Inspection Report Summary
The most recent inspection on June 3, 2025, found no deficiencies in compliance with Connecticut statutes and regulations. Earlier inspections showed some deficiencies primarily related to documentation issues, including advance directives, code status, and communication about resident readmission. Complaint investigations substantiated problems with medical record accuracy and timely notification to hospitals, but prior plans of correction were accepted and found in compliance. No fines, immediate jeopardy findings, or license actions were listed in the available reports. The facility appears to have addressed earlier documentation concerns, as the most recent inspection was clean.
Deficiencies (last 7 years)
Deficiencies (over 7 years)
3.7 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
34% better than Connecticut average
Connecticut average: 5.6 deficiencies/yearDeficiencies per year
12
9
6
3
0
Census
Latest occupancy rate
97% occupied
Based on a June 2025 inspection.
Census over time
Inspection Report
Census: 146
Capacity: 150
Deficiencies: 0
Jun 3, 2025
Visit Reason
The inspection was a desk audit conducted on 6/3/25 to review compliance with the General Statutes of Connecticut and regulations of Connecticut State Agencies.
Findings
No violations of the General Statutes of Connecticut and/or regulations of Connecticut State Agencies were identified at the time of this inspection.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Izabela Grabarz | Director of Nursing | Personnel contacted during the inspection and notified by telephone that all violations were corrected. |
Inspection Report
Complaint Investigation
Deficiencies: 3
Mar 19, 2025
Visit Reason
Unannounced visits were made to Autumn Lake Healthcare at Norwalk for the purpose of conducting an investigation related to complaint #43969.
Findings
The facility failed to ensure accurate and consistent advance directives and code status documentation for Resident #1, including failure to obtain code status from the legal representative, undated physician orders, and incomplete medical record documentation regarding notification of change in condition. These deficiencies contributed to confusion during a medical emergency and incomplete documentation of family notification after the resident's death.
Complaint Details
Complaint #43969 triggered the investigation. The complaint involved issues with advance directives, physician orders, and medical record documentation related to Resident #1.
Deficiencies (3)
| Description |
|---|
| Failed to ensure the code status was obtained from the legal representative and the medical record included accurate advance directives. |
| Failed to ensure physician orders were dated when signed. |
| Failed to ensure the medical record was complete and accurate, including notification of the responsible party of a change in condition. |
Report Facts
Brief Interview Mental Status (BIMS) score: 7
Dates related to Resident #1: Conservator of Person effective date 2018-06-11; Advanced Directives dated 2023-10-14; Physician admission order dated 2024-06-20; MDS dated 2024-10-21; Resident Care Plan dated 2024-11-07; Physician order dated 2024-12-01; Nursing note dated 2025-01-13.
Plan of Correction compliance date: Compliance date for all violations is 2025-04-16.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Maureen Golas Markure | Supervising Nurse Consultant | Signed the notice letter and responsible for communication regarding violations. |
| Adrian Thomas | Administrator | Named as facility administrator and involved in interviews regarding findings. |
| RN #1 | Day shift unit manager | Interviewed regarding code status confusion and notification of death. |
| RN #2 | Night supervisor | Interviewed regarding code blue response and documentation of notification. |
| RN #4 | Regional Nurse | Interviewed about undated physician orders. |
| APRN #1 | Advanced Practice Registered Nurse | Interviewed about not dating physician orders when signed. |
Inspection Report
Monitoring
Census: 135
Capacity: 150
Deficiencies: 1
Sep 26, 2024
Visit Reason
A desk audit was completed to review the implementation of the Plan of Correction for the violation letter.
Findings
Violations #1 and #2 were identified as corrected as of 9/26/2024. The Plan of Correction was accepted and found in compliance. No additional findings were identified.
Deficiencies (1)
| Description |
|---|
| Violations #1 and #2 identified corrected as of 9/26/2024 |
Report Facts
Licensed Bed Capacity: 150
Census: 135
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Adrian Thomas | Administrator | Contacted regarding Plan of Correction compliance |
Inspection Report
Complaint Investigation
Deficiencies: 2
Aug 13, 2024
Visit Reason
An unannounced visit was conducted to Autumn Lake Healthcare At Norwalk on August 13, 2024, by the Department of Public Health for the purpose of conducting a complaint investigation survey.
Findings
The facility failed to timely notify the discharging hospital that they would not readmit a resident following hospitalization and failed to ensure complete and accurate documentation regarding readmission or refusal to readmit a resident. Interviews and record reviews confirmed lack of communication and documentation related to the refusal to readmit Resident #2.
Complaint Details
The visit was complaint-related with complaints numbered #36685 and #40145. The investigation found substantiated violations related to communication and documentation failures concerning readmission of Resident #2.
Deficiencies (2)
| Description |
|---|
| Failure to notify the discharging facility timely that they would not readmit the resident following hospitalization. |
| Failure to ensure a complete and accurate record including documentation regarding a readmission or refusal to readmit a resident. |
Report Facts
Plan of Correction submission deadline: 2024
Date of Compliance: 2024
Audit frequency: 4
Audit frequency: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Adrian Thomas | Administrator | Named in interviews regarding denial of readmission and communication failures |
| Maureen Golas Markure | Supervising Nurse Consultant | Author of the inspection report and contact for questions regarding violations |
Inspection Report
Complaint Investigation
Deficiencies: 2
Aug 13, 2024
Visit Reason
An unannounced visit was conducted to Autumn Lake Healthcare At Norwalk for the purpose of a complaint investigation survey.
Findings
The facility failed to timely notify the discharging hospital that they would not readmit a resident following hospitalization and failed to ensure complete and accurate documentation regarding readmission or refusal to readmit a resident. Interviews and record reviews confirmed lack of communication and documentation related to the denial of readmission for Resident #2.
Complaint Details
The visit was complaint-related with complaints #36685 and #40145. The investigation found substantiated deficiencies related to communication and documentation failures concerning readmission of a resident.
Deficiencies (2)
| Description |
|---|
| Failed to notify the discharging facility timely that they would not readmit the resident following hospitalization. |
| Failed to ensure a complete and accurate record including documentation regarding a readmission or refusal to readmit a resident. |
Report Facts
Plan of correction submission deadline: Sep 26, 2024
Date of compliance: Sep 21, 2024
Residents reviewed for discharge: 3
Resident readmission date: Nov 27, 2023
Resident discharge date: Oct 30, 2023
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Adrian Thomas | Administrator | Named in interviews regarding denial of readmission and communication failures. |
| Maureen Golas Markure | Supervising Nurse Consultant | Author of the inspection report and contact for questions regarding violations. |
Inspection Report
Renewal
Census: 140
Capacity: 150
Deficiencies: 0
Jul 24, 2024
Visit Reason
The inspection was conducted as a licensing inspection with a renewal purpose, including review of complaint investigations identified by numbers CT37423, CT33799, CT33761, and CT40065.
Findings
The report indicates that violations of the General Statutes of Connecticut and/or regulations were reviewed, with attached violation letters referenced. The certification file was also reviewed as part of the inspection process.
Complaint Details
Complaint investigations referenced by numbers CT37423, CT33799, CT33761, and CT40065 were reviewed during the inspection.
Report Facts
Licensed Bed Capacity: 150
Census: 140
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Dana Lemay | Personnel contacted during inspection | |
| Marie Mathieu | Survey Team Leader / Supervisor | Supervisor and report submitter |
Inspection Report
Plan of Correction
Census: 137
Capacity: 150
Deficiencies: 0
May 30, 2024
Visit Reason
A desk audit was conducted to review the implementation of the Plan of Correction for a prior violation letter dated 4/11/24.
Findings
The desk audit found that Violation #1 was corrected as of 5/30/24. The administrator and director of nursing confirmed via telephone that all violations were corrected.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Adrian Thomas | Administrator | Contacted during the desk audit and confirmed correction of violations. |
Inspection Report
Complaint Investigation
Census: 128
Capacity: 150
Deficiencies: 0
Nov 10, 2022
Visit Reason
The inspection visit was conducted as a complaint investigation related to Complaint Investigation # CT 00033246.
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 # CT 00033246 was the reason for the visit. No violations were found during the inspection.
Report Facts
Licensed Bed/Bassinet Capacity: 150
Census: 128
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Adrian Thomas | Administrator | Personnel contacted during the inspection |
| Isabela Grabarz | DNS | Personnel contacted during the inspection |
Inspection Report
Follow-Up
Census: 122
Capacity: 150
Deficiencies: 0
Mar 9, 2022
Visit Reason
A desk audit was conducted on 03/08/2022 and 03/09/2022 for the purpose of reviewing the Plan of Correction (POC) for the violation letter dated 02/07/2022.
Findings
Violations 1, 2, 3, and 4 had been corrected and no violations were identified at the time of this desk audit. The facility is in compliance with all regulations surveyed.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| James Tan | RN, Nurse Consultant | Conducted the desk audit and submitted the report. |
Inspection Report
Renewal
Census: 115
Capacity: 150
Deficiencies: 0
Nov 23, 2021
Visit Reason
The inspection was conducted as a renewal licensing inspection for the facility.
Findings
No violations of the General Statutes of Connecticut or regulations were identified at the time of this inspection.
Inspection Report
Routine
Census: 86
Capacity: 150
Deficiencies: 0
May 3, 2020
Visit Reason
An unannounced visit was made by a representative of the Facility Licensing and Investigation Section on 5/3/20 for the purpose of conducting a COVID-19 survey.
Findings
Staffing was reviewed for 5/3/20 and met the minimum requirements of the regulations of the State Agency. Based on a tour of the facility, review of facility documentation and interviews, no findings were identified during this visit.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Lorraine Brooks-Williams | RN/DPV | Personnel contacted during the COVID-19 survey visit |
| Meghan Smith | Administrator | Personnel contacted during the COVID-19 survey visit |
Inspection Report
Plan of Correction
Deficiencies: 1
Jan 14, 2020
Visit Reason
The document is a Plan of Correction responding to a violation related to Resident #1's care, specifically addressing dehydration and fluid imbalance risks.
Findings
Resident #1 had multiple health issues including dementia and was at risk for dehydration. The care plan failed to adequately monitor and address dehydration risks despite identified nutritional problems and lab results indicating worsening dehydration. Resident #1 was discharged prior to reassessment.
Deficiencies (1)
| Description |
|---|
| Care plan failed to reflect interventions and goals directed to monitoring the resident for dehydration. |
Report Facts
Date of compliance: Feb 21, 2020
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing | Director of Nursing | Interviewed regarding Resident #1's risk for dehydration and care plan |
| Assistant Director of Nursing | Assistant Director of Nursing | Interviewed regarding Resident #1's risk for dehydration and care plan |
Inspection Report
Renewal
Census: 242
Capacity: 282
Deficiencies: 9
Jun 11, 2019
Visit Reason
The inspection was conducted as a licensure renewal inspection and certification survey for Autumn Lake Healthcare at New Britain.
Findings
Multiple violations of the Connecticut General Statutes and regulations were identified during the inspection, including deficiencies in medical records, care planning, medication administration, infection control, and facility maintenance. Plans of correction were submitted to address these issues.
Deficiencies (9)
| Description |
|---|
| Failure to ensure care plans were revised to prevent injury related to behaviors. |
| Failure to ensure discharge planning was adequate and medical equipment was properly evaluated. |
| Failure to ensure behaviors were addressed to prevent falls and injuries. |
| Failure to monitor respiratory status and obtain daily weights as ordered. |
| Failure to ensure pain management and medication administration were properly documented and monitored. |
| Failure to ensure proper documentation and investigation of alleged abuse. |
| Failure to ensure infection control practices, including PPE use and medication administration, were followed. |
| Failure to ensure proper documentation of transfers and medical records. |
| Failure to ensure facility maintenance and environmental safety standards were met. |
Report Facts
Licensed Bed Capacity: 282
Census: 242
Inspection Dates: 6
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Joshua Schechter | Administrator | Named as personnel contacted and author of plan of correction cover letter. |
| Judy Birtwistle | Supervising Nurse Consultant | Signed multiple reports and notices related to the inspection. |
| Karen Gworek | Supervising Nurse Consultant | Signed complaint investigation related documents. |
| Megan Smith | Administrator | Personnel contacted during complaint investigation. |
| Michelle Morrison | DON | Personnel contacted during complaint investigation. |
Inspection Report
Plan of Correction
Deficiencies: 3
May 31, 2019
Visit Reason
Unannounced visits were made to Autumn Lake Healthcare At Norwalk to conduct multiple investigations, a licensure renewal inspection, and a certification survey based on information received through May 28, 2019.
Findings
The facility was found noncompliant with Connecticut state regulations in three areas: failure to initiate a care plan related to denture care for a resident, failure to maintain appropriate sanitizing solution concentrations in the kitchen, and failure to report an incident involving a resident with a call bell cord wrapped around their neck. Plans of correction were submitted addressing these issues.
Complaint Details
Complaints #25172 and #24939 triggered the investigations and inspection.
Deficiencies (3)
| Description |
|---|
| Failure to initiate a care plan related to denture care and placement after meals for Resident #58. |
| Failure to ensure kitchen staff maintained sanitizing solution at appropriate concentration levels and lacked competency in sanitizing procedures. |
| Failure to report an incident involving Resident #175 found with a call bell cord wrapped around their neck to the state agency as required. |
Report Facts
Completion date for plan of correction: Jul 10, 2019
Number of sampled residents reviewed for denture care deficiency: 3
Sanitizing solution concentration: 200
Audit frequency for denture care plans: 4
Audit frequency for sanitizing solution PPM log: 4
Audit frequency for classification of reportable events: 4
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Norma Schuberth | R.N. | Signed the notice letter as Supervising Nurse Consultant. |
| Megan Smith | Administrator | Recipient of the notice letter. |
Inspection Report
Complaint Investigation
Census: 135
Capacity: 150
Deficiencies: 5
Apr 10, 2018
Visit Reason
The inspection was conducted as a complaint investigation combined with a licensing and certification inspection at Autumn Lake Healthcare At Norwalk during unannounced visits on April 10, 11, 12, 16, and 17, 2018.
Findings
The facility was found noncompliant with several regulations including failure to ensure dignified treatment of a resident, incorrect coding of PASRR assessments, inadequate self-administration medication practices, improper food handling by dietary staff, and failure to maintain appropriate infection control practices during wound care.
Complaint Details
Complaint investigation #22937 was conducted. The complaint involved allegations of mistreatment and failure to follow proper care procedures. The investigation substantiated issues related to resident dignity and care practices.
Deficiencies (5)
| Description |
|---|
| Failure to ensure resident was treated in a dignified manner; NA #1 spoke rudely and slammed door when resident requested assistance. |
| Failure to code the MDS assessment correctly related to PASRR for Resident #111. |
| Failure to ensure self-medication administration practices were completed in accordance with facility policy and procedure for Resident #118. |
| Dietary staff handled food without proper hand hygiene and cross contamination prevention. |
| Failure to maintain appropriate infection control practices during dressing change for Resident #333. |
Report Facts
Licensed Bed Capacity: 150
Census: 135
Inspection Dates: 5
Number of OTC medication containers: 10
Number of residents reviewed for PASRR: 5
Number of residents reviewed for infection control: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Joshua Schechter | Administrator | Named as facility administrator and signer of plan of correction |
| Michelle Morrison | Director of Nursing Services (DNS) | Contacted personnel and interviewed regarding allegations and findings |
| Kim Hriceniak | Public Health Services Manager | Signed violation letters and correspondence related to inspection |
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