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Complaint Investigation

Havencare At Litchfield Woods

Inspection Date: September 4, 2025
Total Violations 3
Facility ID 075319
Location TORRINGTON, CT
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Inspection Findings

F-Tag F0580

Resident Rights Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0580 Level of Harm - Minimal harm or potential for actual harm

inform the physician in a timely manner when medications are held, or otherwise unavailable. Review of facility Medication Error Policy, directed in part, if a medication error occurs in the administration of medications the physician must be notified immediately.

Residents Affected - Some

FORM CMS-2567 (02/99) Previous Versions Obsolete

Event ID:

Facility ID:

If continuation sheet

Printed: 04/13/2026 Form Approved OMB No. 0938-0391

Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION

(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:

(X2) MULTIPLE CONSTRUCTION

B. Wing

A. Building

(X3) DATE SURVEY COMPLETED

09/04/2025

NAME OF PROVIDER OR SUPPLIER

STREET ADDRESS, CITY, STATE, ZIP CODE

Havencare at Litchfield Woods

255 Roberts St Torrington, CT 06790

For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG

SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)

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F-Tag F0658

Resident Assessment and Care Planning Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0658 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some

FORM CMS-2567 (02/99) Previous Versions Obsolete

notified that the internet access was unavailable for nurses on 7/28/2025, and indicated he became aware

on 9/4/2025. MD #1 was not aware the staff had no access to medical records and the MARs or that the facility printed the MARs from the back-up system for staff to use. MD #1 stated he was not notified that any resident medications were late or not administered in accordance with physician/APRN orders; he was not aware medications were omitted for 20 residents. MD #1 indicated he would have expected to be notified that medications could not be administered timely, and if medications were omitted for 20 residents. MD #1 indicated if he was notified, he would have given additional orders and made any necessary adjustments to

the resident's medication regimen. Interview with MD #1 on 9/4/2025 at 1:34 P.M. identified he reviewed all

the omitted medications and identified there was no negative outcome as a result of late, or omitted medications, no adverse events and no hospitalizations. Review of facility undated Medication Administration policy, directed in part, to administer all medications within one hour before or after prescribed time, document all held or unavailable medications on the MAR, and inform the physician in a timely manner when medications are held, or otherwise unavailable. Review of facility undated Medication Error Policy, directed in part, if a medication error occurs in the administration of medications the physician must be notified immediately. Although requested, a policy for internet outage was not provided for surveyor

review during the survey.

Event ID:

Facility ID:

If continuation sheet

Printed: 04/13/2026 Form Approved OMB No. 0938-0391

Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION

(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:

(X2) MULTIPLE CONSTRUCTION

B. Wing

A. Building

(X3) DATE SURVEY COMPLETED

09/04/2025

NAME OF PROVIDER OR SUPPLIER

STREET ADDRESS, CITY, STATE, ZIP CODE

Havencare at Litchfield Woods

255 Roberts St Torrington, CT 06790

For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG

SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)

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F-Tag F0842

Resident Assessment and Care Planning Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited HAVENCARE AT LITCHFIELD WOODS in TORRINGTON, CT for a deficiency under regulatory tag F-F0842 during a complaint investigation conducted on 2025-09-04.

Category: Resident Assessment and Care Planning Deficiencies

The facility was found deficient in the following area: Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 3 deficiencies cited during this inspection of HAVENCARE AT LITCHFIELD WOODS.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-10-06.

📋 Inspection Summary

HAVENCARE AT LITCHFIELD WOODS in TORRINGTON, CT inspection on recent inspection.

Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.

What this means: Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. All deficiencies must be corrected within required timeframes and are subject to follow-up verification.

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 TORRINGTON, 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 HAVENCARE AT LITCHFIELD WOODS or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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