Inspection Reports for Brandywine Litchfield

The inspection visit was conducted as a complaint investigation related to Complaint Investigation CT #36820 and to verify compliance with Alzheimer's special care unit requirements and infection prevention and control standards.

Violations of the General Statutes of Connecticut and/or regulations were identified at the time of inspection. Verification of Alzheimer's special care units and full-time Infection Prevention and Control Specialist requirements were also conducted.

Complaint Investigation CT #36820 was the basis for the visit. Specific substantiation status is not provided.

An unannounced visit was made to Brandywine Living At Litchfield on December 19, 2023 by a representative of the Facility Licensing and Investigations Section of the Department of Public Health for the purpose of conducting an investigation.

Violations of the Regulations of Connecticut State Agencies and/or General Statutes of Connecticut were noted during the visit. The report includes a plan of correction submitted by the facility addressing failure to notify a registered nurse after a fall and failure to assess the client after a fall.

Complaint #36820 was investigated as part of this visit.

The inspection visit was conducted as a renewal licensing inspection of the Brandywine Living at Litchfield facility to verify compliance with Connecticut state regulations and statutes.

Violations of the General Statutes of Connecticut and/or regulations of Connecticut State Agencies were identified at the time of this inspection. Verification of Alzheimer's special care units and infection prevention and control requirements were also completed.

An unannounced visit was made to Brandywine Living At Litchfield on February 6, 2023 by a representative of the Facility Licensing and Investigations Section of the Department of Public Health for the purpose of conducting a licensure renewal inspection.

Violations of the Regulations of Connecticut State Agencies and/or General Statutes of Connecticut were noted during the visit. The state violations cannot be edited by the provider in any way.

The inspection visit was conducted as a complaint investigation related to Complaint Investigation CT#32547.

Violations of the General Statutes of Connecticut and/or regulations of Connecticut State Agencies were identified at the time of this inspection. Verification of Alzheimer's special care units or programs was also conducted.

Complaint Investigation CT#32547 was the basis for the visit. Violations were found and an attached violation letter dated 9/24/22 was referenced.

An unannounced visit was made to Brandywine Living At Litchfield on July 8, 2022, by a representative of the Department of Public Health to conduct a Complaint Investigation to determine Verification of Alzheimer's special care units or programs.

The investigation found multiple violations related to failure to ensure client safety, including failure to report allegations of abuse, failure to update client service plans, failure to complete assessments, and failure to notify law enforcement and regulatory agencies of suspected abuse. The findings involved five clients in the Assisted Living Services Agency memory care unit and included incidents of client-to-client abuse and inadequate care coordination.

Complaint #32457 was investigated. The findings included substantiated failures in client safety and abuse reporting in the Assisted Living Services Agency memory care unit.

The inspection was conducted as a complaint investigation related to CT #32158.

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 #32158 was conducted and found no violations; the complaint was not substantiated.

Unannounced visits were made to Brandywine Living At Litchfield on September 17 and 20, 2021 for the purpose of conducting a licensing inspection renewal and complaint investigation.

The inspection identified violations related to the failure of an Assisted Living Services Agency (ALSA) nurse to document narcotics administration according to ALSA policies and procedures, and lack of oversight of narcotics administration. Multiple clients' records showed failures in documentation of narcotic administration and medication errors, leading to an investigation and corrective actions.

Complaint #30454 triggered the investigation. The complaint was substantiated as violations were identified related to narcotic administration documentation and oversight.

Unannounced visits were made to Brandywine Assisted Living At Litchfield on February 6, 2020 by a representative of the Facility Licensing and Investigations Section of the Department of Public Health for the purpose of conducting an investigation with additional information received through February 25, 2020.

Violations of the Regulations of Connecticut State Agencies and/or General Statutes were identified related to failure to ensure comprehensive safety measures for a client who eloped, and failure to provide oversight, education, and comprehensive investigation of narcotic discrepancies by Assisted Living Services Agency nurses and supervisors.

Unannounced visits were made to Brandywine Assisted Living At Litchfield on February 6, 2020, to conduct an investigation following complaints received through February 25, 2020.

Two violations of Connecticut State Agencies regulations were identified: 1) Failure to ensure comprehensive safety measures to prevent elopement of a client who eloped for six hours, including inadequate door security and monitoring; 2) Failure to provide oversight, education, and a comprehensive investigation of narcotic discrepancies for a client receiving symptom management, including improper narcotic counts and documentation.

The investigation was complaint-driven, triggered by reports of a client eloping for six hours and narcotic management concerns. The complaint was substantiated with findings of safety and medication management violations.

An unannounced visit was made to Brandywine Assisted Living At Litchfield on March 13, 2019 by a representative of the Facility Licensing and Investigations Section of the Department of Public Health for the purpose of conducting an investigation.

A violation was identified regarding the failure to ensure an employee carried a valid nursing license. Specifically, one Licensed Practical Nurse (LPN #1) continued to work for a year after the expiration of their nursing license, and the facility failed to have a proper system to track and identify expired nursing licenses.