Inspection Reports for Avery Heights

The visit was a desk audit conducted on 7/11/25 and 7/14/25 to review the implementation of the Plan of Correction for a prior violation letter dated 7/7/25.

All previously identified violations listed in the violation letter dated 7/7/25 were found to be corrected as of 6/2/25. The administrator was notified by telephone on 7/14/25 that all violations were corrected.

The visit was conducted to review the implementation of the plan of correction for the Violation Letter dated May 2, 2025.

Staffing met the minimum requirement for the State of Connecticut Public Health Code for the 2 week period reviewed. Violations #1a and #2a were reviewed and corrected as of 5/20/25. The facility was approved for removal of the posted citation.

The inspection was conducted as a licensing renewal inspection and also included a complaint investigation related to complaint numbers 36954 and 11473.

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.

Complaint investigation referenced with complaint numbers 36954 and 11473; substantiation status not stated.

The inspection was conducted as a licensing inspection with a strike monitoring purpose, including follow-up on complaint investigations numbered 41493, 41950, and 42300.

Violations of the General Statutes of Connecticut and/or regulations were not identified at the time of this inspection. A citation was not issued as a result of this inspection.

The inspection references complaint investigations #41493, #41950, and #42300, but no substantiation status or findings related to these complaints are provided.

A desk audit was conducted on 2024-09-04 to review the implementation of the Plan of Correction for a violation letter dated 2024-07-30.

Violation #1 was identified as corrected as of 2024-08-04. The Administrator was notified via telephone on 2024-09-04 at 12:13 PM that all violations were corrected.

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

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

A desk audit review was conducted on 7/23/21 and 7/28/21 to review the plan of correction for previous violation letters dated 6/3/21 and 5/26/21, verifying correction of identified violations.

The review found that violations identified in prior letters had been corrected. No new violations were identified during this desk audit inspection.

A Recertification survey was conducted on 5/20, 5/24, 5/25, 5/26 and 5/27 at Avery Nursing Home to determine compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities.

The facility was found deficient in several areas including narcotic medication administration and counting, expired insulin administration, food service sanitation, and infection control practices related to COVID-19. Deficiencies included a narcotic count discrepancy, failure to administer Diazepam as ordered, use of expired insulin, unclean air conditioning in the kitchen, and staff eating unmasked in resident rooms.

The inspection was conducted as a renewal licensing inspection for Avery Nursing Home.

Violations of the General Statutes of Connecticut and/or regulations of Connecticut State Agencies were identified during the inspection. Certification files were reviewed and visitation compliance was verified.

The document is a plan of correction submitted by Avery Nursing Home in response to the results of unannounced visits conducted at the facility on May 27, 2021, addressing alleged violations.

The facility was found to have multiple violations including narcotic count discrepancies, failure to administer insulin and diazepam according to physician orders, lack of cleaning policy for an air conditioner in the food preparation area, and failure to follow infection control guidelines related to COVID-19. The facility has submitted corrective actions and requests this plan of correction serve as evidence of compliance.

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

The facility failed to notify the physician promptly of a significant change in condition for one resident, resulting in delayed medical intervention. The facility lacked a physician notification policy at the time of the incident.

An unannounced visit was made to Avery Nursing Home by the Department of Public Health for the purpose of conducting an inspection.

The facility failed to notify the physician of a significant change in condition for Resident #1, who had dementia and experienced functional decline. The facility lacked a physician notification policy and did not report the change in condition timely.

Unannounced visits were made to Avery Nursing Home to conduct an inspection by the Facility Licensing and Investigations Section of the Department of Public Health.

The facility failed to ensure appropriate infection control practices to prevent and control the spread of COVID-19, including improper use and storage of PPE, lack of fit testing for N95 masks, and failure to place exposed residents on droplet precautions. Additionally, the facility lacked documentation of physician testing and did not have a policy for storage of PPE taken home by employees.

A COVID-19 Focused Infection Control Survey was conducted to determine compliance with 42 CFR §483.80 Infection Control regulations for Long Term Care Facilities.

The facility has implemented CMS and CDC recommended practices related to COVID-19. No deficiencies were cited as a result of this survey.

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 survey found no deficiencies related to infection prevention and control practices for COVID-19 at Avery Nursing Home.

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.

No deficiencies were cited as a result of this COVID-19 focused survey.

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.

No deficiencies were cited as a result of this COVID-19 focused survey.

A desk audit review was conducted on 11/27/19 for the purpose of reviewing the Plan of Correction (POC) from the Violation letters dated 11/21/2019 and 10/2/19.

All violations identified in the previous violation letters were corrected. No new violations of the General Statutes of Connecticut or regulations of Connecticut State Agencies were identified at the time of this inspection.

An unannounced visit was made to Avery Nursing Home on 09/25/19 by a representative of the Facility Licensing & Investigations Section for the purpose of conducting an investigation.

The facility was found not to have met the requirement to be free from abuse, neglect, and exploitation as evidenced by an incident involving Resident #1 and RN #1. The facility submitted a plan of correction and has achieved substantial compliance with all requirements as of the completion dates specified.

The visit was complaint-related, investigating allegations of abuse involving Resident #1 and RN #1. The facility was unable to substantiate the incident as abuse because RN #1 only redirected the resident's hands to prevent choking and denied hitting the resident. RN #1 was sent home immediately and has not worked since the incident on 8/15/19.

An unannounced visit was made to Avery Nursing Home on September 25, 2019 by a representative of the Facility Licensing and Investigations Section of the Department of Public Health for the purpose of conducting an investigation related to allegations of abuse and failure to ensure clinical record completeness.

The facility was found to have failed to ensure a resident was free from abuse and failed to ensure the clinical record was complete. Specific findings included an incident involving a resident with dementia and behavior disturbance where a staff member was observed striking the resident, and incomplete documentation of assessments and clinical records related to the resident's injury and condition.

The investigation was complaint-related, focusing on allegations of abuse involving Resident #1. The facility was unable to substantiate the incident as abuse because RN #1 only redirected the resident's hands and denied hitting the resident. RN #1 was sent home immediately and has not worked since the incident on 8/15/19.

The document is a plan of correction submitted by Avery Nursing Home in response to an unannounced visit conducted on March 14, 2019, addressing alleged violations found during the inspection.

The facility acknowledged multiple violations related to mail delivery, environmental maintenance, resident hospitalization notifications, pressure ulcer risk assessments, medication administration, supervision to prevent falls, nutritional assessments, and medication labeling. The plan of correction outlines steps taken to achieve substantial compliance with all requirements by April 25, 2019.

The visit was a desk audit conducted on September 14, 2018, for the purpose of reviewing the plan of correction for a violation letter dated August 2, 2018, and to verify compliance.

The review of facility policies, procedures, documentation of in-services to staff, and audits showed that violation #1 a through b was identified as being corrected. No violations were identified at the time of this desk audit, and the facility was found to be in compliance.