Inspection Reports for Apple Rehab Laurel Woods

The inspection was conducted as a complaint investigation for complaint numbers #2575482 and #2577887.

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 for complaint numbers #2575482 and #2577887 was conducted and found no violations.

The inspection visit was conducted as a complaint investigation related to Complaint Investigation #41505 and #41568.

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

Complaint Investigation #41505 and #41568 were the basis for this visit. Violations were substantiated as indicated by the checked box.

The inspection was conducted as a complaint investigation related to Complaint Investigation #43583 and #43861.

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

Inspection was related to Complaint Investigation #43583 and #43861. Violations were identified.

The inspection was conducted as a complaint investigation related to complaint numbers #43298 and #43312.

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 2025-04-10 attached.

Complaint investigation for complaints #43298 and #43312 with violations found and documented in an attached violation letter dated 2025-04-10.

An unannounced visit was made to Apple Rehab Laurel Woods on March 26, 2025, by the Department of Public Health for the purpose of conducting multiple investigations related to violations of Connecticut State regulations.

The report details findings related to allegations of staff to resident verbal abuse involving Resident #1, including failure to report the abuse timely and inappropriate staff behavior. The facility implemented plans of correction including staff education, audits, and supervision to address these issues.

The visit was complaint-related involving Complaint #43298 and #43312. The allegations concerned staff to resident verbal abuse, which was investigated and substantiated by the findings.

A follow-up visit was conducted to review the implementation of the Plan of Correction for violations previously identified in the violation letter dated 2024-06-10.

All previously identified violations (Violation #1a, 1b, 1c, 2a, 3a, and 4a) were found to be corrected as of the inspection date. The administrator was notified in person that all violations were corrected.

The inspection was conducted as a renewal licensing inspection and included review of complaint investigations numbered CT#35171 and CT#37173.

The report indicates that violations of the General Statutes of Connecticut and/or regulations were identified during the inspection. The certification file was reviewed as part of the process.

The inspection included review of complaint investigations CT#35171 and CT#37173; no substantiation status is explicitly stated.

A desk audit was completed to review the plan of correction for the violation letter dated 2023-12-05, and to verify correction of previous violations.

All violations cited in the previous inspection were corrected as of the monitoring visit on 2023-12-07.

A desk audit was completed on 12/7/23 to review the plan of correction for the violation letter dated 12/5/23.

All violations identified in the previous inspection were corrected as confirmed by telephone notification to Paul Meunier on 12/7/23 at 3:43.

An unannounced visit was conducted to Apple Rehab Laurel Woods to investigate a complaint regarding a resident elopement incident.

The facility failed to ensure adequate supervision for a resident with severe cognitive impairment who left the facility unsupervised and was found outside. The investigation revealed issues with door security and staff supervision, and the facility implemented interventions to prevent recurrence.

Complaint CT #35828 involved a resident (Resident #1) who left the facility without staff knowledge, was found outside the building, and had a wander guard bracelet in place. The investigation found that the resident exited through a keypad-locked stairwell door with a delay that allowed exit and that staff did not hear the door alarm. The facility identified past non-compliance and implemented corrective actions.

An unannounced visit was conducted for the purpose of a Complaint Investigation Survey related to complaint #35310.

The facility failed to ensure a resident identified at risk for choking was supervised during a meal according to the plan of care. Violations of Connecticut State regulations were identified and a violation letter dated 2023-09-01 was issued.

Complaint #35310 was investigated and substantiated with findings of noncompliance related to supervision of a resident at risk for choking during meals.

The inspection was conducted as a complaint investigation related to allegations of abuse and deficient care at Apple Rehab Laurel Woods.

The investigation found failures to report alleged abuse within the required timeframe, delayed emergency medical service calls for a resident experiencing seizures, and inadequate nurse aide staffing levels. Multiple violations of Connecticut State Agencies regulations were identified.

The visit was triggered by complaints #34241 and #33216. The allegations included staff abuse of Resident #1 and delayed emergency response for Resident #2. The complaint was substantiated with findings of noncompliance.

The inspection was conducted as a complaint investigation survey triggered by complaint numbers 34055 and 34078.

Violations of Connecticut State regulations were identified related to neglect and abuse involving multiple residents. Deficiencies included failure to provide timely incontinent care, failure to educate staff on abuse policies, and failure to ensure timely RN assessments after allegations.

Complaint investigation was substantiated with violations found related to neglect and abuse involving Residents #1 and #2. Complaint numbers 34055 and 34078 were referenced.

The inspection was conducted as a complaint investigation triggered by complaint numbers 34055 and 34078, focusing on allegations of neglect and abuse at Apple Rehab Laurel Woods.

The facility was found to have multiple violations related to neglect and abuse of residents, including failure to provide timely incontinent care, failure to educate staff on abuse policies, failure to conduct timely RN assessments after allegations, and incomplete documentation of resident conditions. Plans of correction were submitted addressing these issues.

Complaint investigation was based on allegations of neglect and abuse involving Residents #1 and #2. The complaints included failure to provide timely care, physical abuse, and inadequate documentation. The complaints were substantiated with multiple violations found.

An unannounced visit was made to the facility on 10/20/2022 for the purpose of conducting a complaint investigation.

Staffing was reviewed from 10/06/22 to 10/27/22 and found to meet the requirements of the Public Health Code. Violations were not identified during this visit.

Complaint Investigation #33167 was conducted. Violations were not identified during the visit.

The inspection was conducted as a complaint investigation related to Complaint Investigation #32466.

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 #32466 was conducted and no violations were found.

The visit was an unannounced Complaint Investigation Survey conducted to determine compliance with 42 CFR Part 483 requirements for Long Term Care Facilities following complaints.

The facility was found to have multiple violations including failure to notify the Resident Representative of an allegation of mistreatment, failure to ensure the resident was free from verbal abuse, failure to conduct annual performance evaluations for a Nurse Aide, failure to ensure yearly abuse prevention training for Nurse Aides, and failure to maintain nurse staffing according to the Public Health Code.

Complaint #32305, 32023. The complaint investigation was conducted to determine compliance with regulations following allegations of mistreatment and verbal abuse involving Resident #1.

A Complaints Investigation Survey and a Covid-19 Vaccination Verification Survey were conducted to determine compliance with 42 CFR Part 483 requirements for Long Term Care Facilities.

Deficiencies were cited related to failure to provide treatments per physician orders, failure to offer hospice agency choice to resident's family, inadequate infection prevention and control practices including improper PPE use during a COVID-19 outbreak, lack of a designated Infection Preventionist, and failure to timely notify resident's responsible party of COVID-19 positive status.

The visit was complaint-related triggered by concerns including failure to provide treatments as ordered, failure to offer hospice agency choice, infection control deficiencies during COVID-19 outbreak, lack of infection preventionist, and failure to notify responsible parties of COVID-19 infections.

The inspection was conducted as a Covid Vaccination Survey and a Complaint Investigation Survey to determine compliance with regulations related to COVID-19 and other care standards.

The facility was found to have multiple violations including failure to timely notify families of COVID-19 positive residents, incomplete treatment documentation, failure to provide hospice service choices, inadequate use of PPE during a COVID-19 outbreak, and lack of a designated Infection Preventionist. Plans of correction were required with substantial compliance expected by July 1, 2022.

Complaint investigation survey was conducted related to COVID-19 infection control and hospice care services. Multiple violations were substantiated including failure to notify families, incomplete documentation, and inadequate infection control practices.

Unannounced visit made to Apple Rehab Laurel Woods on January 9, 2020 by representatives of the Facility Licensing and Investigations Section for multiple investigations, licensure renewal, and certification inspection.

The report details multiple violations of Connecticut State Agencies regulations related to medication administration, abuse prevention, and medication storage. Specific deficiencies include failure to notify physicians of missed medication doses, failure to protect residents from misappropriation of property, failure to ensure pharmacy recommendations were timely acted upon, and failure to monitor medication refrigerator temperatures.

The inspection was a licensure renewal visit conducted over January 6-9, 2020, including review of complaint investigations #25440 and #26640, and a licensure renewal and certification inspection.

The inspection identified violations related to medication administration errors, failure to protect residents from abuse and misappropriation of property, and failure to maintain proper medication refrigerator temperatures. Plans of correction were submitted with compliance dates of February 2, 2020.

Complaint investigations #25440 and #26640 were reviewed during the inspection. Findings included substantiated medication errors and failure to protect residents from abuse and misappropriation of property.

The visit was a desk audit conducted on 9/3/2019 by a representative of the FLIS Department to review the Plan of Correction (P.O.C) for the violation letter dated 7/8/2019.

The review identified that the violations cited in the previous inspection had been corrected as of the date of the desk audit.

An unannounced visit was made to Apple Rehab Laurel Woods on June 20, 2019, by a representative of the Facility Licensing and Investigations Section of the Connecticut Department of Public Health for the purpose of conducting an investigation related to a complaint of abuse.

The investigation substantiated an allegation of abuse involving Resident #1 and Nursing Assistant #2. Resident #1 was found to have been handled roughly by staff, resulting in pain and distress. The facility failed to ensure the resident was free from abuse, and Nursing Assistant #2 was terminated. The facility's abuse policy was reviewed and found to prohibit mistreatment of residents.

Complaint #25611 was investigated. The allegation of abuse was substantiated, and Nursing Assistant #2 was terminated for violating the facility's abuse policy.

Unannounced visits were made to the facility on 11/16 and 11/19/18 by representatives of the Facility Licensing & Investigations Section for the purpose of conducting multiple investigations.

The facility was found deficient in multiple areas including failure to prevent abuse and improper use of restraints on Resident #3, failure to follow care plans and conduct neurological assessments after falls for Resident #2, failure to transfer Resident #1 according to plan of care resulting in injury, and failure to maintain complete and accurate medical records including undated physician orders.

The investigation was complaint-driven, focusing on allegations of abuse and improper care related to Resident #3 being tied to a wheelchair with a sheet, and other care deficiencies.

The document is a Plan of Correction submitted in response to a health survey conducted from November 16 to November 19, 2018 at Apple Rehab Laurel Woods.

The Plan of Correction addresses deficiencies related to restraint use, failure to ensure neurological assessments after falls, incomplete or inaccurate clinical records, and failure to ensure physician orders were dated when signed. The facility outlines corrective actions including staff re-education, audits, and monitoring to ensure compliance.

Unannounced visits were made to Apple Rehab Laurel Woods for the purpose of conducting a licensure renewal inspection and certification survey.

Violations of the Connecticut General Statutes and/or regulations were identified during the inspection. The facility failed to meet certain regulatory requirements including issues related to resident care, call bell response, restraint use, and facility maintenance.