Havencare at Litchfield Woods: Medication Failures - CT
The September 2025 complaint inspection found the facility had failed to administer medications within the required window and had not consistently documented held or unavailable doses on the medication administration record. When a medication is missed or held, the facility's own policy required staff to notify the physician immediately. Inspectors found that hadn't reliably happened.
The facility's medication administration policy, which was undated, directed staff to give medications within one hour before or after the prescribed time. Its medication error policy required immediate physician notification whenever something went wrong. Both policies existed on paper. The inspection record does not indicate that either was consistently followed.
Inspectors also asked for a policy governing what staff should do when an internet outage occurs, a scenario directly relevant to how medication records get documented and accessed. No such policy was provided during the survey.
The deficiency was cited at a level of minimal harm or potential for actual harm, and inspectors noted they identified no hospitalizations or adverse medical events tied to the missed doses. Some residents were affected.
That last point matters, but so does what it leaves open. Medications are missed. The physician is not called. The outage happens and there is no written protocol for what comes next. The inspection report does not say how many residents were affected, how many doses were missed, or how long the pattern had been occurring before a complaint triggered the visit.
What it does say is that when surveyors arrived and started asking questions, the facility handed over two undated policies and could not locate a third.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Havencare At Litchfield Woods from 2025-09-04 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.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: September 22, 2026 · Our methodology
HAVENCARE AT LITCHFIELD WOODS in TORRINGTON, CT was cited for violations during a health inspection on September 4, 2025.
When a medication is missed or held, the facility's own policy required staff to notify the physician immediately.
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.