Inspection Reports for Ark Healthcare and Rehab Branford Hills
189 Alps Rd, Branford, CT 06405, CT, 06405
Back to Facility ProfileInspection Report Summary
The most recent inspection on December 12, 2025, identified deficiencies related to a complaint investigation. Earlier inspections showed a pattern of issues primarily involving resident transfers and safe handling practices, including failures to use safety equipment and provide adequate assistance, which resulted in resident injuries such as falls, lacerations, and fractures. Several complaint investigations substantiated these findings, while others found no violations. Enforcement actions such as fines or license suspensions were not listed in the available reports. The inspection history suggests ongoing challenges with transfer safety, with some corrective actions noted but deficiencies persisting into the latest inspection.
Deficiencies (last 3 years)
Deficiencies (over 3 years)
1.7 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
70% better than Connecticut average
Connecticut average: 5.6 deficiencies/yearDeficiencies per year
4
3
2
1
0
Census
Latest occupancy rate
94% occupied
Based on a December 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Census over time
Inspection Report
Monitoring
Census: 178
Capacity: 190
Deficiencies: 0
Dec 12, 2025
Visit Reason
The inspection visit was conducted as a strike monitoring visit related to a complaint investigation number 2579104.
Findings
Violations of the General Statutes of Connecticut and/or regulations of Connecticut State Agencies were identified at the time of this inspection, as indicated by the issuance of a citation. Additional narrative and violation letters are attached but not included in this report.
Complaint Details
This visit was related to complaint investigation number 2579104.
Report Facts
Licensed Bed Capacity: 190
Census: 178
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Evelyn Polanco | RN, Survey Team Leader | Named as survey team leader conducting the inspection |
| Karen Gworek | SNC, Supervisor | Named as supervising nurse consultant/health program supervisor |
| Jennifer Semrow | ADNS | Personnel contacted during inspection |
| Daniel Brencher | Administrator | Personnel contacted during inspection |
Inspection Report
Complaint Investigation
Census: 177
Capacity: 190
Deficiencies: 0
Aug 25, 2025
Visit Reason
The inspection visit was conducted as part of Complaint Investigation #2579104 and to identify any 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, as noted in the attached violation letter.
Complaint Details
Complaint Investigation #2579104 was the basis for the visit. Violations were identified during the inspection.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Christine McKinney | Administrator | Personnel contacted during the inspection. |
| Kerry Augur | DNS | Personnel contacted during the inspection. |
| Allison Benson | Nurse Consultant | Report submitted by. |
Inspection Report
Complaint Investigation
Census: 186
Capacity: 190
Deficiencies: 0
May 21, 2025
Visit Reason
The inspection was conducted as a complaint investigation related to complaint numbers #43932 and #43988.
Findings
No violations of the General Statutes of Connecticut and/or regulations of Connecticut State Agencies were identified at the time of this inspection.
Complaint Details
Complaint investigation for complaints #43932 and #43988 was conducted and found no violations.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Terri Anderson-Murray | RN | Report submitted by |
Inspection Report
Complaint Investigation
Census: 176
Capacity: 190
Deficiencies: 0
Apr 29, 2025
Visit Reason
The inspection visit was conducted as a complaint investigation, specifically Complaint Investigation #43845.
Findings
No violations of the General Statutes of Connecticut and/or regulations of Connecticut State Agencies were identified at the time of this inspection.
Complaint Details
Complaint Investigation #43845 was conducted and found no violations.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Christine McKinney | Administrator | Personnel contacted during the inspection. |
| Terri Anderson-Murray | RN | Report submitted by. |
Inspection Report
Complaint Investigation
Census: 181
Capacity: 190
Deficiencies: 0
Jan 17, 2025
Visit Reason
The inspection was conducted as a complaint investigation related to complaint numbers #42441 and #42452.
Findings
No violations of the General Statutes of Connecticut and/or regulations of Connecticut State Agencies were identified at the time of this inspection.
Complaint Details
Complaint investigation for complaints #42441 and #42452; no violations were found.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kerry Augur | Director of Nurses | Personnel contacted during the inspection. |
| Terri Anderson-Murray | RN | Report submitted by. |
Inspection Report
Plan of Correction
Census: 169
Capacity: 190
Deficiencies: 1
Jul 18, 2024
Visit Reason
A desk audit was conducted on 7/18/24 to review the implementation of the Plan of Correction for a violation letter dated 6/5/24.
Findings
Violation #1 was identified as corrected as of 7/15/24. The Assistant Director of Nursing Services was notified on 7/18/24 that all violations were corrected.
Deficiencies (1)
| Description |
|---|
| Violation #1 identified in prior inspection |
Report Facts
Licensed Bed Capacity: 190
Census: 169
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Toni Christ | RN ADNS | Personnel contacted during inspection |
| Reba Stoddard | RN NC | Report submitted by |
Inspection Report
Follow-Up
Census: 174
Capacity: 190
Deficiencies: 1
Jun 25, 2024
Visit Reason
The visit was conducted to review the implementation of the Plan of Correction for the violation letter dated 5/30/24.
Findings
The on-site revisit confirmed that Violation #1 was corrected as of 6/21/24. The DNS, Julie Feder, was notified in person of the correction on 6/25/24 at 2:00 PM.
Deficiencies (1)
| Description |
|---|
| Violation #1 identified in previous inspection |
Report Facts
Licensed Bed Capacity: 190
Census: 174
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Julie Feder | DNS | Notified in person that the violation was corrected |
Inspection Report
Complaint Investigation
Deficiencies: 1
Jun 5, 2024
Visit Reason
An unannounced visit was made to Ark Healthcare & Rehabilitation At Branford Hills to conduct a multiple investigation based on complaints, with additional information obtained through June 6, 2024.
Findings
The facility failed to ensure staff utilized leg rests when moving a wheelchair-dependent resident, resulting in a fall and nasal fracture for Resident #2. Staff education and policy retraining were implemented as corrective actions.
Complaint Details
Complaint numbers #30582 and #38818 were investigated. The complaint was substantiated based on the fall incident involving Resident #2 due to staff not using leg rests on the wheelchair during transport.
Deficiencies (1)
| Description |
|---|
| Failure to ensure staff utilized leg rests when moving a wheelchair-dependent resident, leading to a fall and injury. |
Report Facts
Date of fall incident: Aug 2, 2021
Date of physician order: Aug 2, 2021
Audit frequency: 4
Audit duration: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Maureen Golas-Markure | Supervising Nurse Consultant | Author of the inspection report letter |
| Janet Woxland | Administrator | Facility administrator named in the report |
| RN #1 | Registered Nurse | Provided re-education on wheelchair transport policy |
| Director of Nursing | Director of Nursing | Interviewed regarding wheelchair transport and leg rest use |
| Director of Recreation | Director of Recreation | Responsible for conducting audits to ensure compliance with wheelchair policy |
Inspection Report
Plan of Correction
Deficiencies: 1
May 13, 2024
Visit Reason
Unannounced visits were made to Ark Healthcare & Rehabilitation At Branford Hills by the Department of Public Health representatives to conduct multiple investigations.
Findings
The facility was found noncompliant with Connecticut State regulations related to resident transfers, specifically failing to provide adequate assistance during a transfer resulting in a fall and injury to Resident #4. The facility submitted a plan of correction addressing staff retraining and audit procedures to prevent recurrence.
Complaint Details
Complaint investigation involved multiple complaint numbers (CT #s 32468, 38575, 38617, 38639).
Deficiencies (1)
| Description |
|---|
| Failure to provide adequate assistance during resident transfer resulting in fall and injury. |
Report Facts
Date of physician order: Mar 5, 2024
Date of MDS assessment: Mar 13, 2024
Date of incident report: Apr 25, 2024
Date of hospital admission: Apr 30, 2024
Audit frequency: 4
Audit frequency: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Maureen Golas-Markure | Supervising Nurse Consultant | Author of the notice letter regarding violations and plan of correction. |
| Janet Woxland | Administrator | Administrator of Ark Healthcare & Rehabilitation At Branford Hills, recipient of the notice. |
| Director of Nursing | Director of Nursing | Responsible for the plan of correction implementation and oversight. |
Inspection Report
Complaint Investigation
Census: 172
Capacity: 190
Deficiencies: 1
Apr 22, 2024
Visit Reason
The inspection was conducted as an unannounced visit on April 22, 2024, to investigate complaints #38348 and #38502 regarding potential violations of Connecticut State regulations at Ark Healthcare & Rehabilitation at Branford Hills.
Findings
Violations of Connecticut State regulations were identified related to the failure to utilize safety measures during patient transfers, resulting in a resident sustaining a laceration. The facility was found noncompliant with requirements for safe resident handling and transfer protocols.
Complaint Details
The visit was complaint-driven based on complaints #38348 and #38502. The complaint was substantiated as violations were identified during the inspection.
Deficiencies (1)
| Description |
|---|
| Failure to utilize safety measures, including gait belt and rolling walker, during transfers of Resident #2, resulting in a laceration and skin tear. |
Report Facts
Licensed Bed/Bassinet Capacity: 190
Census: 172
Date of onsite inspection: Apr 22, 2024
Measurement of laceration: 3.8
Measurement of laceration width: 1.8
Measurement of laceration depth: 1
Physical therapy frequency: 5
Physical therapy duration: 30
Admission Minimum Data Set date: Apr 8, 2024
Resident Care Plan date: Apr 8, 2024
Nurse's note date: Apr 14, 2024
Hospital discharge paperwork date: Apr 14, 2024
Suture removal timeframe: 7
Audit frequency: 2
Audit duration: 90
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Janet Woxland | Administrator | Personnel contacted during inspection |
| Julie Feder | Director of Nursing | Personnel contacted during inspection |
| Deborah Smith | RN, NC | Report submitted by |
| Karen Gworek | Supervising Nurse Consultant | Author of the notice letter regarding violations and plan of correction |
| Registered Nurse (RN) #1 | Nursing Supervisor | Notified of Resident #2's laceration and involved in investigation |
| Nurse Aide (NA) #1 | Interviewed regarding transfer incident causing Resident #2's injury |
Inspection Report
Complaint Investigation
Census: 179
Capacity: 190
Deficiencies: 0
Jan 16, 2024
Visit Reason
The inspection visit was conducted as a complaint investigation related to complaint numbers #36967 and #37005.
Findings
No violations of the General Statutes of Connecticut and/or regulations of Connecticut State Agencies were identified at the time of this inspection.
Complaint Details
Complaint investigation for complaints #36967 and #37005 was conducted and found no violations.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Janet Woxland | Administrator | Personnel contacted during the inspection. |
| Julie Feder | DNS | Personnel contacted during the inspection. |
| Toni Christ | ADNS | Personnel contacted during the inspection. |
Inspection Report
Renewal
Census: 143
Capacity: 190
Deficiencies: 0
Dec 6, 2022
Visit Reason
The inspection was a licensing inspection conducted as a renewal of the facility's license, including a complaint investigation #33415.
Findings
Violations of the General Statutes of Connecticut and/or regulations of Connecticut State Agencies were identified during the inspection, as referenced in an attached violation letter dated 12/21/22.
Complaint Details
Complaint investigation #33415 was included in the inspection; substantiation status is not explicitly stated.
Report Facts
Licensed Bed/Bassinet Capacity: 190
Census: 143
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Anna Nebrat | DNS | Personnel contacted during inspection |
| Janet Woxland | Administrator | Personnel contacted during inspection |
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