Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around November 2026
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Leeway, Inc during CMS and state inspections, most recent first.
A resident with multiple diagnoses, including Kaposi's sarcoma and malnutrition, had physician orders that were not signed or dated for several months. The facility's policy requires orders to be signed and renewed regularly, but the APRN was unable to sign them due to lack of access to the electronic health record system. This issue was identified during a survey, and the APRN was subsequently given access to sign orders electronically.
The facility failed to properly label and date food items in storage areas, including the refrigerator and freezer, leading to undated and open-to-air food. The Food Service Manager acknowledged the oversight, noting that prepared food should be labeled and kept for no more than three days. Additionally, a dietary aide was observed handling food without gloves, contrary to facility policy prohibiting bare hand contact with food.
A resident with severe cognitive impairment and physical limitations experienced a lack of dignified dining when a nursing assistant stood while feeding them, contrary to training emphasizing eye contact. The facility lacked a specific policy on seating during feeding, although training highlighted its importance.
Two residents with hemiplegia and other conditions were observed using slings not included in their care plans, leading to deficiencies. The Therapy Director failed to reorder a sling for one resident post-hospitalization, and the other resident's sling was applied without assessment or a physician's order. The facility's policy requires comprehensive care plans, but this was not followed, resulting in a deficiency.
The facility failed to implement physician's orders for orthostatic blood pressure monitoring for two residents on high-risk antipsychotic medications. The APRN entered orders without scheduled times, causing them to be omitted from the MAR. Staff interviews revealed systemic issues with the electronic health record system and a lack of formal training for the APRN, contributing to the oversight.
A resident with impaired cognition and multiple diagnoses was not properly assessed or offered the pneumococcal vaccine upon admission, as required by facility policy. The Infection Preventionist Nurse failed to document the resident's initial refusal and did not follow up with the conservator, leading to a deficiency in the immunization process.
Two residents were not properly assessed or offered COVID-19 vaccinations upon admission, leading to a deficiency in the facility's immunization process. The Infection Preventionist Nurse failed to document vaccination status and follow up with a conservator, contrary to facility policy.
The facility failed to provide annual competency training for its licensed staff and CNAs, with most staff lacking completed competency signoffs. The Staff Development nurse, who also serves as the MDS coordinator, reported delays in training due to other responsibilities. Only 6 out of 24 staff members had completed competencies for 2023, with no records for 2022 or 2024. The facility had been fined in 2022 for similar issues, and a skills fair was planned to address the deficiencies.
Failure to Sign and Date Physician Orders
Penalty
Summary
The facility failed to ensure that a resident's physician orders were signed and dated in a timely manner. The resident, who was admitted within the past six months, had diagnoses including Kaposi's sarcoma, malnutrition, neoplasm-related pain, anemia, and depression. The admission MDS assessment indicated that the resident required extensive assistance with various activities and was non-ambulatory. A review of the physician's orders from January 2024 through June 4, 2024, revealed that the orders were not signed or dated during this period. According to the facility's policy, admission orders should be signed and renewed every thirty days for ninety days, and then every sixty days thereafter. Interviews conducted during the survey revealed that the Director of Nursing Services (DNS) believed the provider was signing the orders after reviewing them. However, the Advanced Practice Registered Nurse (APRN) stated that he was reviewing the orders but was unable to sign them due to a lack of access to the electronic health record system. This issue was addressed after the surveyor's inquiry, allowing the APRN to sign the orders electronically. The facility's Physician Visit policy requires that attending physicians make visits in accordance with state and federal regulations, and non-physician practitioners may perform required visits and sign orders as permitted by these regulations.
Food Labeling and Hygiene Deficiencies
Penalty
Summary
The facility failed to ensure proper labeling and dating of food items in various storage areas, including the reach-in refrigerator, walk-in freezer, and dry storage area. Observations revealed numerous food items, such as sandwiches, eggs, and mixed vegetables, that were undated and unlabeled. The Food Service Manager acknowledged that all prepared food should be labeled with the date of preparation and kept for no more than three days. Additionally, food removed from another container should be labeled with the original expiration date. The manager was unaware of why the staff had not labeled or dated the food items. Further inspection of the walk-in freezer uncovered several food items, including hot dogs, shepherd's pie, and noodles, that were either undated or open to air. The Food Service Manager admitted that these items should be labeled when opened and discarded if they exceed six months in the freezer. In the dry storage area, expired and undated items such as ranch dressing mix and ravioli cans were found. The manager noted that expired items should have been discarded and attempted to rotate the emergency supply into use. During food preparation, a dietary aide was observed handling green beans without gloves, using his hand to guide them into a metal bin. The Food Service Manager confirmed that bare hand contact with food is prohibited and that gloves should be worn when handling food directly. The facility's policies on food receiving, storage, preparation, and service emphasize the importance of labeling, dating, and maintaining hygienic practices to prevent foodborne illness.
Failure to Provide Dignified Dining Experience
Penalty
Summary
The facility failed to provide a dignified dining experience for a resident with severe cognitive impairment and multiple physical limitations, including muscle weakness and contractures. The resident required extensive assistance with activities of daily living, including eating. During a lunch observation, the resident was served a meal later than two other residents at the same table, and the meal remained covered in front of the resident for several minutes before a nursing assistant (NA) began assisting with feeding. The NA stood while feeding the resident, contrary to the facility's training on maintaining eye contact during dining. The NA acknowledged awareness of the requirement to be seated while feeding residents but cited difficulty due to her height compared to the resident's. The facility lacked a specific policy mandating that aides sit while assisting residents during meals, although training emphasized the importance of eye contact. The administrator intervened during the observation to instruct the NA to sit, which allowed the NA to continue assisting the resident appropriately.
Deficiency in Care Plan Inclusion of Assistive Devices
Penalty
Summary
The facility failed to ensure that the use of assistive devices was included in the comprehensive care plans for two residents, leading to deficiencies in their care. Resident #17, who has diagnoses including Type 2 diabetes mellitus, hemiplegia, and blindness in one eye, was observed using a sling on the left arm without it being included in the care plan. The Therapy Director acknowledged that the sling order was not reordered after the resident's hospitalization, and the occupational therapist missed including it in the evaluation. The care plan was not updated to reflect the use of the sling until after surveyor inquiry. Resident #26, with diagnoses including hemiplegia and muscle weakness, was observed using a sling on the right arm, which was not included in the care plan. The Therapy Director applied the sling during therapy without notifying occupational therapy or assessing its use. The resident's care plan did not initially include the use of the sling, and there was no physician's order for it. The Therapy Director and other staff were uncertain about the need for a physician's order for the sling, and the MDS Coordinator assumed therapy orders were signed without verifying with the doctor. Interviews with the DNS and Administrator revealed that the expectation was for the use of slings to be addressed in the care plans. The facility's policy requires comprehensive, person-centered care plans with measurable objectives to meet residents' needs, but this was not adhered to in these cases. The lack of inclusion of assistive devices in the care plans for these residents highlights a deficiency in the facility's adherence to its own policies and procedures.
Failure to Implement Physician's Orders for Orthostatic Blood Pressure Monitoring
Penalty
Summary
The facility failed to ensure that physician's orders were transcribed and accurately implemented for two residents, leading to a deficiency in medication management. Resident #2, who had multiple diagnoses including bipolar disorder and end-stage renal disease, was prescribed Lurasidone for bipolar disorder. The Psychiatric Nurse Practitioner (APRN) ordered weekly orthostatic blood pressure monitoring due to the potential side effects of the medication. However, the clinical record showed that these blood pressure checks were not completed as ordered because the APRN did not specify a time for the checks, resulting in the orders not appearing on the Medication Administration Record (MAR). Similarly, Resident #5, diagnosed with schizophrenia and other conditions, was prescribed Zyprexa, which also required orthostatic blood pressure monitoring due to its potential side effects. The APRN agreed with a pharmacist's recommendation for weekly monitoring, but again, the clinical record lacked evidence that these checks were performed. The issue arose from the APRN entering orders into the electronic health record without scheduled times, leading to the omission of these orders from the MAR. Interviews with facility staff, including the Charge Nurse and the Director of Nursing Services (DNS), revealed systemic issues with the electronic health record system and a lack of formal training for the APRN in entering orders. The facility's process for checking orders did not include verifying entries in the electronic system, contributing to the oversight. The DNS acknowledged the problem and indicated that the facility was aware of the issue with orthostatic blood pressure orders and was working to address it.
Failure to Document and Offer Pneumococcal Vaccine
Penalty
Summary
The facility failed to offer and assess for the pneumococcal vaccine for a resident upon admission, as required by their policy. The resident, who was admitted in March 2024, had diagnoses including a disorder of the immune mechanism, schizophrenia, and post-traumatic stress disorder, and was identified as having moderately impaired cognition. Upon review of the immunization records, it was found that there was no documentation indicating that the pneumococcal vaccine was offered or assessed for past immunization. The Infection Preventionist Nurse (RN #2) admitted to asking the resident if they wanted the pneumococcal vaccine, which the resident initially refused, but failed to document this encounter in the clinical record. RN #2 also did not follow up with social services to contact the resident's conservator regarding the vaccination status, which was part of his responsibility. The facility's policy required that each resident be assessed for pneumococcal immunization upon admission and offered the vaccine within thirty days unless medically contraindicated, with documentation of any refusal in the medical record.
Failure to Offer and Document COVID-19 Vaccination Upon Admission
Penalty
Summary
The facility failed to offer and assess COVID-19 immunizations upon admission for two residents, leading to a deficiency in their immunization process. Resident #2, admitted with multiple health conditions including a disorder of the immune mechanism, type 2 diabetes mellitus, end-stage renal disease, and congestive heart failure, did not have a documented offer or assessment of COVID-19 vaccination upon admission. The Infection Preventionist Nurse (RN #2) acknowledged the oversight, admitting that he did not review the resident's vaccination status as required by the facility's policy. Similarly, Resident #26, who had moderately impaired cognition and was admitted with diagnoses including a disorder of the immune mechanism, schizophrenia, and post-traumatic stress disorder, was not properly assessed for COVID-19 vaccination. Although RN #2 claimed to have asked the resident about the vaccine, he failed to document the encounter and did not follow up with the resident's conservator. This lack of documentation and follow-up resulted in a failure to adhere to the facility's policy of offering vaccinations upon admission.
Failure to Ensure Annual Competency Training for Staff
Penalty
Summary
The facility failed to ensure that their licensed staff and CNAs received annual competency training, as evidenced by a review of the competency training binder which showed that the majority of staff had not completed their competency signoffs. The Staff Development nurse, who has been in the position since April 2023, reported that no training or competency records were handed over to her when she assumed the role. She also indicated that her responsibilities as the MDS coordinator and other tasks have delayed the training process. Out of 24 staff members, only 6 had completed competencies for 2023, and there were no records for 2022 or 2024. The facility uses Relias for certain trainings, but the system's effectiveness in ensuring compliance was not evident. Interviews with the previous Staff Development nurse and the Administrator revealed that during the COVID period, competencies were limited to hand hygiene and PPE donning and doffing. The facility had been fined in 2022 for similar issues, and there was an upcoming skills fair planned to address the deficiencies. The DNS acknowledged the lack of completed competencies and mentioned that a competency in-service was scheduled but was delayed due to the surveyors' visit. The facility assessment outlined specific areas where licensed staff and CNAs should receive yearly competencies, but these were not completed as required.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near New Haven
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Mary Wade Home, The Incorporated | 1 mi | — | 3 | 0 |
| New Haven Center For Nursing & Rehabilitation Llc | 1.5 mi | — | 6 | 0 |
| Whitney Center | 1.8 mi | — | 0 | 0 |
| Montowese Center For Health & Rehabilitation | 2.3 mi | — | 1 | 0 |
| Grimes Center | 2.5 mi | — | 13 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.