Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record
INGRAHAM MANOR REHAB AND NURSING
BRISTOL, CT · 128 certified beds · Last Life Safety survey June 17, 2025
CMS Certification Number 075329 · first certified December 1989
Ownership
Independently operated (no chain recorded by CMS) · Non profit - Corporation
- New ownershipOwnership changed October 21, 2025 (change of ownership)from BRISTOL HEALTH CARE, INC.
Position within CT
32 citations — more than 96% of the 191 certified nursing homes in CT. Compared within CT rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated
The latest survey found 28 citations; the earlier surveys on file averaged 2. With 3 surveys on file this is a direction of travel, not a conclusion.
When is the next survey likely?
The window opens February 2027 — about 3 months from now. This facility’s last Life Safety survey was June 2025. Facilities in CT are typically surveyed 20–26 months after the last one (median 22), measured over 228 consecutive surveys in the last two years of CMS records.
A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to about three years in Virginia. How the window is measured
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2 inspection-and-testing tags have been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities cited for sprinkler inspection and testing in CMS’s current file are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.
Emergency preparedness
16 of the 32 citations on file are Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index
Physical environment (health survey)
4 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 32 Life Safety citations above. The Physical Environment Index
- F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- F-0584 Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
- F-0880 Provide and implement an infection prevention and control program.
How that compares
Compared with the median facility in CT, and nationally. Surveyors differ markedly between states, so the CT figure is the meaningful one.
| Measure | Citations |
|---|---|
| This facility | 32 |
| Median facility in CT | 11 |
| Median facility nationally | 11 |
Survey history
| Survey date | Citations |
|---|---|
| August 23, 2021 | 2 |
| October 27, 2023 | 2 |
| June 17, 2025 | 28 |
Most-cited tags
| Tag | What the surveyor checks | Times cited | Last cited |
|---|---|---|---|
| K-0918 | Have generator or other power source capable of supplying service within 10 seconds. | 2 | 2025-06-17 |
| K-0363 | Install corridor and hallway doors that block smoke. | 2 | 2025-06-17 |
| K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. | 1 | 2025-06-17 |
| E-0025 | Create arrangements with other facilities to receive patients. | 1 | 2025-06-17 |
| E-0037 | Establish staff and initial training requirements. | 1 | 2025-06-17 |
| E-0029 | Develop a communication plan. | 1 | 2025-06-17 |
| E-0030 | List the names and contact information of those in the facility. | 1 | 2025-06-17 |
| E-0006 | Conduct risk assessment and an All-Hazards approach. | 1 | 2025-06-17 |
What the citations cover
- Emergency Preparedness Deficiencies 16
- Smoke Deficiencies 8
- Gas, Vacuum, and Electrical Systems Deficiencies 3
- Egress Deficiencies 3
- Other 2
| Category | Citations |
|---|---|
| Emergency Preparedness Deficiencies | 16 |
| Smoke Deficiencies | 8 |
| Gas, Vacuum, and Electrical Systems Deficiencies | 3 |
| Egress Deficiencies | 3 |
| Miscellaneous Deficiencies | 2 |
Every citation on file
As published by CMS, newest survey first. Descriptions are CMS’s own wording.
June 17, 2025 — 28 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| E-0001 | Establish an Emergency Preparedness Program (EP). | Deficient, Provider has date of correction (September 29, 2025) · under dispute |
| E-0004 | Develop and maintain an Emergency Preparedness Program (EP). | Deficient, Provider has date of correction (September 29, 2025) · under dispute |
| E-0006 | Conduct risk assessment and an All-Hazards approach. | Deficient, Provider has date of correction (September 29, 2025) · under dispute |
| E-0007 | Address patient/client population and determine types of services needed. | Deficient, Provider has date of correction (September 29, 2025) · under dispute |
| E-0009 | Include a process for Emergency Preparedness collaboration. | Deficient, Provider has date of correction (September 29, 2025) · under dispute |
| E-0013 | Develop Emergency Preparedness policies and procedures. | Deficient, Provider has date of correction (September 29, 2025) · under dispute |
| E-0020 | Establish policies and procedures including evacuation. | Deficient, Provider has date of correction (September 29, 2025) · under dispute |
| E-0025 | Create arrangements with other facilities to receive patients. | Deficient, Provider has date of correction (September 29, 2025) · under dispute |
| E-0029 | Develop a communication plan. | Deficient, Provider has date of correction (September 29, 2025) · under dispute |
| E-0030 | List the names and contact information of those in the facility. | Deficient, Provider has date of correction (September 29, 2025) · under dispute |
| E-0032 | Provide primary/alternate means for communication. | Deficient, Provider has date of correction (September 29, 2025) · under dispute |
| E-0033 | Establish methods for sharing information. | Deficient, Provider has date of correction (September 29, 2025) · under dispute |
| E-0034 | Provide a means of sharing information on occupancy/needs. | Deficient, Provider has date of correction (September 29, 2025) · under dispute |
| E-0036 | Establish emergency prep training and testing. | Deficient, Provider has date of correction (September 29, 2025) · under dispute |
| E-0037 | Establish staff and initial training requirements. | Deficient, Provider has date of correction (September 29, 2025) · under dispute |
| E-0039 | Conduct testing and exercise requirements. | Deficient, Provider has date of correction (September 29, 2025) · under dispute |
| K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. | Deficient, Provider has date of correction (September 29, 2025) · under dispute |
| K-0271 | Have exits that are accessible at all times. | Deficient, Provider has date of correction (September 29, 2025) · under dispute |
| K-0291 | Install emergency lighting that can last at least 1 1/2 hours. | Deficient, Provider has date of correction (September 29, 2025) · under dispute |
| K-0311 | Have an enclosure around a vertical opening shaft. | Deficient, Provider has date of correction (September 29, 2025) · under dispute |
| K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. | Deficient, Provider has date of correction (September 29, 2025) · under dispute |
| K-0353 | Inspect, test, and maintain automatic sprinkler systems. | Deficient, Provider has date of correction (September 29, 2025) · under dispute |
| K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. | Deficient, Provider has date of correction (September 29, 2025) · under dispute |
| K-0363 | Install corridor and hallway doors that block smoke. | Deficient, Provider has date of correction (September 29, 2025) · under dispute |
| K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Deficient, Provider has date of correction (September 29, 2025) · under dispute |
| K-0711 | Provide a written emergency evacuation plan. | Deficient, Provider has date of correction (September 29, 2025) · under dispute |
| K-0914 | Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Deficient, Provider has date of correction (September 29, 2025) · under dispute |
| K-0918 | Have generator or other power source capable of supplying service within 10 seconds. | Deficient, Provider has date of correction (September 29, 2025) · under dispute |
October 27, 2023 — 2 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| K-0363 | Install corridor and hallway doors that block smoke. | Deficient, Provider has date of correction (December 26, 2023) |
| K-0918 | Have generator or other power source capable of supplying service within 10 seconds. | Deficient, Provider has date of correction (December 26, 2023) |
August 23, 2021 — 2 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| K-0324 | Provide properly protected cooking facilities. | Deficient, Provider has date of correction (October 18, 2021) |
| K-0761 | To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Deficient, Provider has date of correction (October 18, 2021) |
Reflects the CMS posting of October 1, 2026. Surveys conducted in the last few months may not appear yet.