Not rated by CMS — ratings are suppressed for new or low-volume facilities.
A standard survey is most likely before around September 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 Lutheran Home Of Southbury Inc during CMS and state inspections, most recent first.
A resident with dementia and behavioral disturbances exhibited ongoing restlessness, agitation, and insomnia, including attempts to stand unassisted and episodes of hitting and kicking. Despite these behaviors and the absence of an as needed medication order, nursing staff did not notify the physician as required by facility policy and care plan directives, resulting in a deficiency.
A resident with severe cognitive impairment and behavioral disturbances was found physically restrained in a wheelchair with a sheet tied around their waist and secured to the chair. The resident had been restless and repeatedly attempted to stand unassisted during the night. A nursing assistant, concerned about fall risk, tied the sheet to prevent the resident from getting up, despite knowing restraints are not permitted. Facility policy prohibits such use of restraints, and the incident was confirmed through documentation and staff interviews.
Failure to Notify Physician of Resident's Behavioral Changes
Penalty
Summary
A deficiency occurred when nursing staff failed to notify the physician regarding a resident who exhibited significant behavioral changes, including restlessness, agitation, and insomnia. The resident, who had diagnoses of dementia with behavioral disturbance and adjustment disorder, was documented as being restless, attempting to get out of a wheelchair, and displaying behaviors such as hitting and kicking. Despite these behaviors being recorded over multiple shifts and the care plan directing staff to monitor and document such symptoms, the nurse on duty did not contact the on-call provider to report the resident's condition or to obtain an as needed medication order for agitation or insomnia. Interviews with facility staff, including the nurse, nursing assistant, physician, and Director of Nursing Services, confirmed that the expectation was for the nurse to notify the physician when a resident without an as needed medication order exhibited significant behavioral symptoms. The facility's policy also required physician notification for significant changes in a resident's physical, emotional, or mental condition. However, the nurse chose not to notify the physician, believing the resident could be calmed without additional medication, which resulted in the deficiency.
Resident Restrained with Sheet in Wheelchair
Penalty
Summary
A deficiency occurred when a resident with severe cognitive impairment and a history of dementia with behavioral disturbances was found physically restrained in a wheelchair with a sheet tied around their waist and secured to the back of the wheelchair. The resident had been exhibiting restlessness, agitation, and attempts to stand unassisted throughout the night. Nursing documentation and staff interviews confirmed that the resident was up most of the night, was unable to remain in bed, and was considered a fall risk due to these behaviors. During the night shift, a nursing assistant reported attempting to place the resident in bed multiple times without success, and ultimately decided to tie a flat sheet around the resident's waist and secure it to the wheelchair to prevent falls while he completed his rounds. The nursing assistant acknowledged awareness that physical restraints are not permitted but felt it was necessary to prevent the resident from falling. The nurse on duty was informed that a sheet was being placed around the resident but stated she did not see the sheet tied as a restraint until later, when another nurse discovered the resident restrained in the dining room. Facility documentation, including the restraint policy, clearly defined physical restraints as any device or material that restricts freedom of movement and cannot be easily removed by the resident. The use of the sheet in this manner met the definition of a physical restraint, and the facility's policy prohibits such practices. The incident was confirmed through interviews, documentation, and direct observation, establishing that the resident was not free from physical restraint as required.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 345 citations issued within 25 miles in the last 12 months — including the 4 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
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.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Southbury
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Pomperaug Woods Health Center | 1.4 mi | — | 0 | 0 |
| Springs At East Hill, The | 2 mi | — | 0 | 0 |
| River Glen Health Care Center | 3.3 mi | — | 0 | 0 |
| Complete Care At Middlebury | 5.4 mi | — | 1 | 0 |
| Apple Rehab Watertown | 7.7 mi | — | 2 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Lutheran Home Of Southbury Inc.
100% money-back within 48 hours.
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.