Inspection Reports for Bridges® by Epoch at Trumbull

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

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.

Complaint investigation related to Complaint #44239 was included in this inspection.

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

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.

Complaint investigation numbers 35243 and 35244 were part of the inspection; substantiation status is not stated.

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

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.

Complaint investigation numbers 35243 and 35244 were reviewed during this inspection.

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

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.

The inspection included review of complaint investigations #35243 and #35244.

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

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 #32066 was conducted, but no violations were substantiated.

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

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 #32066 was conducted, but no violations were substantiated.

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.

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.

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.

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.

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.

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.

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.

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.

The visit was complaint-related, focusing on whether the facility updated care plans appropriately. The report does not explicitly state substantiation status.

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.

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.

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.

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.

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.

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.

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

Violations of the General Statutes of Connecticut and/or regulations of Connecticut State Agencies were identified at the time of this inspection.

Complaint Investigation #25988 and #25785 were the basis for the visit. Violations were identified during the inspection.

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.

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.

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.

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.

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

Violations of the General Statutes of Connecticut and/or regulations of Connecticut State Agencies were identified at the time of this inspection.

Complaint investigations were conducted for complaint numbers 22545, 23210, and 23450. Specific substantiation status is not stated.

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.

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.

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.