CareSentinel

Federal Nursing-Home Survey Record

DOUGLAS MANOR

CCN 075258 · 103 NORTH ROAD, WINDHAM, CT, 06280 · Operated within the RYDERS HEALTH MANAGEMENT chain

Does DOUGLAS MANOR have a federal violation or abuse history?

According to the public federal record on file with the Centers for Medicare & Medicaid Services (CMS), DOUGLAS MANOR (CCN 075258), in WINDHAM, CT, has federal inspection findings on its record. In its current inspection cycle, CMS cited the facility for 23 deficiencies; the most serious carries scope/severity G on CMS's A–L scale, a level CMS classifies as actual harm. The most recent federal survey on file is dated 2025-04-22. Citations from earlier inspection cycles appear in the dated timeline below as historical findings, not current ones. CMS has $12,735 in civil money penalties on file against the facility. This page restates the federal record as published by CMS and draws no conclusion of its own. Strict time limits can apply to claims like these — consider consulting a qualified attorney promptly.

The Federal Record

At its most recent federal inspection, CMS cited this facility for 1 actual-harm deficiency.

Below is this facility's federal survey record as on file with federal regulators (CMS). Strict time limits can apply to claims like these — consider consulting a qualified attorney promptly.

Scope & Severity — current cycle

ANo Harm
BNo Harm
CNo Harm
DPotential
EPotential
FPotential
GActual Harm
HActual Harm
IActual Harm
JImm. Jeopardy
KImm. Jeopardy
LImm. Jeopardy

CMS's own A–L scope/severity grid. Plotted cells mark this facility's most recent (current-cycle) citations, as on file with federal regulators (CMS).

Civil money penalties on file

$12,735

CMS has $12,735 in civil money penalties on file against this facility.

Overall CMS star rating: this facility vs the CMS-published state average

This facility: 1  ·  CMS state average: 3.0

Side-by-side with the CMS-published Overall CMS star rating for this state. This is the government's own published state average — not a CareSentinel-computed figure or delta.

Deficiency timeline — full federal history

2025-10-15
CURRENT CYCLE
F689S/S G

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

2025-10-15
CURRENT CYCLE
F658S/S D

Ensure services provided by the nursing facility meet professional standards of quality.

2025-08-18
CURRENT CYCLE
F655S/S D

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

2025-08-18
CURRENT CYCLE
F645S/S D

PASARR screening for Mental disorders or Intellectual Disabilities

2025-08-18
CURRENT CYCLE
F684S/S D

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

2025-04-22
CURRENT CYCLE
F745S/S E

Provide medically-related social services to help each resident achieve the highest possible quality of life.

2025-04-22
CURRENT CYCLE
F553S/S E

Allow resident to participate in the development and implementation of his or her person-centered plan of care.

2025-04-22
CURRENT CYCLE
F761S/S E

Ensure 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.

2025-04-22
CURRENT CYCLE
F565S/S E

Honor the resident's right to organize and participate in resident/family groups in the facility.

2025-04-22
CURRENT CYCLE
F940S/S E

Develop, implement, and/or maintain an effective training program for all new and existing staff members.

2025-04-22
CURRENT CYCLE
F567S/S E

Honor the resident's right to manage his or her financial affairs.

2025-04-22
CURRENT CYCLE
F657S/S E

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

2025-04-22
CURRENT CYCLE
F684S/S D

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

2025-04-22
CURRENT CYCLE
F689S/S D

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

2025-04-22
CURRENT CYCLE
F561S/S D

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

2025-04-22
CURRENT CYCLE
F695S/S D

Provide safe and appropriate respiratory care for a resident when needed.

2025-04-22
CURRENT CYCLE
F791S/S D

Provide or obtain dental services for each resident.

2025-04-22
CURRENT CYCLE
F880S/S D

Provide and implement an infection prevention and control program.

2025-04-22
CURRENT CYCLE
F609S/S D

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

2025-04-22
CURRENT CYCLE
F610S/S D

Respond appropriately to all alleged violations.

2025-04-22
CURRENT CYCLE
F578S/S D

Honor 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.

2025-04-22
CURRENT CYCLE
F570S/S C

Assure the security of all personal funds of residents deposited with the facility.

2025-04-22
CURRENT CYCLE
F568S/S B

Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

2025-04-07
HISTORICAL
F656S/S D

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

2025-04-07
HISTORICAL
F609S/S D

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

2024-12-06
HISTORICAL
F689S/S D

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

2024-07-30
HISTORICAL
F689S/S D

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

2024-07-30
HISTORICAL
F684S/S D

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

2023-03-13
HISTORICAL
F812S/S E

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

2023-03-13
HISTORICAL
F810S/S E

Provide special eating equipment and utensils for residents who need them and appropriate assistance.

2023-03-13
HISTORICAL
F726S/S E

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

2023-03-13
HISTORICAL
F585S/S E

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

2023-03-13
HISTORICAL
F880S/S E

Provide and implement an infection prevention and control program.

2023-03-13
HISTORICAL
F550S/S D

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

2023-03-13
HISTORICAL
F553S/S D

Allow resident to participate in the development and implementation of his or her person-centered plan of care.

2023-03-13
HISTORICAL
F580S/S D

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

2023-03-13
HISTORICAL
F600S/S D

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

2023-03-13
HISTORICAL
F609S/S D

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

2023-03-13
HISTORICAL
F644S/S D

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

2023-03-13
HISTORICAL
F657S/S D

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

2023-03-13
HISTORICAL
F658S/S D

Ensure services provided by the nursing facility meet professional standards of quality.

2023-03-13
HISTORICAL
F677S/S D

Provide care and assistance to perform activities of daily living for any resident who is unable.

2023-03-13
HISTORICAL
F684S/S D

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

2023-03-13
HISTORICAL
F686S/S D

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

2023-03-13
HISTORICAL
F692S/S D

Provide enough food/fluids to maintain a resident's health.

2023-03-13
HISTORICAL
F697S/S D

Provide safe, appropriate pain management for a resident who requires such services.

2023-03-13
HISTORICAL
F883S/S D

Develop and implement policies and procedures for flu and pneumonia vaccinations.

2023-03-13
HISTORICAL
F888S/S D

Ensure staff are vaccinated for COVID-19

2023-03-13
HISTORICAL
F641S/S B

Ensure each resident receives an accurate assessment.

2020-02-05
HISTORICAL
F812S/S E

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

2020-02-05
HISTORICAL
F883S/S E

Develop and implement policies and procedures for flu and pneumonia vaccinations.

2020-02-05
HISTORICAL
F600S/S D

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

2020-02-05
HISTORICAL
F610S/S D

Respond appropriately to all alleged violations.

2020-02-05
HISTORICAL
F609S/S D

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

2020-02-05
HISTORICAL
F730S/S B

Observe each nurse aide's job performance and give regular training.

Each citation below is a federal survey finding, dated and labeled with its CMS deficiency tag, as on file with federal regulators (CMS). Older inspection cycles are de-emphasized; only the most recent cycle is current.

Document what happened

Were you or a loved one harmed at DOUGLAS MANOR?

Share a few details to put your inquiry on file. CareSentinel is an independent service that compiles the public CMS record and does not provide legal advice. As qualified attorneys join our network in your area, one may reach out — we can’t guarantee contact yet, so we encourage you to consult a qualified attorney promptly on your own as well. There is no cost, and your information is handled with care.

Strict time limits can apply to claims like these — consider consulting a qualified attorney promptly.

Step 1 of 3 · What happened

Your relationship to the resident
What happened? Select all that apply.

Physical injury

Skin & wounds

Medical & clinical

Safety & abuse

Loss

Something else

The resident is…