LPN #1 had assessed vital signs and administered it just before 4:15 PM, then checked back around 5:00 PM and found the resident comfortable. The medication had worked. That was the last dose the resident would receive for the next thirteen hours.
When the 11 PM-to-7 AM shift began, both LPN #2 and the overnight nursing supervisor, RN #2, told the incoming charge nurse, LPN #3, that the resident had been in pain at the end of the prior shift. LPN #3 checked on the resident through the night and found her uncomfortable. She did not give Tylenol. She told inspectors she assumed LPN #2 had already administered it, since the resident had just been assessed at the end of the previous shift. She never checked the medication administration record to see when the last dose had actually been given.
Around 5:00 AM, nurse aides told LPN #3 they were about to begin morning care. She gave Tylenol at 5:12 AM in preparation for the movement involved in care. She stayed to help. The resident appeared very uncomfortable throughout. After 6:00 AM, LPN #3 checked again and found the resident still restless and in pain. She notified RN #2, the overnight supervisor, and then assumed RN #2 would contact the provider about both the unrelieved pain and the x-ray results. RN #2's actions after that notification are not described in the inspection report.
The facility's own Advanced Practice Registered Nurse told inspectors directly: if the acetaminophen given at 5:12 AM was not controlling the pain, that should have been reported to a provider so a stronger medication could have been ordered.
The Director of Nursing was equally unsparing. LPN #2 should have given Tylenol when she found the resident in pain at 10:40 PM, the director said. And whoever knew the 5:12 AM dose wasn't working should have called the provider so an alternative could be ordered, especially given that the resident would need to be transported to a hospital.
The inspection cited the deficiency as causing minimal harm or potential for actual harm and noted few residents were affected. The resident was ultimately transported to a hospital; the inspection report does not describe what was found there or what treatment followed.
What the record shows is a resident who cried out when her leg was moved at 10:40 PM, remained in documented discomfort through the night, received her next dose of pain medication more than six hours later, and was still restless after that dose when morning care was complete. At each handoff, one nurse's assumption became the next nurse's reason not to act. No one looked at the record. No one called a doctor. The resident lay uncomfortable through the night while the nurses around her each believed the problem belonged to someone else.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Civita Sheriden Woods from 2026-01-30 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: August 4, 2026 · Our methodology
CIVITA CARE SHERIDEN WOODS in BRISTOL, CT was cited for violations during a health inspection on January 30, 2026.
The January 16 incident, documented in a federal inspection completed January 30, traces a failure that moved through an entire overnight cycle of care.
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.