Civita Care Center At Milford
Inspection Findings
F-Tag F0658
F 0658 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
she was informed that the resident's oxygen was decreasing to 88%. RN#1 indicated she did not recall if
she had informed APRN#1 that Resident #1 was requiring oxygen through a non-rebreather mask, but thought that the mask was placed after an ambulance was called. On 10/2/2025 at 1:53 PM, an interview and review of messages from the facility with APRN#1 indicated that RN#1 communicated with her through messaging regarding Resident #1's condition. APRN #1 indicated that although RN#1 informed APRN#1 about Resident #1's shortness of breath, APRN #1 was not informed that Resident #1 was placed on a non-rebreather mask. APRN#1 indicated that when a resident needs a non-rebreather mask, it should be communicated to her; however, APRN #1 indicated that her medical management would not have changed since she would have attempted to wean the mask off with the medications she had already ordered had
the resident not been transferred to the hospital.The facility policy for Change in a Resident's Condition or Status indicated that the nurse should notify a physician on call when there is a significant change in a resident's condition or if a resident's medical treatment needs to be altered significantly. Additionally, the policy indicated that the nurse should make detailed observations and gather relevant and pertinent information for the provider.
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If continuation sheet
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
11/24/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Civita Care Center at Milford
2028 Bridgeport Ave Milford, CT 06460
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 F0695
F 0695 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
device that fits over the resident's nose and mouth and is different than a nasal cannula. The policy failed to identify appropriate liter flows for a nasal cannula and different types of masks. A review of a facility in-service dated 7/22/2025 identified appropriate handling of oxygen tanks, but did not address the liter flow of various types of oxygen masks. B. On 10/2/2025 at 11:00 AM, an observation of Resident #1 identified that Resident #1's oxygen concentrator was set to 2.5 liters/minute. A second observation at 2:45 PM identified that Resident #1's oxygen was set to 4 liters/minute.On 10/2/2025 at 2:40 PM, an interview and
record review with LPN#3 identified an order dated 10/1/2025 that directed continuous oxygen at 2 liters/minute via nasal cannula. LPN#3 indicated that he had received a report that Resident #1 should be
on 4 liters/minute, but had requested to have it lowered overnight due to the flow irritating their nostrils.
LPN#3 indicated that when he evaluated Resident #1 at 12:00 PM on 10/2/2025, he increased the oxygen to 4 liters/minute to increase the flow back to what he thought was the ordered rate, although the resident's oxygen saturations were stable. A follow-up interview with LPN #3 at 3:00 PM identified that he had spoken to APRN#1 and that the resident should be ordered for 2 to 3 liters continuous oxygen via nasal cannula for
a target oxygen saturation of greater than 90%.A review of the facility policy for Physician orders indicated that orders for medications and treatments should be consistent with principles of safe and effective order writing. Additionally, the facility policy for oxygen administration indicated that when administering oxygen,
the physician's order should be verified and reviewed.
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CIVITA CARE CENTER AT MILFORD in MILFORD, 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 MILFORD, 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 CIVITA CARE CENTER AT MILFORD or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.