Not rated by CMS — ratings are suppressed for new or low-volume facilities.
A standard survey is most likely before 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 River Glen Health Care Center during CMS and state inspections, most recent first.
A resident with severe cognitive impairment and a history of falls was verbally mistreated by an LPN, who expressed frustration and made inappropriate comments about the resident falling. The incident was witnessed and reported by an alert roommate and a nursing assistant, and later substantiated by facility leadership.
A resident with severe cognitive impairment and a history of falls was involuntarily secluded when an LPN placed wheelchairs and a nightstand around the bed, blocking the resident from exiting. Staff observed and confirmed that the resident was confined in this manner, and the LPN acknowledged the actions prevented the resident from getting out of bed, constituting involuntary seclusion.
A resident with severe cognitive impairment was subjected to alleged verbal abuse and improper room arrangement by an LPN, which was witnessed by a nursing assistant. The incident was not reported immediately to supervisory staff or administration, resulting in a delay in notifying the appropriate authorities as required by facility policy.
A resident with severe cognitive impairment was involved in an incident where an LPN was alleged to have been verbally abusive and to have placed items around the resident's bed, restricting movement. Despite the incident being witnessed and later observed by staff, there was no timely documentation in the medical record or evidence that the physician and responsible party were notified, contrary to facility policy.
A resident with MASD and other health conditions reported that an aide was rough and made dismissive remarks during personal care, resulting in a pinpoint abrasion and feelings of disrespect. Nursing assessment confirmed the abrasion and ongoing MASD, and interviews indicated the aide did not provide care in a respectful and dignified manner, contrary to facility policy.
Failure to Protect Resident from Verbal Mistreatment by LPN
Penalty
Summary
A deficiency occurred when a resident with severe cognitive impairment and a history of falls was not protected from verbal mistreatment by staff. The resident, who required maximal assistance with transfers and had a care plan addressing cognitive loss and fall risk, became confused and attempted to get out of bed during the night. According to a nursing assistant's written statement and the alert roommate's report, an LPN responded to the situation by expressing frustration and making inappropriate comments, including telling the resident to go ahead and fall and break their hip so they could be sent out. The incident was reported to the RN supervisor later that morning. Facility documentation and interviews confirmed that the roommate, who was alert and oriented, witnessed and reported the LPN's threatening remarks. The resident involved had no recollection of the incident and showed no distress, likely due to their cognitive impairment. Despite the facility's incident summary initially stating the allegation was not substantiated, the Director of Nursing Services later acknowledged that the allegation was substantiated. The facility's abuse prevention policy affirms residents' rights to be free from verbal abuse.
Resident Barricaded in Bed Constitutes Involuntary Seclusion
Penalty
Summary
A resident with severe cognitive impairment, metabolic encephalopathy, and a history of falls was admitted to the facility and required maximal assistance with transfers. The resident's care plan included interventions such as using simple words, reinforcing the need to call for assistance, and providing assistance with activities of daily living. During the early morning hours, the resident became confused, attempted to get out of bed, and was yelling for their spouse. Staff reports and witness statements indicated that an LPN responded to the situation by verbally expressing frustration toward the resident and then physically arranged furniture and wheelchairs around the resident's bed, effectively blocking the resident from exiting the bed. Multiple staff members, including a nursing assistant and an RN supervisor, observed that the LPN had placed two wheelchairs and a nightstand against the sides of the resident's bed, with both quarter side rails raised, creating a physical barrier that confined the resident to the bed. The LPN later acknowledged that these actions prevented the resident from getting out of bed and admitted awareness that such measures could be considered involuntary seclusion or a restraint. The LPN did not attempt alternative interventions, such as getting the resident out of bed or contacting the physician, and believed the situation was being handled appropriately. Facility documentation and staff interviews confirmed that the resident was involuntarily secluded by being barricaded in bed with furniture and wheelchairs. The incident was witnessed by staff and reported to supervisory personnel, who subsequently removed the barriers. The facility's policies explicitly prohibit involuntary seclusion, including confining a resident by blocking exits with furniture, and the incident was substantiated as a violation of these policies.
Failure to Timely Report Alleged Abuse Incident
Penalty
Summary
Staff failed to report an allegation of abuse in a timely manner for a resident with severe cognitive impairment and a history of falls. The resident, who required maximal assistance with transfers and had interventions in place for cognitive loss, was observed by a nursing assistant (NA) to be verbally abused by an LPN during the night shift. The NA witnessed the LPN expressing frustration toward the resident and placing items such as wheelchairs and a nightstand around the resident's bed, effectively blocking the sides of the bed. The NA did not immediately report the incident to the RN supervisor, and the RN supervisor only became aware of the situation hours later when the resident's roommate requested assistance. The Director of Nursing Services (DNS) and the Administrator were not notified of the allegation until several hours after the incident, at which point the State Agency was informed. Facility policy required immediate notification of administration regarding any abuse allegations, but this protocol was not followed. The delay in reporting was confirmed through staff interviews and review of facility documentation, which did not identify reasons for the failure to report promptly.
Failure to Document Abuse Allegation and Required Notifications
Penalty
Summary
The facility failed to ensure that the medical record for a resident was complete and accurate regarding an allegation of abuse. A resident with severe cognitive impairment and a history of falls was involved in an incident where a staff member was alleged to have been verbally abusive and to have placed items around the resident's bed, restricting egress. Although the incident was witnessed by a nursing assistant and later observed by a registered nurse, there was no documentation of the event in the clinical record prior to a social services note made later that morning. The record also lacked documentation that the physician and responsible party were notified of the incident. Facility documentation and staff interviews confirmed that the registered nurse supervisor was aware of the incident but did not write a nursing note or document the required notifications. The facility's own policy required that events, incidents, or accidents involving residents, as well as family notifications, be documented in the medical record. The deficiency was identified through review of records, facility documentation, and staff interviews, which revealed the absence of timely and complete documentation related to the abuse allegation.
Failure to Ensure Respectful and Dignified Care During Personal Hygiene
Penalty
Summary
A resident with a history of moisture associated skin damage (MASD), anxiety, dysthymic disorder, muscle weakness, difficulty walking, lymphedema, and type 2 diabetes mellitus was admitted with a superficial wound and excoriation to the coccyx, sacral-coccyx, and buttocks. The care plan included interventions for skin breakdown and MASD, requiring staff to administer treatments as ordered and assist with repositioning and hygiene. The resident was noted to be always incontinent of bowel and bladder and required substantial assistance with personal care. On one occasion, the resident reported that a nurse aide was rough during care, specifically stating that the aide forcefully pulled a blanket or draw sheet from under them, causing a painful abrasion on the right buttock. The resident also reported that when they requested gentler care, the aide responded with dismissive or disrespectful remarks such as "suck it up" or "stop being a baby." Assessment by nursing staff confirmed the presence of a pinpoint abrasion and ongoing MASD, but no new significant skin impairments or bruising were observed. The resident described feeling disrespected and mistreated during the encounter. Interviews with staff and the resident confirmed that the aide did not provide care in a respectful and dignified manner, as required by facility policy. The aide acknowledged telling the resident to "work through it" during care and recognized that the resident may have perceived the care as rough due to the existing rash. The facility's policy mandates that all residents be treated with kindness, respect, and dignity, which was not upheld in this instance.
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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 Southbury
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Springs At East Hill, The | 1.7 mi | — | 0 | 0 |
| Pomperaug Woods Health Center | 2 mi | — | 0 | 0 |
| Lutheran Home Of Southbury Inc | 3.3 mi | — | 3 | 0 |
| Stone Bridge Center For Health & Rehabilitation | 5.7 mi | — | 0 | 0 |
| Complete Care At Middlebury | 8.3 mi | — | 1 | 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.