Advanced Center For Nursing & Rehabilitation
ADVANCED CENTER FOR NURSING & REHABILITATION in NEW HAVEN, CT — inspection on August 20, 2025.
Found 4 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.
Inspection Findings
Review of the MAR for August 2025 identified Resident #16 did not receive Methadone 75 mg oral at 6:00 AM on 8/12/2025; LPN #16 documented the Methadone was unavailable.
Record review failed to identify why Resident #16's prescribed Methadone was not available and if the physician/APRN was notified.
Interview and record review on 8/20/2025 at 12:40 PM with RN #3 identified she was the supervisor on 8/12/2025 (11 PM to 7 AM on 8/12/2025) when Resident #16's Methadone was due to be administered at 6 AM. RN #3 stated the charge nurse did not notify her that there was no Methadone available for administration for the 6 AM dose.
She stated if she was notified, she would have arranged for Resident #16 to go to the Methadone clinic to obtain the medication.
Although attempted, an interview with LPN #16 was not obtained during survey.
Interview with the DNS on 8/20/2025 at 2:30 PM identified Resident #16 should have received his/her Methadone as ordered, and when it was not available the physician or APRN should have been notified.
The DNS was unable to explain why the physician/APRN was not notified on 8/12/2025.
The facility policy Change of Condition dated 1/30/2025 directed in part, to administer provider ordered treatments and medications as indicated.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
08/20/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Advanced Center for Nursing & Rehabilitation
169 Davenport Avenue New Haven, CT 06519
SUMMARY STATEMENT OF DEFICIENCIES
Resident's MAR and did not know why the nurses did not sign the MAR to indicate medication was administered to a resident after they signed it out on the CSDR sheet.
She stated that if it is not documented it was not done and could not identify where the unaccounted doses were.
Further, the DON stated if a controlled medication needs to be destroyed (wasted) for any reason, another nurse needed to witness the destruction of the medication and sign for the destruction on the CSDR, and she did not know why there was not a witness signature for the medication that was destroyed.
The DON stated if a resident did not have a current physician order, the narcotic medication should not have been signed out on the CSDR, and should not be administered to the resident.
The DON stated she did not know why the narcotic medication was signed out for a resident when there was no current physician/APRN order for the administration.
The facility Controlled Substance Handing Policy, dated 1/19/2018, directed in part, that licensed nurses must document (administration) immediately in the MAR.
The Policy further directed if destruction is needed it should be destroyed by two (2) nurses.
The facility Medication Administration Policy dated 2/16/2018 directed in part, that medication should only be prepared at the intended time of administration.
After administering the medication, the person administering the medication should document in the electronic medical record that it was given.
The facility policy Resident Abuse, Mistreatment, Neglect, Exploitation, Misappropriation and retaliation dated 1/19/2017 directed in part that is the policy of the facility to ensure residents are free from misappropriation.
The Policy further directed, misappropriation means intentional wrongful misplacement of a resident's belongings.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
08/20/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Advanced Center for Nursing & Rehabilitation
169 Davenport Avenue New Haven, CT 06519
SUMMARY STATEMENT OF DEFICIENCIES
11.5 to 12 inches high).
The initial CDSR signed facility receipt of narcotics from the pharmacy were in notebooks (by unit location) behind the stacks of completed CDSRs.
There were no audit results or documentation of audits completed observed in the medical records area.
Interview failed to identify a process with a tracking system for current audits of controlled medications in the facility.
The facility Controlled Substance Handing Policy, dated 1/19/2018, directed in part, directed monthly audits that monitor for discrepancies in counts, unexplained wastage and patterns of high usage.
Additionally, the policy directed that a controlled substance accountability records and audit records should be kept on file for period no less than five (5) years and that discontinued controlled drugs are returned to the nursing office after the count was verified.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
08/20/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Advanced Center for Nursing & Rehabilitation
169 Davenport Avenue New Haven, CT 06519
SUMMARY STATEMENT OF DEFICIENCIES
Review of the Methadone Maintenance policy dated 9/16/2020 directed in part, to provide continued access to Methadone.
The Policy further directed, after admission to the facility, a licensed nurse will retrieve the resident’s Methadone bottles for administration until the resident’s next scheduled clinic day.
Review of the Change of Condition policy dated 1/30/2025 directed in part, that the LPN is to administer provider ordered medications as indicated
Facility ID: