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Complaint Investigation

Cobalt Lodge Health Care And Rehabilitation Center

Inspection Date: September 29, 2025
Total Violations 2
Facility ID 075232
Location COBALT, CT
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Inspection Findings

F-Tag F0628

Resident Rights Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0628 Level of Harm - Minimal harm or potential for actual harm

in the medical record. If the resident is hospitalized for more than seven (7) days, the facility will repeat the above process and document it. For private pay residents the facility must reserve the bed if payment is available.

Residents Affected - Few Note: The nursing home is disputing this citation.

FORM CMS-2567 (02/99) Previous Versions Obsolete

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Printed: 04/13/2026 Form Approved OMB No. 0938-0391

Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION

(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:

(X2) MULTIPLE CONSTRUCTION

B. Wing

A. Building

(X3) DATE SURVEY COMPLETED

09/29/2025

NAME OF PROVIDER OR SUPPLIER

STREET ADDRESS, CITY, STATE, ZIP CODE

Cobalt Lodge Health Care and Rehabilitation Center

29 Middle Haddam Rd Cobalt, CT 06414

For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG

SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)

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F-Tag F0689

Quality of Life and Care Deficiencies
Harm Level: Actual Harm

F 0689 Level of Harm - Actual harm Residents Affected - Few

FORM CMS-2567 (02/99) Previous Versions Obsolete

she had treated Resident #1 for therapy services at which time Resident #1's ambulation status was to ambulate with therapy staff only and Resident #1 was discharged from physical therapy services on 8/29/25. PT #1 explained at the time of discharge Resident #1 required assistance from one (1) staff member for transfers and was non-ambulatory. PT #1 identified on 8/29/25 she entered a status change to not functionally ambulatory into the physician orders and communicated the change with the nursing staff.

PT #1 identified due to Resident #1 suffering a subdural hematoma and subsequent deconditioning, Resident #1's status has deteriorated since the fall and now requires a Hoyer lift for transfers and staff support for sitting. Interview with the Director of Nursing (DON) on 9/26/25 at 1:00 PM identified once a resident's ambulation status was on the physician's orders, the nurse was responsible to update the nurse aide care card. The DON stated the nurse aide care card for Resident #1 failed to identify Resident #1's ambulation status prior to, and after the change on 8/29/25 and only identified Resident #1 having a wheelchair and walker for adaptive equipment, the care card section for ambulation was left blank. The DON identified in her interview with NA #1 he identified when he entered Resident #1's room he saw both

the wheelchair and walker and therefore assisted Resident #1 out of bed utilizing the walker to ambulate to

the bathroom and NA #1 reported Resident #1 was in front of him and he did not use a gait belt. Attempts to interview RN #1 and NA #1 were unsuccessful. Review of the Resident Transfer and Ambulation Policy directed that care plans must reflect the resident's current functional status transfer method, and ambulation ability. The policy further identified that a gait belt was to be utilized unless contraindicated.

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📋 Inspection Summary

COBALT LODGE HEALTH CARE AND REHABILITATION CENTER in COBALT, CT inspection on recent inspection.

Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.

What this means: Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. All deficiencies must be corrected within required timeframes and are subject to follow-up verification.

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in COBALT, CT, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from COBALT LODGE HEALTH CARE AND REHABILITATION CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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