Inspection Reports for Autumn Lake Healthcare at Norwalk

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.

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

Unannounced visits were made to Autumn Lake Healthcare at Norwalk for the purpose of conducting an investigation related to complaint #43969.

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 #43969 triggered the investigation. The complaint involved issues with advance directives, physician orders, and medical record documentation related to Resident #1.

A desk audit was completed to review the implementation of the Plan of Correction for the violation letter.

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.

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.

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.

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.

An unannounced visit was conducted to Autumn Lake Healthcare At Norwalk for the purpose of a complaint investigation survey.

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.

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.

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.

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 investigations referenced by numbers CT37423, CT33799, CT33761, and CT40065 were reviewed during the inspection.

A desk audit was conducted to review the implementation of the Plan of Correction for a prior violation letter dated 4/11/24.

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.

The inspection visit was conducted as a complaint investigation related to Complaint Investigation # CT 00033246.

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 # CT 00033246 was the reason for the visit. No violations were found during the inspection.

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.

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.

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

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

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.

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.

The document is a Plan of Correction responding to a violation related to Resident #1's care, specifically addressing dehydration and fluid imbalance risks.

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.

The inspection was conducted as a licensure renewal inspection and certification survey for Autumn Lake Healthcare at New Britain.

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.

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.

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.

Complaints #25172 and #24939 triggered the investigations and inspection.

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.

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 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.