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.