Inspection Reports for Bridges® by Epoch at Trumbull

CT, 06611

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Inspection Report Summary

The most recent inspection on August 25, 2025 identified deficiencies related to compliance with Connecticut statutes and regulations, including verification of Alzheimer’s special care units and infection prevention requirements. Earlier inspections showed a pattern of citations involving care plan updates, infection control, and client safety, with several complaint investigations substantiating issues such as failure to update service plans after condition changes and lapses in safety monitoring. Prior findings included deficiencies in nursing assessments, communication after client falls, and adherence to infection control guidelines, but no fines, immediate jeopardy findings, or license actions were listed in the available reports. Most complaint investigations were substantiated or noted violations, while some older complaints were unsubstantiated. The inspection history indicates ongoing challenges with documentation and care coordination, with no clear trend of consistent improvement or worsening over time.

Deficiencies (last 8 years)

Deficiencies (over 8 years) 1.4 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

75% better than Connecticut average
Connecticut average: 5.6 deficiencies/year

Deficiencies per year

4 3 2 1 0
2017
2018
2019
2020
2021
2022
2023
2025

Census

Latest occupancy rate 72 residents

Based on a April 2022 inspection.

This facility has shown a steady increase in demand based on occupancy rates.

Census over time

20 40 60 80 Feb 2017 May 2018 Apr 2022

Inspection Report

Renewal
Deficiencies: 0 Date: Aug 25, 2025

Visit Reason
The inspection was conducted as a renewal licensing inspection and included a complaint investigation (Complaint #44239).

Complaint Details
Complaint investigation related to Complaint #44239 was included in this inspection.
Findings
Violations of the General Statutes of Connecticut and/or regulations were identified at the time of this inspection. Verification of Alzheimer's special care units and infection prevention and control requirements were also completed.

Employees mentioned
NameTitleContext
Trish KeaneyExecutive DirectorPersonnel contacted during the inspection.
Megan Edson-SawyerReport submitted by.

Inspection Report

Renewal
Deficiencies: 0 Date: Aug 9, 2023

Visit Reason
The inspection was conducted as a renewal licensing inspection and included a complaint investigation related to complaint numbers 35243 and 35244.

Complaint Details
Complaint investigation numbers 35243 and 35244 were part of the inspection; substantiation status is not stated.
Findings
Violations of the General Statutes of Connecticut and/or regulations of Connecticut State Agencies were identified during the inspection, as noted in an attached violation letter dated 10/4/23.

Report Facts
Complaint Investigation Numbers: 2

Employees mentioned
NameTitleContext
Megan Edson-SawyerNurse Consultant and Survey Team LeaderNamed as signature of FLIS staff and report submitter.
Elizabeth HeineySupervisorNamed as signature of FLIS staff and approval for issuance of license.
Trish McKayExecutive DirectorPersonnel contacted during the inspection.
Marie AmanSALSAPersonnel contacted during the inspection.
Djenie FabreRN DesigneePersonnel contacted during the inspection.

Inspection Report

Complaint Investigation
Deficiencies: 0 Date: Aug 7, 2023

Visit Reason
The inspection was conducted as a licensing inspection and to investigate complaints #35243 and #35244.

Complaint Details
Complaint investigation numbers 35243 and 35244 were reviewed during this inspection.
Findings
Violations of the General Statutes of Connecticut and/or regulations of Connecticut State Agencies were identified at the time of this inspection. A full-time Infection Prevention and Control Specialist was involved in the process.

Employees mentioned
NameTitleContext
Trish McKayExecutive DirectorPersonnel contacted during the inspection.
Marie AmanSALSAPersonnel contacted during the inspection.
Djenie FabreRN DesigneePersonnel contacted during the inspection.
Megan Edson-SawyerSurvey Team LeaderSurvey team leader for the inspection.
Elizabeth HeineySupervisorSupervisor for the inspection.

Inspection Report

Renewal
Deficiencies: 0 Date: Aug 7, 2023

Visit Reason
The inspection was conducted as a renewal licensing inspection and included review of complaint investigations #35243 and #35244.

Complaint Details
The inspection included review of complaint investigations #35243 and #35244.
Findings
Violations of the General Statutes of Connecticut and/or regulations of Connecticut State Agencies were identified during the inspection. A violation letter dated 10/14/23 was attached. The facility has a full-time Infection Prevention and Control Specialist.

Report Facts
Complaint Investigation Numbers: 2

Employees mentioned
NameTitleContext
Trish McKayExecutive DirectorPersonnel contacted during the inspection.
Marie AmanSALSAPersonnel contacted during the inspection.
Djenie FabreRN DesigneePersonnel contacted during the inspection.
Megan Edson-SawyerSurvey Team LeaderSurvey team leader for the inspection.
Elizabeth HeineySupervisorSupervisor for the inspection.

Inspection Report

Renewal
Census: 72 Deficiencies: 0 Date: Apr 25, 2022

Visit Reason
The inspection visit was conducted as a renewal licensing inspection and included a complaint investigation (#32066).

Complaint Details
Complaint investigation #32066 was conducted, but no violations were substantiated.
Findings
No violations of the General Statutes of Connecticut and/or regulations of Connecticut State Agencies were identified at the time of this inspection.

Report Facts
Census: 72

Employees mentioned
NameTitleContext
Trish McKayEx DirectorPersonnel contacted during the inspection
Vida RaskeviciusSALSAPersonnel contacted during the inspection
Michael J. SmithRNReport submitted by

Inspection Report

Renewal
Census: 72 Deficiencies: 0 Date: Apr 25, 2022

Visit Reason
The inspection was conducted as a licensing inspection for renewal purposes, including a complaint investigation (#32066).

Complaint Details
Complaint investigation #32066 was conducted, but no violations were substantiated.
Findings
No violations of the General Statutes of Connecticut and/or regulations of Connecticut State Agencies were identified at the time of this inspection.

Report Facts
Census: 72

Employees mentioned
NameTitleContext
Trish McKayEx DirectorPersonnel contacted during inspection
Vida RaskeviciusSALSAPersonnel contacted during inspection
Michael J. SmithRNReport submitted by

Inspection Report

Complaint Investigation
Deficiencies: 2 Date: Jan 12, 2021

Visit Reason
An unannounced visit was made to Bridges By Epoch At Trumbull on January 12, 2021, by representatives of the Facility Licensing and Investigations Section of the Department of Public Health for the purpose of conducting an investigation related to complaint #29288.

Complaint Details
Complaint #29288 triggered the investigation. The complaint involved safety concerns for a client who eloped and infection control deficiencies. Substantiation status is not explicitly stated.
Findings
The Assisted Living Services Agency neglected to provide for the safety of one client who eloped and failed to conform to CDC guidelines for infection control, including failure to perform hourly safety checks and improper mask usage by staff. Multiple staff members were observed wearing surgical masks improperly, and the facility failed to provide surgical masks to healthcare workers as required.

Deficiencies (2)
Failure to provide for the client’s safety by neglecting hourly safety checks and allowing elopement.
Failure to conform to CDC infection control guidelines, including improper mask use and failure to provide surgical masks to healthcare workers.
Report Facts
Complaint number: 29288 Date of visit: Jan 12, 2021

Employees mentioned
NameTitleContext
Karen DonatoSupervising Nurse Consultant/InterimSigned the notice letter related to the investigation
Patricia KeaneyExecutive DirectorNamed in the plan of correction and responsible for compliance oversight

Inspection Report

Complaint Investigation
Deficiencies: 2 Date: Jan 7, 2021

Visit Reason
An unannounced review was conducted at Bridges By Epoch At Trumbull on January 7, 2021 by the Department of Public Health for the purpose of conducting an investigation related to complaint #28911.

Complaint Details
Complaint #28911 triggered the investigation. The complaint involved Client #1 who experienced a fall resulting in serious injuries. The investigation substantiated failures in nursing assessment, communication, and adherence to agency fall policies.
Findings
The investigation identified violations of Connecticut State Agencies regulations and General Statutes related to failure to perform reassessment and update service plans after a significant change in a client's condition, and failure to follow agency policy after a client fall resulting in serious injuries. Specifically, the ALSA RN failed to reassess and update the service plan for Client #1 after behavioral changes, and the LPN failed to notify appropriate parties and follow fall injury protocols after the client fell and sustained multiple fractures and a brain hemorrhage.

Deficiencies (2)
Failure to perform reassessment and update service plan after significant change in client's condition.
Failure to follow agency policy after client fall, including failure to notify RN, family, physician, and emergency services timely.
Report Facts
Date of visit: Jan 7, 2021 Medication dosages: 10 Medication dosages: 12.5 Medication dosages: 25 Plan of correction submission deadline: Mar 28, 2021 Termination date: Apr 9, 2021

Employees mentioned
NameTitleContext
Trish KeaneyExecutive DirectorRecipient of inspection report and submitter of plan of correction
LPN #1Licensed Practical NurseFailed to follow agency fall policy, terminated after incident
SALSASupervisor of Assisted Living Services AgencyResponsible for reassessment and service plan updates

Inspection Report

Complaint Investigation
Deficiencies: 1 Date: Aug 27, 2020

Visit Reason
An unannounced visit was made to Bridges By Epoch At Trumbull on August 27, 2020 by a representative of the Facility Licensing and Investigations Section of the Department of Public Health for the purpose of conducting an investigation.

Complaint Details
The visit was complaint-related, focusing on whether the facility updated care plans appropriately. The report does not explicitly state substantiation status.
Findings
The investigation found that the Supervisor of Assisted Living Services Agency (SALSA) and/or the registered nurse (RN) failed to update the plan of care to reflect changes in condition, new diagnoses, and associated interventions for three clients. Specific issues included failure to update care plans after hospitalizations, pressure ulcer developments, and behavioral incidents.

Deficiencies (1)
Failure to update the plan of care to reflect changes in condition and new diagnoses for three clients.
Report Facts
Date of visit: Aug 27, 2020 Plan of correction submission deadline: Oct 29, 2020 Number of clients with deficient care plans: 3 Braden Risk Assessment score: 14 Pressure ulcer size: 1 Pressure ulcer size: 6.5

Employees mentioned
NameTitleContext
Loan NguyenSupervising Nurse ConsultantAuthor of the inspection report and contact for questions
Patricia KeaneyExecutive DirectorNamed in plan of correction submission

Inspection Report

Complaint Investigation
Deficiencies: 1 Date: Aug 27, 2020

Visit Reason
An unannounced visit was made to Bridges By Epoch At Trumbull on August 27, 2020 by a representative of the Facility Licensing and Investigations Section of the Department of Public Health for the purpose of conducting an investigation.

Complaint Details
The visit was complaint-related as it was conducted for the purpose of an investigation following a complaint or allegation. Substantiation status is not stated.
Findings
The investigation found that the Supervisor of Assisted Living Services Agency (SALSA) and/or the registered nurse (RN) failed to update the plan of care to reflect changes in condition and new diagnoses for three clients. Specific client cases showed failure to update care plans despite changes in condition, diagnoses, and incidents.

Deficiencies (1)
Supervisor of Assisted Living Services Agency (SALSA) and/or registered nurse (RN) failed to update the plan of care to reflect changes in condition and new diagnoses for three clients.
Report Facts
Date of visit: Aug 27, 2020 Plan of correction submission deadline: Oct 29, 2020 Number of clients in survey sample: 3 Braden Risk Assessment score: 14 Service plan review interval: 120 Audit completion timeframe: 30

Employees mentioned
NameTitleContext
Loan NguyenSupervising Nurse ConsultantSigned the violation letter and involved in the investigation
Patricia KeaneyExecutive DirectorNamed in plan of correction submission and response

Inspection Report

Complaint Investigation
Deficiencies: 1 Date: May 7, 2020

Visit Reason
An unannounced visit was made to Bridges By Epoch At Trumbull on May 7, 2020 by a representative of the Facility Licensing and Investigations Section of the Department of Public Health for the purpose of conducting an investigation and an inspection.

Complaint Details
The visit was complaint-related, investigating failure to notify RN of significant client condition changes and inadequate RN response to family concerns. Substantiation status is not explicitly stated.
Findings
The assisted living services agency (ALSA) staff failed to notify the Registered Nurse (RN) when a client exhibited significant changes in condition, and the RN failed to ensure completion of assessments, documentation, and development of interventions in response to the family's concerns. Documentation and communication deficiencies were noted regarding the client's change in condition, nursing assessments, and timely interventions.

Deficiencies (1)
ALSA staff failed to notify the RN when a client exhibited significant changes in condition, and the RN failed to ensure completion of assessments, documentation, and development of interventions.
Report Facts
Dates of client condition documentation: Apr 4, 2020 Dates of client condition documentation: Apr 5, 2020 Dates of interviews: May 7, 2020 Date of client transfer: Apr 10, 2020 Date of client death: Apr 15, 2020

Employees mentioned
NameTitleContext
Loan NguyenSupervising Nurse ConsultantSigned letter and involved in facility licensing and investigations
Patricia KeanyExecutive DirectorNamed in communication and plan of correction

Inspection Report

Complaint Investigation
Deficiencies: 0 Date: Oct 1, 2019

Visit Reason
The inspection visit was conducted as a complaint investigation related to complaint numbers 25988 and 25785.

Complaint Details
Complaint Investigation #25988 and #25785 were the basis for the visit. Violations were identified during the inspection.
Findings
Violations of the General Statutes of Connecticut and/or regulations of Connecticut State Agencies were identified at the time of this inspection.

Employees mentioned
NameTitleContext
Trish KrenningExecutive DirectorPersonnel contacted during the inspection.
Patricia KopfSAUPersonnel contacted during the inspection.

Inspection Report

Plan of Correction
Deficiencies: 1 Date: Oct 1, 2019

Visit Reason
An unannounced visit was made to Bridges By Epoch At Trumbull on October 1, 2019 by a representative of the Facility Licensing and Investigations Section of the Department of Public Health for the purpose of conducting multiple investigations.

Findings
The facility was found to have violations related to failure to update service plans and Assisted Living aides for 4 out of 4 clients that had incidents. Specific deficiencies included lack of documentation and failure to address aggressive behaviors and incidents in service plans and records.

Deficiencies (1)
Failure to update the service plans and the Assisted Living aides for 4 out of 4 clients that had an incident.
Report Facts
Clients with incidents: 4 Plan of correction submission deadline: Feb 16, 2021

Employees mentioned
NameTitleContext
Patricia KeaneyExecutive DirectorNamed in relation to findings and plan of correction
Donna OrtelleSection ChiefFacility Licensing and Investigations Section, author of the notice

Inspection Report

Plan of Correction
Deficiencies: 2 Date: Jun 6, 2019

Visit Reason
An unannounced visit was made to Bridges By Epoch At Trumbull on June 6, 2019 by a representative of the Facility Licensing and Investigations Section of the Department of Public Health for the purpose of conducting an investigation.

Findings
Violations of the Regulations of Connecticut State Agencies and/or General Statutes were identified, including failure of aides to provide care in accordance with the Client Service Plan and failure to obtain a urine specimen as ordered by a physician.

Deficiencies (2)
Aides failed to provide care in accordance with the Client Service Plan, including lack of documentation of assistance with morning care, bathing, showering, hourly safety checks, and toileting assistance.
Failure to obtain a urine specimen after it was ordered by a client's physician, and failure to identify nursing requests for physician orders to obtain a clean catch specimen.
Report Facts
Date of visit: Jun 6, 2019 Plan of correction submission deadline: Jan 4, 2021

Employees mentioned
NameTitleContext
Loan NguyenSupervising Nurse ConsultantSigned the notice of violations and is the contact for the Facility Licensing and Investigations Section
Patricia KeaneyExecutive DirectorSubmitted the Plan of Correction on behalf of the facility

Inspection Report

Renewal
Census: 56 Capacity: 72 Deficiencies: 0 Date: May 21, 2018

Visit Reason
The inspection was conducted as a renewal licensing inspection and included complaint investigations related to complaint numbers 22545, 23210, and 23450.

Complaint Details
Complaint investigations were conducted for complaint numbers 22545, 23210, and 23450. Specific substantiation status is not stated.
Findings
Violations of the General Statutes of Connecticut and/or regulations of Connecticut State Agencies were identified at the time of this inspection.

Employees mentioned
NameTitleContext
Pat KopfSALSAPersonnel contacted during the inspection
Nicole PassaroExecutive DirectorPersonnel contacted during the inspection

Inspection Report

Renewal
Census: 40 Capacity: 72 Deficiencies: 1 Date: Feb 7, 2017

Visit Reason
The inspection was an unannounced visit conducted on February 7, 2017, for the purpose of a complaint investigation and renewal inspection of the assisted living facility.

Complaint Details
Complaint investigation #20741 was conducted due to concerns about client safety related to elopement risks. The complaint was substantiated with findings of inadequate interventions and monitoring for a client with a history of wandering and elopement incidents.
Findings
Violations of the General Statutes of Connecticut and/or regulations were identified during the inspection. The complaint investigation focused on the facility's failure to develop adequate interventions to prevent elopement and maintain client safety, with specific incidents involving a client with dementia and exit-seeking behaviors. The facility submitted a plan of correction addressing these issues.

Deficiencies (1)
Failure to develop interventions to prevent elopement and maintain client safety for a client at risk for wandering.
Report Facts
Licensed Bed Capacity: 72 Census: 40 Date of Inspection: Feb 7, 2017 Plan of Correction Training Date: Feb 16, 2017

Employees mentioned
NameTitleContext
Nicole PassaroSupervisor of Assisted Living Services Agency (SALSA)Named in relation to findings and plan of correction regarding client safety and elopement interventions.
Erik HammerquistEDPersonnel contacted during inspection.
Loan NguyenSupervising Nurse ConsultantSigned report and correspondence related to complaint investigation and enforcement.

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