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Complaint Investigation

West Haven Center For Nursing & Rehabilitation

November 25, 2025 · West Haven, CT · 310 Terrace Ave
Citations 2
CMS Rating 2/5
Beds 98
Provider ID 075201
Healthcare Facility
West Haven Center For Nursing & Rehabilitation
West Haven, CT  ·  View full profile →
Source Document
Official CMS Inspection Report (Medicare.gov)
Downloaded from CMS/Medicare.gov. Reflects what state inspectors documented and does not include the facility's plan of correction, which is submitted separately. Facilities may have taken corrective actions since this report was released.
Inspection Summary

WEST HAVEN CENTER FOR NURSING & REHABILITATION in WEST HAVEN, CT — inspection on November 25, 2025.

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

FF0627
Resident Rights Deficiencies
Potential for More Than Minimal Harm

information becomes available.

The facility will provide and document sufficient preparation and orientation to the resident(s) to ensure safe and orderly transfer or discharge.

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

11/25/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

West Haven Center for Nursing & Rehabilitation

310 Terrace Ave West Haven, CT 06516

SUMMARY STATEMENT OF DEFICIENCIES

Review of the active physician's orders on 11/25/25 failed to reflect a physician's order directing Resident #1 may self-administer the lidocaine patch or any other medications.

Observations on 11/25/25 at 1:16 PM identified the unopened lidocaine patch labeled 11/25/25 11-7 was still present on Resident #1's over-the-bed table.

Observations of Resident #1's room and interview with the Regional Nurse, Licensed Practical Nurse (LPN) #2, on 11/25/25 at 1:28 PM identified an unopened packaging of a lidocaine patch labeled 11/17 11-7 present on Resident #1's over-the-bed table. LPN #2 identified Resident #1 was not to self-administer any medications, including the lidocaine patch and should not have been left at the bedside for Resident #1 to apply. LPN #2 explained to Resident #1 that he needed to dispose of the lidocaine patch and when Resident #1 was ready for the patch, Resident #1 could request a new one from the nurse on duty, to which Resident #1 agreed, and the lidocaine patch was removed from the room and disposed of.

Review of the facility schedule identified Licensed Practical Nurse (LPN) #1 was assigned to Resident #1 on the 11PM-7:00 AM shift on 11/17/25 and 11/25/25.

Interview with Resident #1 on 11/25/25 at 1:35 PM identified he/she was unsure of what happened to the lidocaine patch that was on his/her over-the-bed table this morning and he/she was about to put the patch on but it was not there. Resident #1 stated he/she had an extra patch in his/her drawer (dated 11/17/25) that he/she did not apply so he/she placed it on the over-the-bed table in preparation of applying the patch.

Although attempted, an interview with LPN #1 was not obtained.

Review of the Medication Administration and Documentation policy (undated) directed, in part, that all medications must be administered by the same person who prepared the dose for administration and assures that medications are not left unattended and that they're kept secured in a locked area or in visible control at all times.

Facility ID:

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 WEST HAVEN, 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 WEST HAVEN CENTER FOR NURSING & REHABILITATION or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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About This Inspection Report

Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.

Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.

Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.