C+
66/100

INGRAHAM MANOR REHAB AND NURSING Inspection Report, Violations & Safety Grade (BRISTOL, Connecticut)

400 N MAIN ST, BRISTOL, Connecticut 06010

Phone: 8605843400

CMS Overall:3/5

Overview & Bed Count

Certified Beds
128
Avg Residents/Day
114.4
Ownership
Non profit - Corporation
Provider Type
Medicare and Medicaid
County
Naugatuck Vly
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
No

CMS Star Ratings

Overall3/5
Health3/5
Staffing3/5
Quality3/5

Nurse Staffing Check

MetricThis FacilityConnecticut AvgDifference
RN Hours per Resident per Day0.510.71-0.19
Total Nurse Hours per Resident per Day3.833.90-0.07
CMS Staffing Rating3/53.1/5-
Nursing Staff Turnover40.0%37.3%-

Health Citation History

23 health citations on record

DateCategoryDescriptionSeverity
2026-02-20Quality of Life and Care DeficienciesProvide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.J – Immediate Jeopardy
2026-02-20Resident Rights DeficienciesHonor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.D – Moderate Harm Potential
2026-02-20Nursing and Physician Services DeficienciesProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.D – Moderate Harm Potential
2025-11-18Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G – Actual Harm
2025-09-08Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G – Actual Harm
2025-09-08Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.D – Moderate Harm Potential
2025-06-17Nursing and Physician Services DeficienciesObserve each nurse aide's job performance and give regular training.E – Moderate Harm Potential
2025-06-17Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E – Moderate Harm Potential
2025-06-17Resident Rights DeficienciesImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D – Moderate Harm Potential
2025-06-17Resident Rights DeficienciesProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.D – Moderate Harm Potential
2025-06-17Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.D – Moderate Harm Potential
2025-06-17Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.D – Moderate Harm Potential
2025-06-17Pharmacy Service DeficienciesEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.D – Moderate Harm Potential
2025-06-17Nursing and Physician Services DeficienciesEnsure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.D – Moderate Harm Potential
2025-06-17Administration DeficienciesElectronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.C – Minimal Harm Potential
2023-10-27Resident Rights DeficienciesHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.E – Moderate Harm Potential
2023-10-27Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.E – Moderate Harm Potential
2023-10-27Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.E – Moderate Harm Potential
2023-10-27Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E – Moderate Harm Potential
2021-08-23Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E – Moderate Harm Potential
2021-08-23Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D – Moderate Harm Potential
2021-08-23Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.D – Moderate Harm Potential
2021-08-23Infection Control DeficienciesProvide and implement an infection prevention and control program.D – Moderate Harm Potential

Fire Safety Citation History

32 fire safety citations on record

DateCategoryDescriptionSeverity
2025-06-17Egress DeficienciesHave exits that are accessible at all times.E – Moderate Harm Potential
2025-06-17Emergency Preparedness DeficienciesEstablish an Emergency Preparedness Program (EP).D – Moderate Harm Potential
2025-06-17Emergency Preparedness DeficienciesDevelop and maintain an Emergency Preparedness Program (EP).D – Moderate Harm Potential
2025-06-17Emergency Preparedness DeficienciesConduct risk assessment and an All-Hazards approach.D – Moderate Harm Potential
2025-06-17Emergency Preparedness DeficienciesAddress patient/client population and determine types of services needed.D – Moderate Harm Potential
2025-06-17Emergency Preparedness DeficienciesInclude a process for Emergency Preparedness collaboration.D – Moderate Harm Potential
2025-06-17Emergency Preparedness DeficienciesDevelop Emergency Preparedness policies and procedures.D – Moderate Harm Potential
2025-06-17Emergency Preparedness DeficienciesEstablish policies and procedures including evacuation.D – Moderate Harm Potential
2025-06-17Emergency Preparedness DeficienciesCreate arrangements with other facilities to receive patients.D – Moderate Harm Potential
2025-06-17Emergency Preparedness DeficienciesDevelop a communication plan.D – Moderate Harm Potential
2025-06-17Emergency Preparedness DeficienciesList the names and contact information of those in the facility.D – Moderate Harm Potential
2025-06-17Emergency Preparedness DeficienciesProvide primary/alternate means for communication.D – Moderate Harm Potential
2025-06-17Emergency Preparedness DeficienciesEstablish methods for sharing information.D – Moderate Harm Potential
2025-06-17Emergency Preparedness DeficienciesProvide a means of sharing information on occupancy/needs.D – Moderate Harm Potential
2025-06-17Emergency Preparedness DeficienciesEstablish emergency prep training and testing.D – Moderate Harm Potential
2025-06-17Emergency Preparedness DeficienciesEstablish staff and initial training requirements.D – Moderate Harm Potential
2025-06-17Emergency Preparedness DeficienciesConduct testing and exercise requirements.D – Moderate Harm Potential
2025-06-17Egress DeficienciesKeep aisles, corridors, and exits free of obstruction in case of emergency.D – Moderate Harm Potential
2025-06-17Egress DeficienciesInstall emergency lighting that can last at least 1 1/2 hours.D – Moderate Harm Potential
2025-06-17Smoke DeficienciesHave an enclosure around a vertical opening shaft.D – Moderate Harm Potential
2025-06-17Smoke DeficienciesHave approved installation, maintenance and testing program for fire alarm systems.D – Moderate Harm Potential
2025-06-17Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.D – Moderate Harm Potential
2025-06-17Smoke DeficienciesProperly select, install, inspect, or maintain portable fire extinguishes.D – Moderate Harm Potential
2025-06-17Smoke DeficienciesInstall corridor and hallway doors that block smoke.D – Moderate Harm Potential
2025-06-17Smoke DeficienciesEnsure smoke barriers are constructed to a 1 hour fire resistance rating.D – Moderate Harm Potential
2025-06-17Miscellaneous DeficienciesProvide a written emergency evacuation plan.D – Moderate Harm Potential
2025-06-17Gas, Vacuum, and Electrical Systems DeficienciesEnsure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.D – Moderate Harm Potential
2025-06-17Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.D – Moderate Harm Potential
2023-10-27Smoke DeficienciesInstall corridor and hallway doors that block smoke.D – Moderate Harm Potential
2023-10-27Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.D – Moderate Harm Potential
2021-08-23Smoke DeficienciesProvide properly protected cooking facilities.D – Moderate Harm Potential
2021-08-23Miscellaneous DeficienciesTo conduct inspection, testing and maintenance of fire doors by qualified individuals.D – Moderate Harm Potential

Total Penalties & Fines

$34,369
Total Fine Amount (CMS)
3
Number of Fines
3
Total Penalties
DateTypeFine AmountPayment Denial
2026-02-20Fine$14,901-
2025-09-08Fine$8,278-
2025-09-08Fine$11,190-

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