Inspection Reports for Addison Place at Glastonbury

CT, 06033

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Deficiencies per Year

4 3 2 1 0
2020
2021
2022
2024
Severe High Moderate Low Unclassified

Census Over Time

40 50 60 70 80 90 Jul '22 May '24 May '24 May '24 Jul '24
Census Capacity
Inspection Report Complaint Investigation Census: 81 Capacity: 51 Deficiencies: 0 Jul 15, 2024
Visit Reason
The inspection visit was conducted as a complaint investigation identified by CT#39914, to assess violations of the General Statutes of Connecticut and/or regulations of Connecticut State Agencies.
Findings
Violations of the General Statutes of Connecticut and/or regulations of Connecticut State Agencies were identified at the time of this inspection. Verification of Alzheimer's special care units and part-time Infection Prevention and Control Specialist requirements were also confirmed.
Complaint Details
Complaint investigation CT#39914 was conducted and violations were found.
Report Facts
Memory care capacity: 17
Employees Mentioned
NameTitleContext
Sandra CarlmarkExecutivePersonnel contacted during inspection
Michael J. SmithNurse ConsultantSignature of FLIS Staff and report submitted by
Inspection Report Complaint Investigation Deficiencies: 1 Jul 15, 2024
Visit Reason
An unannounced visit was made to Addison Place At Glastonbury on July 15, 2024, by a representative of the Facility Licensing and Investigations Section of the Department of Public Health for the purpose of conducting an investigation related to a complaint.
Findings
The Assisted Living Service Agency failed to ensure quality of care, supervisory nursing oversight, and respect and dignity in the care of a client, including issues related to incontinence care and improper handling of the client by agency aides. Specific incidents included fecal matter found on the client and surrounding areas, and improper transfer techniques causing client discomfort.
Complaint Details
The investigation was complaint-related under Complaint CT #39914. The complaint included observations of client neglect and improper care techniques by agency aides, which were substantiated by interviews, video surveillance, and clinical record review.
Deficiencies (1)
Description
Failure to ensure quality of care and supervisory nursing oversight in the delivery of services to a client, including incontinence care and dignity.
Report Facts
Days to complete inservice training: 60 Nursing rounds frequency: 2 Duration of increased nursing rounds: 45 Nursing rounds decrease percentage: 20 Nursing rounds decrease percentage: 10 QA meeting frequency: 3
Employees Mentioned
NameTitleContext
Marty SawyerResident Care DirectorSigned the Plan of Correction letter.
Elizabeth HeineySupervising Nurse ConsultantRecipient of Plan of Correction and author of the complaint letter.
Inspection Report Renewal Census: 74 Capacity: 81 Deficiencies: 0 May 8, 2024
Visit Reason
The inspection was conducted as a licensing inspection for renewal purposes and included review of a complaint investigation (37615).
Findings
Violations of the General Statutes of Connecticut and/or regulations of Connecticut State Agencies were identified during the inspection. The report references an attached violation letter dated 2024-05-15.
Complaint Details
The visit included review of complaint investigation number 37615.
Report Facts
Census: 74 Total Capacity: 81
Employees Mentioned
NameTitleContext
Elizabeth T HeineySNC Nurse ConsultantSignature of FLIS staff and report submitter
Sandra CalmarkEDPersonnel contacted during inspection
Martha SawyerSALSAPersonnel contacted during inspection and Part Time Infection Prevention and Control Specialist
Inspection Report Renewal Census: 74 Capacity: 81 Deficiencies: 0 May 8, 2024
Visit Reason
The inspection was conducted as a licensing renewal inspection for Addison Place at Glastonbury, including review of compliance with Connecticut state statutes and regulations.
Findings
Violations of the General Statutes of Connecticut and/or regulations were identified during the inspection. A violation letter dated 2024-05-21 was attached to the report.
Report Facts
Memory Care/Traditional beds: 17
Employees Mentioned
NameTitleContext
Elizabeth T HeineySNC Nurse ConsultantReport submitted by and signature on inspection report
Sandra CalmarkEDPersonnel contacted during inspection
Martha SawyerSALSA RNPersonnel contacted and Part Time Infection Prevention and Control Specialist
Inspection Report Complaint Investigation Census: 74 Capacity: 81 Deficiencies: 1 May 8, 2024
Visit Reason
An unannounced visit was made to Addison Place At Glastonbury on May 8, 2024, for the purpose of conducting an investigation and a licensure renewal inspection, triggered by Complaint Investigation #37615.
Findings
Violations of Connecticut General Statutes and regulations were identified, including failure to ensure completion of the Dementia Special Care Unit/Memory Care Unit disclosure agreement for 7 of 17 clients residing in the Memory Care Unit. The Executive Director and Business Manager confirmed missing disclosures and incomplete financial files for some clients.
Complaint Details
Complaint Investigation #37615 was the basis for the visit. The report does not explicitly state substantiation status.
Deficiencies (1)
Description
Failure to ensure completion of the Dementia Special Care Unit/Memory Care Unit disclosure agreement for 7 of 17 clients residing in the Memory Care Unit.
Report Facts
Census: 74 Total Capacity: 81 Memory Care Capacity: 17 Clients reviewed: 17 Clients with missing disclosures: 7 Clients currently residing in Dementia Special Care Unit: 18
Employees Mentioned
NameTitleContext
Elizabeth T HeineySupervising Nurse ConsultantReport submitted by and contact for plan of correction
Sandra CalmarkExecutive DirectorPersonnel contacted and named in findings regarding missing disclosures
Martha SawyerPart Time Infection Prevention and Control SpecialistPersonnel contacted
Inspection Report Plan of Correction Deficiencies: 1 Apr 4, 2024
Visit Reason
Unannounced visits were made to HarborChase Of Evergreen Walk concluding on April 4, 2024, by a representative of the Facility Licensing and Investigations Section of the Department of Public Health to conduct an investigation with additional information received through April 8, 2024.
Findings
The investigation found that an Assisted Living Service Agency (ALSA) failed to supervise the care and services provided by an assisted living aide, who was verbally and physically abusive to a client. The aide was terminated, and the agency failed to ensure the safety and rights of the client from abuse and oversight of aide staff.
Complaint Details
Complaint CT #38228 was investigated, revealing substantiated abuse by an aide toward Client #1, including verbal and physical abuse, unprofessional behavior, and failure of the agency to ensure client safety and oversight of aide staff.
Deficiencies (1)
Description
Failure of the Assisted Living Service Agency to supervise the care and services provided by the assisted living aide, resulting in verbal and physical abuse of a client.
Report Facts
Clients receiving services from ALSA: 5 Dates: May 6, 2024 Dates: Dec 7, 2023 Dates: Mar 25, 2024 Dates: Apr 4, 2024 Dates: Apr 10, 2024 Dates: May 10, 2024 Dates: May 15, 2024 Percentage: 10 Days: 120
Employees Mentioned
NameTitleContext
Elizabeth T. HeineySupervising Nurse ConsultantAuthor of the plan of correction letter and contact for response
Stacey PellingraExecutive DirectorFacility Executive Director named in the letter and plan of correction
Katherine MadiganRN, Supervisor of Assisted Living Services (SALSA)Responsible for auditing abuse policy training and aide supervision compliance
Inspection Report Monitoring Census: 76 Capacity: 81 Deficiencies: 0 Jul 11, 2022
Visit Reason
The inspection visit was conducted as a strike monitoring supplement to the licensing inspection report.
Findings
The report does not provide detailed findings or deficiencies within the extracted text and images. No violations or citations are explicitly stated in the provided content.
Employees Mentioned
NameTitleContext
Sandra CarlmarkEDPersonnel contacted during the inspection.
Mary SawyerSALSAPersonnel contacted during the inspection.
Inspection Report Complaint Investigation Deficiencies: 4 Jan 21, 2021
Visit Reason
An unannounced visit was made to Addison Place At Glastonbury on January 21, 2021 by a representative of the Facility Licensing and Investigations Section of the Department of Public Health for the purpose of conducting an investigation related to complaint #29106.
Findings
The Assisted Living Services Agency (ALSA) failed to orient private help staff to emergency policies and CDC guidelines for COVID-19 prevention. Observations included improper mask wearing by private help and a nurse designee failing to properly use personal protective equipment (PPE) and hand hygiene. The facility's policies and documentation related to COVID-19 orientation and PPE use were found deficient.
Complaint Details
Complaint #29106 triggered the investigation. The report does not explicitly state substantiation status.
Deficiencies (4)
Description
Failure to orient private help to ALSA's emergency policies and CDC COVID-19 guidelines, including proper mask wearing.
Private Help #1 wore surgical mask covering mouth but not nose and wore KN95 mask improperly with bottom loop dangling under chin.
Nurse Designee left client room without doffing PPE and touched multiple surfaces without hand sanitizer use.
Failure to identify orientation by ALSA to private help of client’s plan of care, emergency policies related to COVID-19, and documentation of such orientation.
Employees Mentioned
NameTitleContext
Karen DonatoSupervising Nurse Consultant/InterimSigned the violation letter and conducted the complaint investigation.
Beth PrevoExecutive DirectorNamed in the Plan of Correction letter responding to the complaint.
Megan Edson-SawyerNurse ConsultantRecipient of the Plan of Correction letter.
Inspection Report Original Licensing Deficiencies: 1 Sep 6, 2020
Visit Reason
An unannounced visit was made to Addison Place in Glastonbury on September 6, 2020 by a representative of the Facility Licensing and Investigations Section of the Department of Public Health for the purpose of conducting a licensing inspection.
Findings
The Assisted Living Services Agency (ALSA) failed to ensure all staff were tested on a weekly basis before determining negative status for a minimum of 14 days and entering a pause of testing, in accordance with the Governor's Executive Order. The facility did not include all employees in weekly testing rosters and failed to accurately track comprehensive weekly testing prior to pausing testing on 7/13/2020.
Deficiencies (1)
Description
ALSA failed to ensure all staff were tested weekly before determining negative status for a minimum of 14 days and entering a pause of testing, missing inclusion of several employees in testing rosters and failing to track comprehensive weekly testing.
Report Facts
Date of visit: Sep 6, 2020 Testing dates: 3 Employees not included in testing on 7/6/2020: 3 Employees not included in testing on 7/13/2020: 6 Testing duration: 14
Employees Mentioned
NameTitleContext
Loan NguyenSupervising Nurse ConsultantSigned letter and contact for questions

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