On Feb. 5, two fines totaling $2,740 were imposed on the Golden Hill Health Care Center in Milford in connection with an incident July 31 in which a resident broke a leg.

The resident was diagnosed with a broken leg and bruises on Aug. 1, DPH records show. The state found that the home had failed to notify a physician for eight hours after the staff noticed the resident moaning and crying.

The home was also cited in connection with the same incident when DPH found that a nurse’s note failed to document that the resident was assessed after showing signs of pain. Records also showed that the resident was not sent to a hospital emergency room until more than 10 hours after he or she had signs of unrelieved pain, DPH concluded.

Two nurse’s aides were disciplined in connection with the incident, including one aide who made a false statement about the way he or she transferred and showered the resident, records show.

Ben Atkins, chairman of Traditions Senior Management of Clearwater, Florida, said his firm began managing Golden Hill in January for the non-profit Eagle Lake Foundation, which is taking over the home. He pointed out that the citations refer to deficiencies that happened at Golden Hill before his company was involved.

“We’ve very serious about the care we provide,’’ he said.

On Feb. 26, Regency Heights of Stamford was fined $1,370 for several incidents, including one in which a nurse’s aide punched a resident, DPH records show.

On April 16, the resident struck the aide first, and the aide punched the person in the arm, records show. The resident was not injured. A doctor and local police were called and the aide was removed from the unit. A witness said the aide could have just walked away. The aide reported that the resident had “done this to me before and I deserve respect,” DPH’s citation states.

The home was also cited in connection with a May 12 incident in which a resident suffered a broken toe when a shower door inadvertently closed on the resident’s foot, DPH records show. The home found a nurse’s aide should have gotten help in holding the door open, and the aide was given a written warning and re-training, record show.

Regency Heights was also cited in connection with an incident Oct. 20 when a resident fell out of a lift sling and hit his or her head while being moved from a bed to a wheelchair, records show. The resident was hospitalized for three days for a hematoma.

The state found that the aide had failed to check the straps on the lift before moving the resident out of bed, records show. Two aides were provided with additional training because of the incident, records show.

On Jan. 5, 2014, a Regency Heights resident was observed with a large bruise on the face. It was determined that the resident had been moving him or herself in a wheelchair and was not wearing non-skid socks when he or she should have been, records show. A nurse’s aide reported that he or she did not know the resident required non-skid socks, records show.

A DPH found that the resident had fallen four times in 2014 – on July 14, Aug. 10, Sept. 21 and Dec. 21 – and that the home did not revise its care plan after the August and December falls.

Regency Heights was also cited in connection with an incident on Dec. 14, 2014, in which a resident broke a bone in the hand, records show. DPH found that two aides had transferred the resident out of bed using a lift without the consent of a licensed staff member, records show.

The home was also cited in connection with a resident with diabetes who was hospitalized after not being given three doses of a required drug, DPH found. The hospital reported the incident to the state because a doctor felt it would not be safe to return the resident to Regency Heights, DPH records show. Three nurses reported that they could not find the drug, did not call a doctor and did not notify a supervisor, DPH found. One nurse was fired and two were given written warnings, DPH records show.

Administrator Grace Flight said the home is in full compliance with state regulations and “everything has been corrected that was cited.’’

On Jan. 22, Montowese Health and Rehabilitation Center was fined $1,230 in connection with a July 1 incident in which one resident was hospitalized after taking another resident’s medication, DPH records show.

A registered nurse reported going into a room with medication for both residents when he or she heard one of the residents cry out from the bathroom and appeared to be about to fall, records show. The nurse put both residents’ medicine on a table in front of one resident’s bed while helping the other. The nurse found that the resident in bed had taken some of the other resident’s drugs by mistake, records show.

DPH found that the nurse violated the home’s policy, which states that medications should never be left unattended.

“The facility is now back in substantial compliance with federal and state standards of medication practice protocol,’’ Genine Tannoia, director of nursing services at Montowese, said.

On Feb. 5, Masonicare Health Center of Wallingford was fined $1,160 in connection with a resident who fell on April 24 and broke an arm when an aide was transferring the resident from the bed to a wheelchair, records show. The aide admitted that before moving the resident, she had not checked the care plan, which required that two aides move the person using a lift, records show.

Masonicare spokeswoman Margaret Steeves said an investigation was conducted, which led to the firing of the employee involved in the incident.

On Feb. 6, The Reservoir of West Hartford was fined $1,020 in connection with a resident who was given a medication used to treat heart failure for three days in May even though a doctor had ordered it discontinued, DPH records show. The resident was treated at a hospital for toxicity involving the drug Digoxin, records show.

In response to the incident, the licensed nurses were retrained and audits were conducted of all residents on Digoxin, records show. The Reservoir’s administrator declined to comment.

On Feb. 23, Crossings East Health and Rehabilitation Center of New London was fined $1,020 in connection with a resident who developed a pressure sore on Jan. 3 of this year. DPH found that the resident’s care plan lacked documentation that the home had consistently monitored the resident’s skin.

Stacey Brady, a spokeswoman for Crossings East, said the home quickly submitted a correction plan to DPH after the incident and is waiting for word that the plan has been accepted.

“We are committed to providing our patients with the utmost of care,’’ she said.

On Feb. 17, Talmadge Park Health Care of East Haven was fined $420 in connection with a resident who began choking on a piece of sandwich Dec. 11. The resident, who has depression and bipolar disorder, said he or she had tried to choke as a way to commit suicide, records show.

A physician reported that he or she was not informed that it was a suicide attempt until the next day, records show. The resident was hospitalized that day, records show.

Talmadge Park Administrator Ted Vinci said the home’s staff quickly performed the Heimlich maneuver and prevented the resident from choking. He conceded there was unclear communication when the incident was reported to a physician.

“This was an isolated issue and although no disciplinary action was warranted, we have provided additional training for the staff regarding improved communication to physicians,’’ he said.

In two separate citations on July 24, Sharon Health Care Center was fined $1,580 and $1,050 in connection with several violations of state regulations.

On Oct. 30, 2013, a resident at the home was burned on the leg by a hot pack during a ride to a doctor’s office. The director of rehabilitation told state officials that in retrospect, it showed poor judgment for the rehab department to give the resident a hot pack for the half-hour ride, DPH records show. The home also lacked documentation to show it had checked the temperature of the heating unit, DPH found.

In another incident, a nurse noted on April 14 that a resident was in excruciating pain but had not been given pain medication the night before, records show. The home reported that a nurse had been re-trained in response to the incident, but that he or she later resigned and left Connecticut, records show.

Another resident slept in urine after no aide answered the call bell seeking help on April 23, and in another incident, a registered nurse forgot to give the same resident pain medicine, records show.

The state also found that a resident with diabetes was not given prescribed medication from May 12 to May 19 because the medication required an authorization from the facility to be reordered. The resident’s doctor also was not told that the medication had not been given, DPH found.

In the case of a resident who lost eight pounds in 15 days, medical personnel were not notified of the significant weight loss and the weight loss was not entered into a computer system that was being checked nightly by a dietitian, DPH found.

On June 25, a licensed practical nurse admitted giving one resident the medications of another resident while being distracted, records show. The resident was hospitalized for nausea, and the nurse was fired, DPH records show.

The home’s administrator could not be reached for comment.

Regency Heights of Danielson was fined $1,090 on July 1 in connection with an incident in which a resident with diabetes was given ten times the amount of insulin that had been prescribed by a doctor, DPH records show.

The resident was hospitalized after receiving the wrong dose four times on Dec. 2 and Dec. 3, 2013, records show.

A registered nurse said when she looked at the physician’s order, she thought it said 40 units, instead of four, so she transcribed it in the medical administration record as 40, DPH records show. The director of nursing said the nurse should have asked another nurse about the dosage or called the doctor.

The home’s administrator could not be reached for comment.

On July 8, Evergreen Woods of North Branford was fined $1,020 in connection with a resident who sustained a broken leg, records show.

In September 2013, two aides stood up the resident instead of using a lift, records show. Two days later, an X-ray showed that the resident’s leg was broken, DPH found. The two aides were disciplined, and the home’s staff was retrained in response to the incident.

Jaclyn Martinelli, the facility administrator, said the home investigated and reported the incident as soon as the woman complained of pain and took swift action in regards to the Certified Nursing Assistants, or CNAs.

“Our initial and ongoing training for CNAs is extensive,” she said. “In this case, we provided additional training to the CNAs involved to ensure they have a thorough understanding of the safe transfer of residents.”

The Kent home in Kent was fined $1,960 on July 8 in connection with four residents who developed pressure sores. The home’s records did not reflect that interventions were done to prevent pressure sores, DPH records show.

A spokesperson for the home could not be reached for comment.

On June 12, Fairview Healthcare Center of Greenwich was fined $570 in connection with a resident who was discharged to a relative on May 25 in error, DPH records show.

A conservator for the resident had asked the home to monitor the visits of a relative, who had a history of substance abuse and misuse of the resident’s money, records show. The resident was discharged to the relative after the relative showed a power of attorney form. When the conservator was notified about the discharge a day later, 911 was called and the resident was found at a local motel and was returned to Fairview.

It was determined that the relative was found to have presented an invalid power of attorney, and an official at the home admitted she should have notified someone before letting the person go home with the relative, records show. Officials at Fairview could not be reached for comment.

On May 7, DPH fined Walnut Hill Care Center in New Britain $500 in connection with three incidents of medication errors. On Dec. 27, 2013, one resident was given the wrong medication and was hospitalized for lethargy, records show.

On Jan. 24, the home failed to give a resident pain medication, and on Feb. 21, another resident was given the wrong dosage of Ativan, with no ill effects, records show. In response, the home retrained three licensed practical nurses on how to dispense medication, records show.

The home’s new administrator, Janet Shahen, declined to comment.

On July 2, Westport Health Care Center was fined $570 in connection with incidents involving residents who were smoking. In one incident a resident had been ordered to wear an apron when smoking but the home’s smokers’ log failed to reflect the use of the smoking apron, records show. In another case, records failed to reflect that another resident had been educated about the home’s smoking policy, according to DPH. Westport Health Care could not be reached for comment.

On Nov. 7, Beacon Brook Health Center in Naugatuck was fined $2,180 in connection with a resident who died May 23 of cardiopulmonary arrest and a bowel obstruction, DPH records show. DPH found that the home’s medical records failed to reflect that an abdominal assessment was done on May 23 after the resident complained of nausea and a stomachache on May 22.

Also, medical records did not indicate that a physician had seen the resident after May 21, and the home did not have a policy about abdominal assessments, DPH records show. On May 23, the resident was found without a pulse and CPR was started. The resident died after paramedics arrived and took over the CPR, records show.

In an unrelated case, a Beacon Brook resident with congestive heart failure mistakenly was not given medication for fluid retention, and no weight gain parameters were noted in the resident’s record that would have triggered a doctor’s notification, records show. The resident gained nine pounds between July 10 and July 21 and was hospitalized for shortness of breath and fluid overload. DPH found that the drug was noted in a physician’s order but not in the medication record, so the nursing home stopped giving it to the resident on July 9. The resident spent five days in the hospital, records show.

Beacon Brook’s administrator, Linda Garcia, said that the incidents happened before she took over, so she could not comment.

On Nov. 6, Manchester Manor Health Care Center was fined $2,250 in connection with two incidents, including one on May 29, when a nurse’s aide had left a resident in a bathroom, heard a thump and then found the resident on his or her knees with a deep cut on the forehead. The cut required five stitches to close, and inspectors found that the aide had violated a safety rule at the home by leaving the resident alone, records show.

A nurse was observed on Oct. 30 giving a resident with Alzheimer’s disease coffee without a lid in violation of a doctor’s order that the resident be given a lid on all hot drinks. State records show the resident had been burned on the thighs Aug. 2 and on the abdomen on Oct. 2 after spilling hot coffee that was provided without a lid.

Administrator Mary Ellen Gaudette said the staff has been retrained since the incidents and the home is in full compliance with state regulations.

On March 4, Ingraham Manor in Bristol was fined $1,595 in connection with the care of two residents. On Nov. 6, 2012, a psychiatrist at the home recommended that a resident with bulimia who was observed with fingers down his or her throat be admitted to a psychiatric hospital. The behavior continued, but the home was told no beds were available at a psychiatric facility. Fourteen days later, the resident was found to be lethargic and was hospitalized with elevated potassium and low salt levels in the blood. DPH found that the home should have notified the psychiatrist that the behavior was continuing and that the resident had not been hospitalized.

On April 19, 2012, a resident who was hard of hearing fell backward and hit his or her head when a nurse’s aide had moved a shower chair. The resident did not hear the aide say “wait.” The resident was not injured, but the fall prompted the home to direct the staff to keep the person’s walker within reach.

On May 17, 2012, the same resident fell backwards after a shower when the aide had removed a shower chair and told the resident not to sit back, records show. The resident was sent to a hospital and was found to have a pelvic fracture. The home found that the nurse’s aide should have kept a hand on the resident while moving the chair after the shower, records show.

Administrator Linda A. Urbanski said in a written statement that the home cannot comment on specific cases but added “we apologize for these unfortunate incidents.”

“Ingraham Manor continues to maintain a culture of safety, quality and service…,’’ she said. “Additionally, Ingraham Manor carefully reviews best practices and provides educational sessions on a continuing basis to ensure that safe and high quality care is provided to all patients and residents.”

On Oct. 23, Silver Springs Care Center in Meriden was fined $1,440 in connection with a private contractor hitting a resident. The resident said that on Sept. 7, he was trying to retrieve cans from the trash when the contractor started pushing him. The resident said he spit in the person’s face and called him a racial slur and the contractor then hit him three times with a sign, records show. The resident was bruised on the neck and shoulder and scratched on the arm, records show.

The worker was fired, records show. The police were notified about the incident, but it was unclear whether an arrest was made.

Administrator Patrick McDonnell confirmed the incident happened with a contractor but privacy laws prevent him from providing details. “Although this matter did not involve any of our employees, we take all allegations very seriously,’’ McDonnell said in a written statement. “In this case, we promptly notified state and local authorities, and we took immediate action to address the situation.  We continue to be committed to the highest possible level of care and safety for our residents.”

On Oct. 30, the Woodlake At Tolland nursing home was fined $1,300 in connection with a resident with pneumonia who developed a fever and was lethargic. Records show the resident’s fluid intake goals were not noted in the resident’s care plan on June 11, or on June 15. On June 14, the resident had a fever of 101.2 degrees. The director of nursing said staff members should have looked up the fluid needs of a resident that a dietician had calculated, records show.

Eric C. Berthel, a spokesman for ECHN, which owns Woodlake, declined to comment, citing federal privacy regulations and company policy.

On Sept. 26, Hamden Health Care Center was fined $1,020 in connection with a resident who broke a leg in two places. The person’s care plan called for two people to move him or her from a walker or wheelchair, but on Jan. 6, a nurse’s aide moved the resident from a toilet to a wheelchair alone. The person’s knees buckled, resulting in him or her being “lowered to the floor,” records show. The resident was found to have broken two leg bones, records show. The nurse’s aide admitted to not thoroughly reviewing the care plan before moving the resident, records show.

On Nov. 21, Regency Heights of Windham was fined $500 in connection with the case of a resident with a terminal diagnosis who tried to commit suicide three times. Records show that the resident was found with a pillow over his or her face and said he or she wanted to die. The resident was sent to a local hospital for observation and returned to Regency Heights on Oct. 5. The next day, the resident was hospitalized again after threatening to commit suicide.

Back at Regency on Oct. 16, the resident was found with a bell cord wrapped around the neck and was hospitalized and returned to the nursing home that night. On Oct. 17, the resident was found with a pad from a bedrail bumper held against his or her face and was readmitted to the hospital. Under the nursing home’s policies, the resident should not have been left alone after the first suicide attempt and dangerous objects should have been removed from the room. The director of nursing said he or she was not aware of the Oct. 4 suicide attempt and could not tell state investigators whether the room was deemed safe after the Oct. 4 and 6 incidents, DPH records show.

On Nov. 21, Sharon Health Care Center was fined $360 in connection with the improper use of a belt to restrain a resident in a wheelchair on Oct. 26. A physical therapist found the resident restrained to a wheelchair with a belt even though no restraint use had been ordered by the resident’s doctor, DPH records show.

Officials at Hamden Health, Regency and Sharon Health could not be reached for comment.

In two of the citations released this week, the state Department of Public Health fined Elm Hill Nursing Center of Rocky Hill a total of $2,250 for the cases of a broken hip, the sexual abuse that was not properly reported and a resident who fell and was unresponsive. That patient died in a hospital after the fall, DPH spokesman William Gerrish said Friday.

On Sept. 10, Elm Hill was fined $1,020 in connection with the case of a resident with dementia who fell Feb. 14, and suffered a broken hip. State records show a nurse’s aide forgot to follow a care plan and place a tray table on the resident’s wheelchair.

On Sept. 11, DPH fined Elm Hill $1,230 in connection with the resident with dementia who died and the sexual abuse case. On Aug. 6, the resident was found unresponsive outside the home at the bottom of four stairs at 1:40 a.m. The resident stopped breathing and CPR was initiated. State records show an alarm on a door did not go off when the resident went outside and it was determined that the person had removed an alarm bracelet.

Records show that on July 30, Aug. 4, and Aug. 8, a visitor was observed touching a resident’s breasts or with his hands down her pants. A licensed practical nurse, a nurse’s aide and a social work staffer were suspended for not properly reporting the incidents, DPH records show.

Records also state that the nurse did not recognize the incidents as sexual abuse and said she didn’t think it was a “big deal because [the visitor] was an older gentleman.” The state concluded the home failed to “ensure the resident was protected from abuse until after the third incident.”

Regency Heights of Windham was fined $1,580 on July 22, for lapses of care in connection with five residents. State records show the home improperly cared for a resident with a pressure ulcer and failed to provide psychosocial support for a violent resident. Another resident broke a leg during a fall after disconnecting an alarm that should have been placed out of reach, records show. One resident was bruised while being lifted and another was cut when he or she became agitated while being transferred from a wheelchair to a bed, records show.

On Oct. 9, the state fined Bethel Healthcare Center of Bethel $1,500 in connection with a resident who was burned. DPH records show that on July 2, a heating pad was left behind the knee of a resident for several hours, instead of a half hour, when one licensed practical nurse did not remove it or tell the next shift it was there. After the same resident had skin graft surgery for the burn on Aug. 14, the state also found that the home did not follow its care plan to regularly monitor the resident’s skin.

Administrators at Elm Hill, Regency Heights or Bethel Healthcare could not be reached for comment.

On Sept. 13, the state fined Maple View Manor of Rocky Hill $1,280 in connection with a resident who fell Oct. 11, 2012 from a toilet, hitting his or her head on a sink, records show. The resident returned to the home wearing a cervical collar for a spinal/cervical fracture, records show. A nurse’s aide had left the resident alone briefly, and records show, the resident was at high risk for falls and was not supposed to be left alone.

Tim Brown, a spokesman for Maple View’s owner, National Health Care Associates of Lynbrook, N.Y., said the staff was retrained following the incident and directed to follow all of the home’s policies and procedures.

Cambridge Manor of Fairfield was fined $1,380 on July 31, in connection with two incidents at the home, according to a citation by the state Department of Public Health.  In the first incident, on July 3, a resident was admitted to a hospital as unresponsive and suffering an overdose of opiates, the citation states. A DPH investigation determined that the resident had been given morphine and thyroid medicine by mistake, according to the citation.

William Gerrish, DPH’s spokesman, said the resident recovered and returned to Cambridge Manor.

In the second incident, on July 12, a resident with anxiety and dementia was left unattended in a wheelchair in the lobby, the citation said. The resident left the nursing home in the wheelchair without the staff’s knowledge and was found on Easton Turnpike. The resident suffered no injuries.   The home’s administrator, Bill Thompson, could not be reached for comment.

In another case, the Greenwich Woods Health Care Center in Greenwich was fined $1,300 for incidents involving three residents, including a case on March 4, in which a nurse found a resident with a bruised and swollen arm. The state citation said the resident was X-rayed and found to have a broken arm. An investigation found that the injury could have occurred when nursing home staff were lifting or repositioning the resident, the citation said.

On June 28, staff members discovered that a Greenwich Woods resident who was at risk for falls had fallen when an aide had left the person alone in a bathroom. Two days later, when the resident complained of chest pain, it was determined at a hospital that the resident had multiple rib fractures, the citation states.

On July 18, a Greenwich Woods resident who was considered at risk for injury when smoking was found to have five lighters in a bag in his or her room, the citation said. The lighters were supposed to be locked in a humidor in the room, records show.

Bill Coury, administrator of the Greenwich facility, said while the home did not agree with all of DPH’s findings, he was prohibited from discussing details of the incidents due to patient privacy laws.

“We’re always looking at our systems to make improvements,’’ he said.

DPH also fined the Rosegarden Health & Rehabilitation Center of Waterbury $1,860 on July 22, in connection with the hospitalization of a resident whose sodium levels were high. An investigation concluded that the resident had been given the wrong intravenous fluid on Nov. 12, 2012 after a nurse said she had a busy night and did not recognize that the wrong solution was used, the citation said. The patient recovered.

In another citation, DPH fined Regency Heights of New Britain $1,020 in connection with the verbal abuse of a resident by a nurse’s aide in March.

• Kindred Nursing and Rehabilitation Crossings East of New London was fined $1,090 by the DPH for two incidents in which staff members acted inappropriately with patients. In one case, a nurse physically restrained a resident who was behaving aggressively and engaged in an inappropriate verbal exchange, the DPH report says. In another, a nurse’s aide called a resident a derogatory name and slammed the door when she exited the resident’s room. The aide was terminated after the facility investigated the incident, the DPH report says.

• Avalon Health Care Center at Stoneridge in Mystic was fined $1,020 in connection with an incident in which a resident who had trouble eating suffered second-degree burns on his or her thigh from spilling hot soup that he or she was trying to eat. The resident was sitting at a supervised lunch table when the spill occurred, but a nurse’s aide had patted the resident’s pants dry, and the burns were not discovered until 45 minutes later, the DPH report says.

• Regency Heights of Norwich, LLC, was fined $1,490 for lapses in care related to two residents – one who was a suicide risk, and the other who was an elopement or escape risk. In one case, state surveyors faulted the home for not taking full precautions after a resident had attempted suicide by wrapping a belt around his or her neck. Although the facility provided one-on-one monitoring of the patient, state inspectors found that call-light cords were left within the resident’s reach, and an aide on duty was allowing the resident to go into the bathroom alone. The home also was cited in the case of a resident who climbed out a first-floor window and suffered a wrist injury. The care plan for that resident did not include adequate precautions to address the patient’s tendency to try to leave the facility, the DPH report says.

The incident at the Lutheran Home of Southbury occurred in April, when a resident who was supposed to be served a “soft diet” of ground meat and liquids was instead served a meal of ham, cooked carrots and a cookie. According to a state inspection report, a nurse’s aide had cut up the ham for the resident to eat, even though a dietary order slip on the resident’s meal tray instructed a soft diet.

After the resident began choking, staff members attempted the Heimlich maneuver, without success. State inspectors said the nursing home lacked an adequate process to alert personnel to a medical emergency—something the nursing home has since corrected, the state report says.

The Lutheran Home was fined $615.

Also fined for poor patient care was Sheriden Woods Health Care Center of Bristol, which was cited for five violations, including one incident in which a resident fell while being moved and suffered a neck fracture. In another incident, a resident was given his or her roommate’s medications in error. The home also was cited in connection with five residents testing positive in May for salmonella infection. The home faces $955 in fines.

The other citations were:

• Bridgeport Manor, of Bridgeport, faces a $650 fine after a resident with a traumatic brain injury hit the side of his or her head on a headboard, sustaining a laceration. The resident had been moved by one nurse’s aide instead of the two staff members who were required as part of the patient’s care plan.

• Regency Heights of Danielson faces a $580 fine after a resident whose feet were not properly secured in his or her wheelchair suffered a hip fracture.

• Candlewood Valley Health & Rehabilitation Center of New Milford was fined $510 for improper care of a resident with mobility problems who fell off a shower chair and suffered a hip fracture.

• Regency Heights of Norwich was fined $510 for failing to properly monitor and treat a resident’s hand wound.

• Pomperaug Woods Health Center of Southbury faces a $510 fine for an incident in which a resident at risk of falling fell off a toilet while unattended and sustained a broken ankle.

State inspectors fined The Summit at Plantsville $710 for improperly moving a patient.  The patient, who suffers from osteoporosis and dementia, was a “fall risk,’’ requiring a two-person assist to be moved. A care plan noted that the patient should not be moved by lifting under the arms, according to the DPH report.  But in May, the report says, the patient was moved by lifting under the arms and suffered an arm and neck injury.

The Hewitt Health & Rehabilitation Center in Shelton was fined $605 by the DPH for attempting to move a patient without following a doctor’s directive. The patient required the help of two workers to be moved, but one staff member attempted to move the patient, causing an injury. The DPH inspection report notes that a physician had ordered that a Hoyer lift be used to move the patient, but that directive was not included in the patient’s care plan.

A third nursing home, Regency Heights of Stamford, was fined $510 for failing to protect a patient from injury while providing care, according to the DPH. A state inspector reported that a resident fell out of bed while being cared for and suffered a laceration of the head that required staples to close, among other injuries.