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Complaint Investigation

Complete Care At Groton Regency

November 14, 2025 · Groton, CT · 1145 Poquonnock Rd
Citations 2
CMS Rating 3/5
Beds 130
Provider ID 075270
Healthcare Facility
Complete Care At Groton Regency
Groton, CT  ·  View full profile →
Inspection Summary

COMPLETE CARE AT GROTON REGENCY in GROTON, CT — inspection on November 14, 2025.

Found 2 citations. Severity: Standard violations.

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

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Inspection Findings

FF0550
Resident Rights Deficiencies
Potential for More Than Minimal Harm

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on review of clinical records, interviews, facility documentation and policies for one (1) of three (3) residents (Resident #1) reviewed for resident rights, the facility failed to ensure the resident was treated with respect during medication administration.

The findings included:Resident #1 was admitted to the facility in October of 2025 with diagnoses which included congestive heart disease, anxiety, and Type 2 diabetes mellitus.

Review of the Nursing admission assessment dated [DATE] identified Resident #1 was alert and oriented to person, place, time, and situation, was verbally appropriate, and required extensive assistance with personal hygiene, bed mobility, and transfers.The Resident Care Plan (RCP) dated 10/25/25 identified Resident #1 required assistance/was dependent for activities of daily living which included bathing, grooming, personal hygiene, dressing, eating, bed mobility, transfer, locomotion, and toileting related to a recent hospitalization which resulted in fatigue, activity intolerance, and confusion.

Interventions included to monitor medications, especially new/changed/discontinued medications, for side effects and responses contributing to cognitive loss/dementia.The Department of Public Health Reportable Event Summary Report dated 10/24/25 identified Resident #1 alleged a staff member went into his/her room at 6:00 AM on 10/24/25 to administer medications, Resident #1 informed the staff member that he/she could not take medications without applesauce and Resident #1 heard the staff member state Jesus Christ before leaving the room.A Nursing note dated 10/25/25 at 12:06 PM identified Resident #1 alleged RN #1 used inappropriate language and demeanor during an interaction.A Disciplinary Action Form dated 10/26/25 identified RN #1 was cited for unprofessional conduct and failed to maintain professional demeanor during an interaction with a resident. RN #1 was educated on professionalism and customer service.Interview on 11/14/25 at 9:15 AM with RN #1 (11:00 PM to 7:00 AM nurse supervisor) identified he/she was assigned to provide care for Resident #1 on 10/24/25. RN #1 identified that during the morning medication pass, Resident #1 informed him/her that he/she took medication(s) with applesauce.

Upon returning from the kitchen with applesauce, RN #1 indicated Resident #1 was fumbling with the remote control to his/her bed and that prior to taking the remote from Resident #1, had uttered Jesus Christ under his/her breath. RN #1 identified Resident #1 did not react to what he/she said at that time and further indicated that he/she was uncertain as to why it was even said. RN #1 further indicated he/she apologized to Resident #1 approximately thirty (30) minutes following the incident.Interview with the Director of Nursing Services (DNS) on 11/14/25 at 2:20 PM identified that uttering Jesus Christ was poor bedside manner and indicated the language was offensive.

The DNS further identified that it was the facility's standard of practice for staff to maintain professionalism and respect at all times.

Review of the Resident Rights policy dated 7/1/24 directed residents had a right to be treated with respect and dignity.

Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.

For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.

LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE

TITLE

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

11/14/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Complete Care at Groton Regency

1145 Poquonnock Rd Groton, CT 06340

SUMMARY STATEMENT OF DEFICIENCIES

Review of the Medication Administration policy dated 1/18/24 directed medications were administered by licensed nurses, or other staff who were legally authorized to do so in this state, as ordered by the physician, and in accordance with professional standards of practice in a manner to prevent contamination or infection.

The policy further directed staff to observe resident consumption of medication.

Facility ID:

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 GROTON, 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 COMPLETE CARE AT GROTON REGENCY or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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