Deficiencies (last 4 years)
Deficiencies (over 4 years)
0.8 deficiencies/year
Deficiencies are regulatory findings recorded during state inspections.
86% better than Connecticut average
Connecticut average: 5.6 deficiencies/year
Deficiencies per year
4
3
2
1
0
Inspection Report
Renewal
Deficiencies: 1
Date: Jun 20, 2024
Visit Reason
The inspection visit was an unannounced licensure renewal inspection conducted by the Department of Public Health on June 20, 2024, to assess compliance with state regulations at The Residence at Westport.
Findings
The inspection identified violations related to failure to follow the Missing Resident Response policy, which compromised client safety. Specifically, the Assisted Living Services Agency (ALSA) did not properly respond to an elopement incident involving a client in the secured memory care unit.
Deficiencies (1)
Failure to follow the Missing Resident Response policy to ensure client safety, including not immediately searching the stairwell and adjacent areas after a door alarm was activated.
Report Facts
Date of visit: Jun 20, 2024
Number of corrective action dates: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Nicole Ashby | Resident Care Director | Named as responsible staff member ensuring compliance with plan of correction |
| Addie Ricci | Executive Director | Named as responsible staff member ensuring compliance with plan of correction and recipient of violation letter |
| Deanna Dunning | Reflections Director | Named as responsible staff member ensuring compliance with plan of correction |
| Elizabeth Heiney | Supervising Nurse Consultant | Author of violation letter and contact for response |
Inspection Report
Plan of Correction
Deficiencies: 1
Date: Jun 20, 2024
Visit Reason
The document is a plan of correction submitted in response to an unannounced licensure renewal inspection conducted on June 20, 2024, by the Connecticut Department of Public Health.
Findings
The department found violations related to the supervision of assisted living services and failure to follow the Missing Resident Response policy to ensure client safety.
Deficiencies (1)
Violation of Regulations of Connecticut State Agencies Section 19-13-D105 (g) Supervisor of assisted living services (2)(A)(B) and/or (h) Nursing Services provided by an assisted living services agency (J) (vi) and/or (i) Assisted living aide services provided by an assisted living services agency (5)(B).
Report Facts
Dates of corrective actions: Corrective actions and re-education completed on 4/18/2024, 4/25/2024, 5/22/2024 and monthly for the next 6 months.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Nicole Ashby | Resident Care Director | Named as staff responsible for ensuring the institution's compliance. |
| Addie Ricci | Executive Director | Named as staff responsible for ensuring the institution's compliance and signed the plan of correction. |
| Deanna Dunning | Reflections Director | Named as staff responsible for ensuring the institution's compliance. |
Inspection Report
Complaint Investigation
Census: 76
Deficiencies: 0
Date: Mar 30, 2023
Visit Reason
The inspection was conducted as a complaint investigation related to complaint number CT# 34259.
Complaint Details
Complaint number CT# 34259 was investigated and found to be unsubstantiated as no violations were identified during the inspection.
Findings
No violations of the General Statutes of Connecticut or regulations of Connecticut State Agencies were identified at the time of this inspection. Verification of Alzheimer's special care units and infection control requirements were completed.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Michael J. Smith | RN Nurse Consultant | Report submitted by Michael J. Smith, RN. |
| Hanithah Manickam | Ex. Director | Personnel contacted during inspection. |
| Missy Stenqvist | RN, SALSA | Personnel contacted during inspection. |
Inspection Report
Renewal
Census: 96
Deficiencies: 0
Date: Jun 16, 2022
Visit Reason
The inspection was a re-licensure visit and renewal inspection to review government authority, quality assurance, client records, personnel files, and other compliance areas.
Findings
No violations of the General Statutes of Connecticut or regulations were identified at the time of this inspection. Verification of Alzheimer's special care units and infection prevention requirements were confirmed.
Report Facts
Staff count: 60
Memory clients: 7
ALSA clients: 26
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Michael J. Smith | Nurse Consultant | Report submitted by and signature on inspection report |
| Hanithah Manickam | Ex Director | Personnel contacted during inspection |
| Kim Russo | RN, SALSA | Personnel contacted during inspection |
Inspection Report
Plan of Correction
Deficiencies: 1
Date: Dec 21, 2021
Visit Reason
Unannounced visits were made to The Residence At Westport on December 21, 22 and 27, 2021 by representatives of the Facility Licensing and Investigations Section of the Department of Public Health for the purpose of conducting an investigation.
Complaint Details
The visit was complaint-related based on an allegation by Client #1 of a sexual encounter with Physical Therapist #1 on 12/14/21, and a history of hypersexual behavior toward male clients was noted. The complaint was investigated through clinical record reviews, staff interviews, and agency documentation.
Findings
The investigation found that the Assisted Living Agency Services (ALSA) failed to update Client #1's service program with a change in condition after an alleged sexual encounter and behavioral changes. The facility did not update the service plan to reflect changes in the client's behavior and failed to implement the policy for change of client status in a timely manner.
Deficiencies (1)
ALSA failed to update Client #1's Service Program with a change in condition after an alleged sexual encounter and behavioral changes.
Report Facts
Dates of visits: 3
Audit percentage: 10
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kim Russo | Supervisor of Assisted Living | Named in relation to the plan of correction and investigation |
| Cheryl Davis | Public Health Services Manager | Author of the violation letter and investigation |
| Hanithah Manickam | Executive Director | Named as responsible for ensuring compliance with the plan of correction |
Viewing
Loading inspection reports...
