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 Shady Knoll Center For Health & Rehabilitation during CMS and state inspections, most recent first.
Drugs and biologicals were not labeled according to professional standards, and medications, including controlled drugs, were not stored in locked or separately locked compartments as required.
The facility did not submit required PBJ staffing data for Registered Nurse hours and licensed nursing coverage for a ten-day period due to an oversight by the previous owners before a change of ownership, and could not provide a policy for PBJ submission when requested.
A resident did not receive appropriate care for existing pressure ulcers, and the facility did not take adequate steps to prevent new ulcers from developing, as observed and documented by surveyors.
A licensed pharmacist did not complete the required monthly drug regimen review, including the medical chart, and the facility did not follow its own irregularity reporting guidelines as outlined in policy and procedure.
Residents reported ongoing issues with cold food, and a test tray revealed that hot meal items were served below the required temperature standard. Meals were plated and transported on open carts with inadequate coverage, and delays in tray delivery contributed to the temperature drop. Staff inconsistencies in passing trays and logistical challenges with equipment further led to residents receiving cold meals.
Surveyors found that dietary staff failed to consistently label and date opened food items, and did not discard expired food as required. Observations included unlabeled and undated bread sticks, chicken wings, and coconut, as well as expired orange juice and improperly stored gravy mix. The Dietary Director confirmed that staff were responsible for labeling, dating, and discarding expired items, but these procedures were not followed according to facility policy.
A resident with a history of bipolar disorder was admitted with a short-term PASRR Level I approval and later discharged to a hospital, then readmitted. The required PASRR Level II assessment was not completed after readmission due to an oversight, as confirmed by the social worker responsible for tracking PASRR evaluations. The facility's documentation did not show that the necessary follow-up assessment was performed.
A deficiency was identified when a resident with a documented history of smoking and vaping was admitted and repeatedly found with vape devices, yet the facility failed to develop a comprehensive care plan addressing these issues. Despite multiple clinical records and staff observations noting the resident's tobacco and vape use, no interventions or assessments were included in the care plan, contrary to facility policy and interdisciplinary care planning requirements.
A resident who was unable to perform activities of daily living did not receive the necessary care and assistance from staff, resulting in unmet personal care needs.
A resident did not receive treatment and care in accordance with physician orders and their own preferences and goals, resulting in a deficiency related to the facility's failure to follow the established care plan.
A facility area contained accident hazards and staff did not provide adequate supervision to prevent accidents, as observed by surveyors during their review.
A resident with chronic kidney disease and dietary restrictions did not receive a meal according to their documented preferences and physician orders. The resident was served an incorrect meal and, after refusing it, requested an alternative that was not provided in a timely manner. Staff failed to verify the resident's meal choice before serving and did not follow up to ensure the resident received the requested food.
A resident with Alzheimer's disease and functional quadriplegia experienced a decline in ADLs, becoming fully dependent on staff for eating and personal hygiene. Despite this documented decline, no referral was made for PT or OT assessment, and staff interviews confirmed that such a referral should have occurred according to facility policy.
Improper Labeling and Storage of Drugs and Biologicals
Penalty
Summary
Drugs and biologicals in the facility were not labeled in accordance with currently accepted professional principles. Additionally, all drugs and biologicals were not stored in locked compartments, and controlled drugs were not kept in separately locked compartments as required. These actions and inactions led to a deficiency in the facility's medication management and storage practices.
Failure to Submit Required PBJ Staffing Data
Penalty
Summary
The facility failed to submit complete and accurate direct care staffing information for the 1st quarter Payroll Based Journal (PBJ) report, specifically omitting Registered Nurse hours and licensed nursing coverage for a ten-day period. Documentation review showed no PBJ submittals for the period of 10/1/24 through 10/10/24. Interviews with the Administrator revealed that the former owners were responsible for PBJ submissions during this time and did not complete the required transmissions due to an oversight prior to a change of ownership effective 10/10/24. Additionally, when requested, the facility was unable to provide a policy for PBJ submission.
Failure to Provide and Prevent Pressure Ulcer Care
Penalty
Summary
The facility failed to provide appropriate care for pressure ulcers and did not implement effective measures to prevent the development of new ulcers. This deficiency was identified through surveyor observations and documentation review, which indicated that the necessary interventions to manage existing pressure ulcers and prevent additional ones were not consistently carried out.
Failure to Ensure Monthly Pharmacist Drug Regimen Review
Penalty
Summary
A licensed pharmacist did not perform a monthly drug regimen review, including a review of the medical chart, as required. The facility also failed to follow its developed policies and procedures for reporting irregularities identified during the drug regimen review process. These actions resulted in noncompliance with regulations regarding pharmaceutical services and oversight.
Failure to Serve Meals at Safe and Appetizing Temperatures
Penalty
Summary
The facility failed to ensure that meals were served at appropriate temperatures, resulting in residents receiving food that was not palatable or at a safe and appetizing temperature. During a Resident Council meeting, residents reported ongoing issues with food being served cold. A test tray was plated and delivered to a unit, with the last tray served approximately 15 minutes after plating. Temperature checks of the test tray revealed that all hot food items, including chicken cutlet, baked potato, cooked spinach, and mashed potatoes, were below the facility's acceptable standard of 135 degrees, with recorded temperatures ranging from 128 to 130 degrees. The food temperature log showed that food was at the correct temperature on the steam table, but the temperature dropped significantly by the time it reached the residents. The process for meal delivery involved plating meals in the kitchen, covering them with plastic lids that had holes, and transporting them on open, two-tiered carts. Dietary Aides delivered trays to various floors, and only one Nurses Aid was observed passing trays on the unit, despite others being present on the floor. The Dietary Director confirmed that all staff, including department heads and Nurses Aids, were responsible for passing trays, but this was not consistently done. The portable steam table was not used due to logistical challenges, and the current method did not maintain food temperature during delivery, resulting in residents being served cold meals.
Deficient Food Storage and Labeling Practices in Dietary Department
Penalty
Summary
Surveyors identified multiple deficiencies in the facility's Dietary Department related to improper food storage and labeling practices. During a tour, it was observed that several opened food items, including a large bag of Ciabatta Garlic bread sticks, multiple freezer bags of chicken wings, and a bag of coconut, were not labeled or dated when opened. Additionally, a package of powdered gravy mix was found opened, dated, but not sealed, and individual oatmeal packages were removed from their original box without expiration dates noted. The Dietary Director confirmed that all opened food should be labeled and dated, and that cooks were responsible for this task. The Director also acknowledged that expired food should be discarded and stated she would not use the unsealed gravy mix. Further observations during the tray line revealed a container of orange juice that was past its expiration date present on the beverage cart, though it was not used. The Dietary Director stated that expired items should be discarded and that all dietary staff were responsible for this process. Review of the facility's policy confirmed requirements for labeling, dating, and discarding expired or improperly stored food. The findings indicate a failure to consistently follow these procedures, resulting in the presence of unlabeled, undated, and expired food items in storage and on the tray line.
Failure to Complete PASRR Level II Assessment After Short-Term Approval
Penalty
Summary
A deficiency occurred when the facility failed to ensure that a PASRR Level II assessment was completed for a resident with a suspected serious mental illness following an exempted short-term approval. The resident, who had diagnoses including chronic obstructive pulmonary disease and bipolar disorder, was admitted with a 7-day emergency short-term post-hospital discharge approval for PASRR Level I. The Level I screen recommended a re-screen and, if necessary, a Level II evaluation by the seventh day if the resident remained in the facility. The resident was discharged to an acute care hospital and later readmitted to the facility. However, documentation showed that the Level II evaluation, initially requested, was cancelled due to the resident's hospital discharge, and no follow-up referral for a Level II assessment was made upon the resident's readmission. The facility's PASRR episode tracker did not indicate that a Level II PASRR was completed after the resident's return. The social worker responsible for tracking PASRR evaluations acknowledged that the follow-up referral was not made due to oversight. The Director of Nursing Services confirmed the expectation that PASRR referrals should be completed as recommended. No facility policy related to PASRR referrals was provided upon request.
Failure to Develop Comprehensive Care Plan for Resident with Smoking/Vaping History
Penalty
Summary
A deficiency occurred when the facility failed to develop and implement a comprehensive care plan addressing a resident's history of smoking and vaping, despite multiple documented instances and assessments indicating the resident's tobacco and vape use. Upon admission, the resident was found with two vape devices, which were removed and stored by staff, but no subsequent smoking assessment or care plan interventions were documented. The resident's medical records, including hospital discharge summaries and nursing notes, consistently referenced a significant history of tobacco and vape use, yet these issues were not incorporated into the resident's care plan from admission through subsequent hospitalizations and readmissions. Further review revealed that the facility had a policy requiring the interdisciplinary team to address all identified resident needs, including those found in admission and discharge summaries, but the care plan for this resident did not reflect their smoking or vaping history. Interviews with facility leadership confirmed that the care plan should have included this information. Additionally, the resident was not listed among those grandfathered in for smoking privileges after the facility became non-smoking, despite clear evidence of ongoing tobacco and vape use.
Failure to Assist Residents with Activities of Daily Living
Penalty
Summary
A deficiency was identified when care and assistance were not provided to residents who were unable to perform activities of daily living (ADLs) independently. The report notes that residents requiring help with ADLs did not receive the necessary support from staff, resulting in unmet care needs for those individuals. This failure to provide assistance directly affected residents who were dependent on staff for their daily personal care and routine activities.
Failure to Provide Care According to Orders and Resident Preferences
Penalty
Summary
The deficiency involves a failure to provide appropriate treatment and care according to physician orders, as well as the resident’s preferences and goals. The report indicates that care was not delivered in alignment with the established plan or the expressed wishes and objectives of the resident, as required.
Failure to Maintain Safe Environment and Adequate Supervision
Penalty
Summary
The facility failed to ensure that an area was free from accident hazards and did not provide adequate supervision to prevent accidents. Surveyors observed that the environment contained hazards that could lead to resident accidents, and staff did not implement sufficient measures to monitor or protect residents from these risks. This deficiency was identified based on direct observations and findings during the survey, which indicated lapses in maintaining a safe environment and in providing necessary supervision to prevent accidents.
Failure to Provide Meal According to Resident Preference and Timely Service
Penalty
Summary
A deficiency occurred when a resident with chronic kidney disease, gallbladder calculus, and obesity with limited mobility did not receive a meal according to their documented dietary preferences and physician orders. The resident was on a 2 gram sodium diet with regular texture and thin fluids, and had expressed to staff that salt and milk caused gastrointestinal symptoms. Despite this, the resident continued to receive food items containing milk or that were salty. On the date in question, the resident requested scrambled eggs, penne pasta, and a dinner roll with butter for lunch, but was instead served garlic herb pork loin, garlic mashed potatoes, and steamed vegetables, which did not match the requested or ordered meal. The resident refused the meal and requested a personal soup kit, but this was not provided in a timely manner. Staff interviews revealed that the nurse aide responsible for serving the meal only verified the resident's name and room number, not the specific meal choice, before serving the tray. The aide acknowledged that the resident reported not receiving the correct meal but did not contact the kitchen to obtain an alternate meal as requested. The soup kit requested by the resident was not prepared or served even two hours after the initial request, as the aide was occupied with other duties. The facility was unable to provide policies regarding the provision of meals according to resident preference or the verification of resident meal choices.
Failure to Refer Resident for PT/OT After ADL Decline
Penalty
Summary
A deficiency occurred when the facility failed to refer a resident with Alzheimer's disease, functional quadriplegia, and weakness to physical therapy (PT) and occupational therapy (OT) after a documented decline in activities of daily living (ADLs). The resident's quarterly Minimum Data Set (MDS) assessment showed a progression from requiring setup or clean-up assistance with eating and partial to moderate assistance with personal hygiene, to being fully dependent on staff for these activities. The care plan reflected this increased dependency, but there were no physician orders for PT or OT to address the decline during the relevant period. Interviews with facility staff, including the MDS Coordinator and the Director of Rehabilitation, confirmed that a referral to PT/OT should have been made following the identified decline in ADLs. The MDS Coordinator acknowledged responsibility for initiating such referrals and could not provide a reason for the omission. The Director of Rehabilitation stated that the last PT/OT assessment for the resident was several months prior and agreed that a new referral was warranted based on the recent decline. Facility policy also indicated that residents with significant changes in functional condition should be evaluated for rehabilitation services.
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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 Seymour
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Beacon Brook Center For Health & Rehabilitation | 4.9 mi | — | 16 | 0 |
| Complete Care At Glendale | 4.9 mi | — | 12 | 0 |
| Autumn Lake Healthcare At The Willows | 5.6 mi | — | 7 | 0 |
| Hewitt Health & Rehabilitation Center, Inc | 6.4 mi | — | 2 | 0 |
| Apple Rehab Shelton Lakes | 6.7 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.