Hewitt Health & Rehabilitation Center, Inc
HEWITT HEALTH & REHABILITATION CENTER, INC in SHELTON, CT — inspection on January 2, 2026.
Found 1 citation. 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
provider of any further change in condition.
The nurse's note dated 12/29/25 at 1:45 PM identified at 7:00 AM Resident #1 was transferred to the hospital after making a threatening statement towards the building.
The note indicated Resident #1 was extremely agitated, throwing things, yelling at staff and the provider and Resident #1's responsible party were made aware.
The hospital documentation dated 12/29/25 identified Resident #1 presented to the emergency department for evaluation of agitation, complaints of feeling unwell, and concerns for a bladder infection.
The emergency department note identified the crisis team was consulted regarding Resident #1's agitation and the report that Resident #1 had set his/her bed on fire.
The note indicated Resident #1 was diagnosed with a urinary tract infection and started on antibiotics and Resident #1 was cleared by the crisis team and deemed safe to return to the facility.
The nurse's note dated 12/31/25 at 8:21 PM identified Resident #1 returned to the facility.
Interview with the charge nurse, Licensed Practical Nurse (LPN) #2, on 1/2/26 at 11:56 AM identified although Resident #1 was unusually angry on 12/27/25, she did not report Resident #1's outbursts to either the nursing supervisor or provider, stating she attributed Resident #1's behaviors to not liking change. LPN #2 stated she documented Resident #1's behaviors in the psychiatric APRN book even though she knew they were not set to visit the facility again for three (3) more days. LPN #2 reported looking back, she should have notified the nursing supervisor on 12/27/25 so the on-call provider could have been notified of Resident #1's change in behavior, explaining Resident #1 was unable to be redirected and had no available as needed medication to calm him/her down.
Interview with LPN #1 on 1/2/26 at 1:47 PM identified although Resident #1 had a history of refusals, on 12/29/25, Resident #1 was angrier and agitated than she had ever observed before.
Interview with the APRN on 1/2/26 at 11:41 AM identified a provider should have been notified of Resident #1's behaviors on 12/27/25, reporting that what was documented by LPN #2 was not the resident's baseline.
The APRN identified Resident #1 had a history of urinary tract infections and recently had a Gradual Dose Reduction (GDR) of Seroquel (an anti-psychotic medication) in November and had a provider been notified, a urine and blood work could have been ordered as well as an as needed medication.
Interview with the Director of Nursing (DON) on 1/2/26 at 1:22 PM identified the nursing supervisor and a provider should have been notified of Resident #1's behaviors on 12/27/25, reporting it was not appropriate for LPN #2 to only write the behaviors in the psychiatric APRN book, stating the medical APRN or psychiatric APRN should have been contacted for a telehealth appointment.
Review of the Change in Resident Condition/Family/MD Notification policy dated July 2018 directed, in part, that when there is a significant change in the condition of a resident's physical, mental or emotional status the resident's attending physician shall be notified. If the resident's physician is not available, the covering physician shall be notified. If the attending or covering physician is not available, the medical director or associate shall be called. A RN assessment will be conducted, and the nurse will document in the nurse's notes that the physician and family or responsible party have been notified of the change in condition.
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