Inspection Reports for Advanced Center for Nursing and Rehabilitation

Monitoring visit to verify compliance status of previously cited deficiencies at Advanced Center for Nursing & Rehabilitation.

A desk audit confirmed that tags F580, F602, F658, and F684 were brought back into compliance as of 2025-09-19. The facility administrator was notified of these findings on 2025-11-18.

The inspection visit was conducted as a complaint investigation referenced by Complaint Investigation #2648126.

No violations of the General Statutes of Connecticut and/or the regulations of Connecticut State Agencies were identified at the time of this inspection.

Complaint Investigation #2648126 was conducted and found no violations; the complaint was not substantiated.

The visit was a follow-up inspection to verify correction of previous deficiencies.

No violations of the General Statutes of Connecticut and/or regulations were identified at the time of this inspection. Violation 4a was identified as corrected as of 2025-09-26, and the administrator was notified that all violations were corrected.

A follow-up visit was conducted to review the implementation of the Plan of Correction for violations previously cited in the violation letter dated 2025-10-14.

All previously identified violations (1a, 2a, 3a, 5a, 6a, 7a, 8a, 9a, 9b, and 4a) were found to be corrected as of the dates specified, with the administrator notified in person on 2025-10-31 at 1:30 PM that all violations were corrected.

The inspection was conducted as a complaint investigation related to Complaint Investigation #2618119.

Violations of the General Statutes of Connecticut and/or regulations of Connecticut State Agencies were identified at the time of this inspection.

Complaint Investigation #2618119 was the basis for the inspection; substantiation status is not explicitly stated.

The inspection was conducted as part of complaint investigations #44624 and #44440.

No violations of the General Statutes of Connecticut and/or regulations of Connecticut State Agencies were identified at the time of this inspection.

Complaint investigations #44624 and #44440 were reviewed; no violations were substantiated.

A desk audit was conducted to review the facility's plan of correction for an earlier enforcement action dated 3/17/25.

The desk audit verified that Tag F 686 and the corresponding violation were corrected and back in compliance as of 4/7/25.

The inspection was conducted as a renewal licensing inspection, including a desk audit to review the facility's plan of correction for an earlier enforcement action dated 3/17/25.

The desk audit completed on 6/2/25 verified that the cited violations (Tags F 580 & 755) were corrected and the facility was back in compliance as of 4/7/25.

Revisit for the purpose of reviewing compliance with Plan of Correction for surveys dated 2/13/2025.

The inspection was a follow-up visit to verify correction of previous deficiencies. The violation was confirmed corrected as of 4/09/2025.

A follow-up visit was conducted to review the implementation of the Plan of Correction for violations identified in a prior inspection.

All 25 previously identified violations were corrected as of the follow-up visit on 2025-04-01, and the facility administrator and DNS were notified in person.

The inspection visit was conducted as a complaint investigation related to complaint numbers #43282 and #39849.

The report does not explicitly state the findings or violations identified during the inspection.

Complaint investigation was conducted for complaints #43282 and #39849. No substantiation status is provided.

An unannounced visit was made to Advanced Center for Nursing & Rehabilitation on March 17, 2025, by a representative of the Facility Licensing and Investigations Section of the Department of Public Health for the purpose of conducting multiple investigations.

The report details a violation of Connecticut state regulations identified during the visit, including deficient practices related to wound care and pressure ulcer prevention for Resident #1. The resident had a pressure ulcer and treatment delays were noted, leading to transfer to hospital for further evaluation.

Complaint numbers #39849 and #43282 are referenced. The visit was complaint-driven, but substantiation status is not explicitly stated.

The inspection visit was conducted as a complaint investigation related to Complaint Investigation #42834.

Violations of the General Statutes of Connecticut and/or regulations of Connecticut State Agencies were identified at the time of this inspection, as referenced in the attached violation letter dated 2/27/25.

Complaint Investigation #42834 was the basis for the inspection. Violations were substantiated as indicated by the attached violation letter.

The inspection was conducted as a licensing inspection for renewal purposes and included review of complaint investigations with multiple complaint numbers referenced.

Violations of the General Statutes of Connecticut and/or regulations were identified at the time of this inspection, as noted in the attached violation letter.

Complaint investigations referenced with numbers CT# 42346, CT# 42015, #42727, #42733, #42734, and #42735.

A desk audit was completed on 10/16/24 to review the implementation of the Plan of Correction for the Violation letter dated 8/13/24.

No violations of the General Statutes of Connecticut and/or regulations of Connecticut State Agencies were identified at the time of this inspection. Violation #1a was identified as corrected as of 10/16/24.

The inspection visit was a desk audit conducted to review the implementation of the Plan of Correction for a previously issued violation letter dated 2024-08-13.

The violation identified as Violation #1a was corrected as of the inspection date. The administrator was notified by telephone and email that all violations were corrected.

The inspection visit was conducted as a complaint investigation, specifically referencing Complaint Investigation #00036738.

No violations of the General Statutes of Connecticut and/or regulations of Connecticut State Agencies were identified at the time of this inspection.

Complaint Investigation #00036738 was the reason for the visit; no violations were found during the inspection.

The document is a desk audit inspection report for the Advanced Center for Nursing, reviewing compliance and regulatory status without an onsite inspection.

No violations of the General Statutes of Connecticut or regulations were identified at the time of this desk audit inspection. A narrative report/additional information is attached.

The inspection was a desk audit to review compliance with regulations, with no onsite inspection date provided and no violations identified at the time of this inspection.

No violations of the General Statutes of Connecticut or regulations were identified during this desk audit inspection. A narrative report and additional information were attached.

The inspection visit was conducted as part of Complaint Investigation #36415 to review compliance with state regulations.

No violations of the General Statutes of Connecticut and/or regulations of Connecticut State Agencies were identified at the time of this inspection.

Complaint Investigation #36415 was the reason for the visit. Violations were not identified at the time of inspection.

An unannounced visit was made to Advanced Center For Nursing & Rehabilitation on September 20, 2022, for the purpose of conducting a Complaint Investigation Survey and Focused Infection Control Survey.

The facility failed to ensure residents' rights to receive visitors at their choosing, resulting in suspension of visitation for all residents except those on hospice or comfort measures following an incident involving a resident's accidental fentanyl overdose. The facility visitation policy was reviewed and visitation restrictions were implemented temporarily.

Complaint Investigation #32902 was conducted. The complaint involved a resident found unresponsive with fentanyl in their possession, leading to emergency intervention and subsequent visitation restrictions. The complaint was substantiated as violations were identified.

The visit was conducted as a renewal inspection including an extended survey and multiple complaint investigations.

Violations of the public health code were identified during the inspection, but the facility was found to meet the minimum requirements of the Public Health Code after review of staffing and facility tour.

The inspection included complaint investigations for CT #31843, CT#31934, CT#31933, CT 32015, CT# 31984 and CT 31994.

The inspection was an unannounced visit conducted on 3/21/2022, 3/22/2022, and 4/7/2022 for multiple investigations and an extended survey, including complaint investigations for several complaint numbers, to determine compliance with regulations for Long Term Care Facilities.

Violations of the General Statutes of Connecticut and regulations were identified related to resident care, medication administration, leave of absence policies, contraband control, psychosocial oversight, and documentation. The facility failed to ensure timely physician notification, adequate supervision, and proper care planning for residents with substance abuse and other conditions. Immediate Jeopardy findings were noted in several areas.

The visit included complaint investigations for complaints #31843, #31933, #31934, #31993, #32015, #31984, and #31994. Violations were substantiated as noted in the findings and enforcement actions.

The inspection was conducted to assess compliance with federal regulations regarding comprehensive resident assessments, quarterly reviews, and accuracy of Minimum Data Set (MDS) assessments at the Advanced Center for Nursing & Rehabilitation.

The facility failed to complete admission and quarterly MDS assessments timely and accurately. Specific deficiencies included a late admission MDS assessment for Resident #126, an incomplete quarterly MDS assessment for Resident #35, and inaccurate coding of MDS assessments for Residents #33 and #129, including failure to identify a positive PASRR and presence of a Foley catheter.

Unannounced visits were made to Advanced Center For Nursing & Rehabilitation concluding on April 4, 2022, for the purpose of conducting a Recertification Survey to determine compliance with 42 CFR Part 483 requirements for Long Term Care Facilities.

The facility was found to have multiple violations of Connecticut State Agencies regulations including issues with call bell accessibility, pressure ulcer care, shower room maintenance, timely completion of MDS assessments, wound care, weight loss management, oxygen tubing, infection control, and IV therapy documentation. Plans of correction were submitted for each violation.

The inspection was conducted as a renewal licensing inspection for the Advanced Center for Nursing facility.

No violations of the General Statutes of Connecticut and/or regulations of Connecticut State Agencies were identified at the time of this inspection. Certification files were reviewed and CRF grant verification was completed.

An unannounced visit was made to the facility on 3/21/2022, 3/22/2022, 3/23/2022, and 3/24/2022 for multiple investigations and an extended survey including complaint investigations #CT31843, CT31934, CT31933, CT32015, CT31984, and CT31994 to determine compliance with regulations and public health code.

Violations of the public health code and regulations were identified related to resident care, medication administration, leave of absence policies, contraband control, and psychosocial oversight. The facility failed to ensure adequate supervision, timely physician notification, and proper documentation. Immediate jeopardy findings were noted and plans of correction were required.

Complaint investigations #CT31843, CT31934, CT31933, CT32015, CT31984, and CT31994 were conducted. The findings resulted in immediate jeopardy determinations related to resident care, supervision, and documentation failures.

Complaint Investigation Survey conducted to determine compliance with 42 CFR Part 483 requirements for long Term Care Facilities, triggered by complaints CT #31843, 31933 and #31934.

Immediate Jeopardy was identified due to failures in ensuring residents were free from possession of drug paraphernalia, comprehensive care plans for substance use disorder were not developed, timely notification of elevated blood sugar was not made, and residents requiring Narcan administration were not transferred to hospital. Additional deficiencies included failure to ensure adequate psychosocial oversight, medication administration issues, inadequate supervision to prevent access to contraband, incomplete medical records, and lack of effective administrative oversight.

Complaint Investigation Survey conducted due to complaints CT #31843, 31933 and #31934. Immediate Jeopardy identified related to drug paraphernalia possession, lack of care plans for substance use disorder, failure to notify providers of elevated blood sugar, failure to transfer residents after Narcan administration, and inadequate psychosocial oversight.

A COVID-19 Focused Survey was conducted to determine compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities, including proper infection prevention and control practices to prevent the development and transmission of COVID-19.

The COVID-19 Focused Infection Control Survey found the facility compliant with no deficiencies cited related to infection prevention and control practices.

An unannounced visit was conducted on May 7, 2020, by the Facility Licensing and Investigations Section of the Department of Public Health to perform a COVID-19 focused infection control survey at Advanced Center For Nursing & Rehabilitation.

The survey found that Resident #24's room lacked proper signage and a PPE cart to identify transmission mode and proper PPE use. The facility policy for prevention and control of COVID-19 was reviewed, and droplet precautions were implemented immediately after the surveyor's inquiry.

The inspection was conducted as a complaint investigation related to complaint numbers 26124, 26348, 25361, 24981, 26371, 21845, and 25793.

Violations of the General Statutes of Connecticut and/or regulations of Connecticut State Agencies were identified at the time of this inspection, with a violation letter dated 1/17/20. Some violations were not identified at the time of this inspection.

Complaint investigation involved multiple complaint numbers as listed; substantiation status is not explicitly stated.

The visit was a revisit for the purpose of reviewing the plan of correction for the violation letter dated 10/7/19.

Based on a tour of the facility, review of facility documentation and plan of correction education, in-services, audits, clinical record review and interviews, violations numbered 1a, 2a,b,c,d,e,f,g,h,i, 3a, 4a,b, 5a, 6a, 7a,b, 8a were identified as corrected. As a result of this visit, no violations were issued.

Complaint investigation #26278 was conducted due to allegations of mistreatment and failure to report in a timely manner. The findings included verbal abuse, failure to report allegations within required timeframes, and failure to ensure proper care and monitoring of residents. The complaint was substantiated with multiple violations identified.

An unannounced visit was conducted at Advanced Center For Nursing & Rehabilitation on November 6, 2019, by the Department of Public Health for the purpose of conducting an investigation related to allegations of mistreatment.

The facility was found to have failed to report an allegation of mistreatment of a resident to the state agency in a timely manner, with the report being made ten hours after the incident instead of within two hours as required by policy.

Complaint #26278 was investigated regarding an allegation of mistreatment of Resident #1. The complaint was substantiated by findings that the facility delayed reporting the allegation to the state agency beyond the required timeframe.

Unannounced visits were made to the facility on September 23-26, 2019 by representatives of the Facility Licensing & Investigations Section for the purpose of conducting a licensure inspection and certification survey.

The inspection identified multiple deficiencies including failure to timely report allegations of abuse, late transmission of Minimum Data Set (MDS) assessments, failure to implement care plans for anticoagulant medication, failure to maintain tube feeding protocols, failure to obtain laboratory tests per physician orders, failure to maintain food safety standards including beard guard use and refrigerator temperatures, and incomplete clinical records documentation.

Unannounced visits were made to Advanced Center For Nursing & Rehabilitation concluding on September 26, 2019, for the purpose of conducting multiple investigations, a licensing renewal, and certification inspection.

The report details multiple violations of Connecticut State Regulations related to abuse reporting, timely submission of Minimum Data Set (MDS) assessments, care planning for anticoagulant medication, medication reconciliation, enteral feeding, laboratory testing, dietary services, and infection control. Plans of correction are provided for each violation with education, audits, and policy reviews.

An unannounced visit was made to Advanced Center For Nursing & Rehabilitation on June 24, 2019 by a representative of the Facility Licensing and Investigations Section of the Department of Public Health for the purpose of conducting an investigation inspection with additional information received through June 24, 2019.

The facility was found to have violations related to inaccurate and incomplete clinical documentation, specifically regarding discharge MDS assessments and weight documentation for Resident #1. The facility failed to ensure accurate coding of discharge dates and failed to document weekly weights as required. Plans of correction were submitted addressing these deficiencies.

Complaint #25593 triggered the investigation inspection.

An unannounced visit was made to Advanced Center For Nursing & Rehabilitation on June 4, 2019 by a representative of the Facility Licensing and Investigations Section of the Department of Public Health for the purpose of conducting an investigation.

The report identifies violations related to failure to follow recommendations for obtaining hemoglobin A1c lab tests for a resident with diabetes and failure to ensure respiratory equipment was maintained and stored in a sanitary manner. The facility was required to submit a plan of correction by June 28, 2019.

The inspection was conducted as a complaint investigation related to complaint numbers #24488 and #24386, focusing on violations of Connecticut General Statutes and regulations identified during the inspection.

The inspection found multiple deficiencies related to resident care, including failure to provide showers per care plans, failure to honor private room requests, incomplete advanced directive forms, inadequate communication regarding resident condition changes, failure to prevent falls, insufficient assistance with activities of daily living, improper handling of controlled substances, and failure to follow vaccination policies. Plans of correction were submitted for each violation.

Complaint investigation was conducted for complaints #24488 and #24386. Violations were substantiated as indicated by the findings and violation letters.

Unannounced visits were made to Advanced Center For Nursing & Rehabilitation by representatives of the Facility Licensing and Investigations Section for the purpose of conducting multiple investigations and a certification inspection, including complaint investigations #24488 and #24386.

The survey found a pattern of deficiencies constituting no actual harm with potential for more than minimal harm that is not immediate jeopardy, requiring corrections. Deficiencies included failure to honor resident preferences, incomplete advance directives, inadequate documentation and communication regarding hospitalizations, failure to revise fall prevention plans, inadequate assistance with activities of daily living, failure to implement care plans for contractures, improper medication security, failure to follow up on pneumococcal vaccinations, and other regulatory violations.

Complaint numbers 24488 and 24386 were investigated as part of the unannounced visits. The findings were substantiated with multiple deficiencies identified.