Hewitt Health & Rehabilitation Center, Inc
Inspection Findings
F-Tag F0580
F 0580 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
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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HEWITT HEALTH & REHABILITATION CENTER, INC in SHELTON, 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 SHELTON, 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 HEWITT HEALTH & REHABILITATION CENTER, INC or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.