Villa Maria Nursing And Rehabilitation Community
VILLA MARIA NURSING AND REHABILITATION COMMUNITY in PLAINFIELD, CT — inspection on March 30, 2026.
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.
Inspection Findings
During care, she checked the resident's heels and identified moisture on her gloves.
She removed the right leg brace and observed no barrier between the brace and the resident's skin.
Upon removal of the brace, she observed a large open wound to the right ankle with a white wound bed and exposed tendon.Interview with MD #1 (Contracted Wound Physician) on 3/30/26 at 2:45 PM identified Resident #1's right ankle pressure injury was defined as a medical device associated pressure injury and due to Resident #1's age and weight, skin breakdown could occur quickly. He identified that if he was notified of soft skin, redness or bruising, before a break in the skin occurred, he would have suggested padding between the right leg brace and skin as a barrier. MD #1 did not know there was an existing order for padding from the Orthopedic physician since discharge from the hospital. He identified that the facility should have followed the orders from the Orthopedic physician.Interview with the DNS on 3/30/26 at 3:30 PM identified the process for performing skin checks with a medical brace, was for the brace to be removed, skin observed, and any changes, such as discoloration or skin breakdown, should be reported to the physician.Review of the Change in Condition policy directed, in part, that the nurse will notify the resident's Attending Physician when there has been a significant change in the resident's physical/emotional/mental condition or need to alter the resident's medical treatment significantly. A significant change of condition is a major decline in the resident's status that will not normally resolve itself without intervention by staff.The facility presented a corrective action plan dated 2/28/26 which included:Staff education dated 2/28/26 to include skin assessments and resident change in condition.Facility-wide audit of residents requiring skin checks every shift due to brace use completed 3/2/26.Weekly Audits initiated on 3/4/26 to ensure braces are removed per MD order, skin is inspected and skin changes are reported, assessed and documented.Compliance date 3/5/26The corrective action plan for past noncompliance was accepted by the state agency during an on-site visit on 3/30/26.
075084 03/30/2026
Villa Maria Nursing and Rehabilitation Community 20 Babcock Avenue Plainfield, CT 06374
During care, she checked the resident's heels and identified moisture on her gloves.
She removed the right leg brace and observed no barrier between the brace and the resident's skin.
Upon removal of the brace, she observed a large open wound to the right ankle with a white wound bed and exposed tendon.Interview with MD #1 (Contracted Wound Physician) on 3/30/26 at 2:45 PM identified Resident #1's right ankle pressure injury was defined as a medical device associated pressure injury and due to Resident #1's age and weight, skin breakdown could occur quickly. He identified that if he was notified of soft skin, redness or bruising, before a break in the skin occurred, he would have suggested padding between the right leg brace and skin as a barrier. MD #1 did not know there was an existing order for padding from the Orthopedic physician since discharge from the hospital. He identified that the facility should have followed the orders from the Orthopedic physician.Interview with the DNS on 3/30/26 at 3:30 PM identified the process for performing skin checks with a medical brace, was for the brace to be removed, skin observed, and any changes, such as discoloration or skin breakdown, should be reported to the physician.
Review of the Change in Condition policy directed, in part, that the nurse will notify the resident's Attending Physician when there has been a significant change in the resident's physical/emotional/mental condition or need to alter the resident's medical treatment significantly. A significant change of condition is a major decline in the resident's status that will not normally resolve itself without intervention by staff.
Review of the Splinting policy directed that when applying/assisting with splinting, follow the measures stated in the care plan.The facility presented a corrective action plan dated 2/28/26 which included:Staff education dated 2/28/26 to include skin assessments and resident change in condition.Facility-wide audit of residents requiring skin checks every shift due to brace use completed 3/2/26.Weekly Audits initiated on 3/4/26 to ensure braces are removed per MD order, skin is inspected and skin changes are reported, assessed and documented.Compliance date 3/5/26The corrective action plan for past noncompliance was accepted by the state agency during an on-site visit on 3/30/26.
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 PLAINFIELD, 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 VILLA MARIA NURSING AND REHABILITATION COMMUNITY or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.