Avery Nursing Home/noble Building
Inspection Findings
F-Tag F0689
F 0689 Level of Harm - Actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
of the door, that alarmed loudly when the door was opened and also required a key to silence it.
Observation of the exterior of the building identified the exit door led to an enclosed (fenced in) courtyard.
The courtyard had an uneven black paved area with a large bump in the ground to the left of the door. To
the left of the paved area was a stone wall approximately half the length of the courtyard, approximately two (2) feet high, with the wall stones cemented into place, the top layer of stones were not cemented in place, and the top layer stones had sharp edges. Additional observation identified on the other side of the stone wall, a large upwardly slopped area with large loose round landscaping rocks that could be walked on leading up a hill to the fence. The rocks were loose and moved when stepped on, and the ADNS cautioned walking on the loose stone. At the top left of the landscaped rock area, a steep drop-off area was noted in
the corner near the building, approximately four (4) feet high. Piles of round rocks and stones were observed on the walkway, that created a tripping hazard. Observation of the far area of the fence identified
a double gate with a latch that lifted upward to open the gate. The latch had no lock, opened easily with one finger lifting the latch upward and led to a black paved curved pathway. Following the slightly declined pathway through the woods identified a broken fence to the left with cut brush and tree branches lining the pathway, that led to a steep embankment and the main road below (4 lane road). The pathway curved toward the parking lot and the two (2) lane road leading to the facility. There were no signs or other notices that would have prevented any residents, visitors or staff members from accessing the pathway from the enclosed courtyard or the parking lot. The ADNS stated residents are not allowed into the courtyard from
the unit without supervision. Further, the ADNS stated any resident could, and can, open the unit door, but
a resident would not be able to open the gate latch. The ADNS continued that residents are outside in the courtyard area during recreational activities as well as with family visits when the weather permits. Interview and facility documentation review with the DON and Administrator on 9/30/2025 at 2:10 PM failed to identify why the wall rocks were not secured/cemented to the top of the stone wall, why there were rocks in the uneven pathway, and why the double gates were not secured to prevent egress. The facility undated Resident [NAME] of Rights Policy directed in part, the residents have the right to a safe environment, and to ensure that the physical environment maximizes independence and does not pose a safety risk.
Event ID:
Facility ID:
If continuation sheet
AVERY NURSING HOME/NOBLE BUILDING in HARTFORD, 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 HARTFORD, 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 AVERY NURSING HOME/NOBLE BUILDING or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.