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AVERY NURSING HOME/NOBLE BUILDING Inspection Report, Violations & Safety Grade (HARTFORD, Connecticut)

705 NEW BRITAIN AVE, HARTFORD, Connecticut 06106

Phone: 8605279126

CMS Overall:1/5

Overview & Bed Count

Certified Beds
194
Avg Residents/Day
169.5
Ownership
Non profit - Church related
Provider Type
Medicare and Medicaid
County
Capitol
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
No

CMS Star Ratings

Overall1/5
Health1/5
Staffing4/5
Quality4/5

Nurse Staffing Check

MetricThis FacilityConnecticut AvgDifference
RN Hours per Resident per Day0.560.71-0.15
Total Nurse Hours per Resident per Day3.353.90-0.56
CMS Staffing Rating4/53.1/5-
Nursing Staff Turnover25.0%37.3%-

Health Citation History

43 health citations on record

DateCategoryDescriptionSeverity
2025-10-06Quality 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
2025-05-19Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from separation (from other residents, his/her room, or confinement to his/her room).E – Moderate Harm Potential
2025-05-19Infection Control DeficienciesProvide and implement an infection prevention and control program.E – Moderate Harm Potential
2025-05-19Infection Control DeficienciesDevelop and implement policies and procedures for flu and pneumonia vaccinations.E – Moderate Harm Potential
2025-05-19Resident 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
2025-05-19Resident Assessment and Care Planning DeficienciesDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D – Moderate Harm Potential
2025-05-19Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.D – Moderate Harm Potential
2025-05-19Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.D – Moderate Harm Potential
2025-05-19Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.D – Moderate Harm Potential
2025-05-19Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D – Moderate Harm Potential
2025-05-19Pharmacy Service DeficienciesEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.D – Moderate Harm Potential
2025-05-19Nutrition and Dietary DeficienciesEnsure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.D – Moderate Harm Potential
2025-05-19Infection Control DeficienciesEducate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.D – Moderate Harm Potential
2025-05-19Resident Assessment and Care Planning DeficienciesEncode each resident’s assessment data and transmit these data to the State within 7 days of assessment.B – Minimal Harm Potential
2025-04-08Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.G – Actual Harm
2025-04-08Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.D – Moderate Harm Potential
2025-01-06Resident Assessment and Care Planning DeficienciesDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D – Moderate Harm Potential
2024-07-17Resident Assessment and Care Planning DeficienciesSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D – Moderate Harm Potential
2023-12-12Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.J – Immediate Jeopardy
2023-12-12Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J – Immediate Jeopardy
2023-12-12Resident Assessment and Care Planning DeficienciesDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D – Moderate Harm Potential
2023-08-08Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.G – Actual Harm
2023-08-08Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F – Moderate Harm Potential
2023-08-08Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D – Moderate Harm Potential
2023-08-08Resident Assessment and Care Planning DeficienciesCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedD – Moderate Harm Potential
2023-08-08Resident 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
2023-08-08Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.D – Moderate Harm Potential
2023-08-08Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.D – Moderate Harm Potential
2023-08-08Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.D – Moderate Harm Potential
2023-08-08Quality of Life and Care DeficienciesProvide enough food/fluids to maintain a resident's health.D – Moderate Harm Potential
2023-08-08Quality of Life and Care DeficienciesProvide for the safe, appropriate administration of IV fluids for a resident when needed.D – Moderate Harm Potential
2023-08-08Quality of Life and Care DeficienciesProvide safe, appropriate pain management for a resident who requires such services.D – Moderate Harm Potential
2023-08-08Nursing and Physician Services DeficienciesEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.D – Moderate Harm Potential
2023-08-08Pharmacy Service DeficienciesImplement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.D – Moderate Harm Potential
2023-08-08Nursing and Physician Services DeficienciesPost nurse staffing information every day.C – Minimal Harm Potential
2023-08-08Nursing 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.C – Minimal Harm Potential
2023-08-08Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.B – Minimal Harm Potential
2023-08-08Nursing and Physician Services DeficienciesObserve each nurse aide's job performance and give regular training.B – Minimal Harm Potential
2023-08-08Environmental DeficienciesMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.B – Minimal Harm Potential
2021-05-27Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.D – Moderate Harm Potential
2021-05-27Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.D – Moderate Harm Potential
2021-05-27Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.D – Moderate Harm Potential
2021-05-27Infection Control DeficienciesProvide and implement an infection prevention and control program.D – Moderate Harm Potential

Fire Safety Citation History

11 fire safety citations on record

DateCategoryDescriptionSeverity
2025-05-19Smoke DeficienciesInstall an approved automatic sprinkler system.E – Moderate Harm Potential
2025-05-19Egress DeficienciesHave exits that are accessible at all times.D – Moderate Harm Potential
2025-05-19Smoke DeficienciesProperly provide smoke detection systems in areas open to corridors.D – Moderate Harm Potential
2025-05-19Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.D – Moderate Harm Potential
2025-05-19Smoke DeficienciesInstall corridor and hallway doors that block smoke.D – Moderate Harm Potential
2025-05-19Gas, Vacuum, and Electrical Systems DeficienciesMeet requirements for the use of electrical equipment.D – Moderate Harm Potential
2023-08-08Smoke DeficienciesProvide properly protected cooking facilities.D – Moderate Harm Potential
2023-08-08Smoke DeficienciesInstall a fire alarm system that can be heard throughout the facility.D – Moderate Harm Potential
2023-08-08Smoke DeficienciesInstall an approved automatic sprinkler system.D – Moderate Harm Potential
2023-08-08Smoke DeficienciesInstall corridor and hallway doors that block smoke.D – Moderate Harm Potential
2021-05-27Egress DeficienciesInstall emergency lighting that can last at least 1 1/2 hours.D – Moderate Harm Potential

Total Penalties & Fines

$69,928
Total Fine Amount (CMS)
3
Number of Fines
3
Total Penalties
DateTypeFine AmountPayment Denial
2025-10-06Fine$10,358-
2025-04-08Fine$14,505-
2023-12-12Fine$45,065-

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