Guilford House, The
Inspection Findings
F-Tag F0580
F 0580 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Based on clinical record reviews, facility documentation, facility policy and interviews for one (1) of four (4) sampled residents (Resident #1) who were at risk for falls, the facility failed to ensure Resident #1's family was notified on the same day when the resident sustained a fall. The findings include:Resident #1's diagnoses included heart failure, muscle weakness, difficulty in walking and cellulitis. The admission record dated 6/7/25 identified family members were Resident #1's emergency contact. The admission nurse's note dated 6/7/25 at 6:10 PM identified Resident #1 was admitted to the facility from the hospital at 5:00 PM. The note indicated Resident #1 was alert, forgetful, anxious, calling out occasionally wanting to go home and redirected to place and time. The nurse's note dated 6/8/24 at 2:07 AM identified Resident #1 was found lying on his/her side next to his/her bed. The note identified Resident #1 appeared confused pupils were equal, round, and reactive to light, there was no internal or external rotation or lengthening or shortening of all extremities, and no new skin redness or open areas. The note identified the provider was notified and a new order was obtained to perform safety checks for three (3) days every two (2) hours. The note identified Resident #1's family needed an update in the morning. Review of the clinical record from 6/8/25 through 6/14/25 failed to reflect documentation Resident #1's family was updated regarding the 6/8/25 fall. The facility Accident and Investigation dated 6/8/25 identified the physician was notified on 6/8/25 at 2:20 AM of
the fall however Resident #1's family was not notified regarding the fall until 6/14/24, six (6) days later.
Interview and clinical record review with the Director of Nursing (DON) on 9/22/25 at 12:06 PM identified Resident #1's family should have been notified at the time of the fall. Review of the facility policy titled Fall-Unwitnessed directed, in part, notify family and provider of occurrence and re-notify if any changes.
Review of the facility policy titled Resident's Change in Condition, directed, in part, any changes in condition must be reported to the family/responsible party along with any new orders from the provider.
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
(X6) DATE
FORM CMS-2567 (02/99) Previous Versions Obsolete
Facility ID:
If continuation sheet
Event ID:
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
09/22/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Guilford House, The
109 West Lake Avenue Guilford, CT 06437
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)
F-Tag F0602
Federal health inspectors cited GUILFORD HOUSE, THE in GUILFORD, CT for a deficiency under regulatory tag F-F0602 during a complaint investigation conducted on 2025-09-22.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
The facility was found deficient in the following area: Protect each resident from the wrongful use of the resident's belongings or money.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 2 deficiencies cited during this inspection of GUILFORD HOUSE, THE.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-11-21.
GUILFORD HOUSE, THE in GUILFORD, CT inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
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 GUILFORD, 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 GUILFORD HOUSE, THE or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.