Deficiencies per Year
4
3
2
1
0
Severe
High
Moderate
Low
Unclassified
Census Over Time
Census
Capacity
Inspection Report
Re-Inspection
Deficiencies: 0
Sep 9, 2024
Visit Reason
An unannounced visit was made to the Assisted Living Community on 09/09/2024 for the purpose of conducting a re-licensure survey and complaint investigation.
Findings
During the review of the allegation with the Executive Director, it was identified that the client in question was an independent client and was not receiving assisted living services.
Complaint Details
Complaint investigation #40448 was conducted; the allegation was found not applicable as the client was independent and not receiving assisted living services.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Terry Jackson | Executive Director | Named in review of allegation during complaint investigation |
| Beata Kozubal | SALSA | Personnel contacted during inspection |
| Megan Edson-Sawyer | Survey Team Leader | Conducted the inspection |
| Elizabeth Heiney | Supervisor | Supervising Nurse Consultant/Health Program Supervisor |
Inspection Report
Complaint Investigation
Census: 118
Capacity: 84
Deficiencies: 0
Sep 5, 2024
Visit Reason
The inspection was conducted as a complaint investigation related to allegation CT# 40767 regarding a resident's status and services.
Findings
The investigation found that the resident in question was an independent resident and was not receiving assisted living services. No violations of the General Statutes or regulations were identified at the time of inspection.
Complaint Details
Complaint investigation CT# 40767 was unsubstantiated as no violations were found and the resident was independent.
Report Facts
Census: 118
Total Capacity: 84
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Terry Jackson | Executive | Contacted during inspection and involved in review of allegation |
| Michael J. Smith | Nurse Consultant | Signature on inspection report and report submitter |
Inspection Report
Renewal
Census: 43
Deficiencies: 0
Aug 23, 2022
Visit Reason
The inspection was conducted as a renewal licensing inspection for the Brookdale Chatfield assisted living facility.
Findings
No violations of the General Statutes of Connecticut or regulations of Connecticut State Agencies were identified at the time of this inspection. Approval for issuance of license was granted.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Terry Jackson | Executive Director | Personnel contacted during the inspection. |
| Beata Kozubal | SALSA | Personnel contacted during the inspection. |
Inspection Report
Renewal
Census: 43
Deficiencies: 0
Aug 23, 2022
Visit Reason
The inspection visit was conducted as a licensing inspection and renewal of the facility license.
Findings
No 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 and full-time Infection Prevention and Control Specialist requirements were confirmed.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Terry Jackson | Executive Director | Personnel contacted during the inspection |
| Beata Kozubal | SALSA | Personnel contacted during the inspection |
| Megan Edson-Sawyer | Report submitted by |
Inspection Report
Renewal
Deficiencies: 0
Aug 12, 2021
Visit Reason
The inspection was conducted as a renewal licensing inspection for the facility.
Findings
No violations of the General Statutes of Connecticut and/or regulations of Connecticut State Agencies were identified at the time of this inspection.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Beata Kozubal | SALSA | Personnel contacted during the inspection |
| Nicola Nelson-Pepka | SALSA Designee | Personnel contacted during the inspection |
| Ryan Whitman | Service Coordinator of Managed Residential Community visited |
Inspection Report
Renewal
Deficiencies: 0
Aug 12, 2021
Visit Reason
The inspection was conducted as a renewal licensing inspection for Brookdale Chatfield.
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
Number of ALSA clients: 99
Number of ALSA clients: 74
Number of home visits: 3
Number of records reviewed: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Beata Kozubal | SALSA | Personnel contacted during inspection |
| Nicole Nelson-Popea | SALSA Designee | Personnel contacted during inspection |
| Ryan Whitman | Service Coordinator | Managed Residential Community visited and personnel contacted |
| Karen Donato | Nurse Consultant | FLIS Staff conducting inspection and report submitter |
| Megan Sawyer | Nurse Consultant | FLIS Staff conducting inspection |
| Vernon Harris | Supervisor | Approval for issuance of license granted by |
Inspection Report
Plan of Correction
Deficiencies: 1
Oct 2, 2020
Visit Reason
An unannounced visit was made to Brookdale Chatfield on October 2, 2020 by a representative of the Facility Licensing and Investigations Section of the Department of Public Health for the purpose of conducting an investigation.
Findings
The facility failed to comply with the Governor's Executive Orders 7UU and 7AAA to include 100% employee testing in their weekly Point Prevalence Surveillance (PPS) testing. Multiple reviews of employee testing rosters on various dates failed to indicate that all employees were tested as required.
Deficiencies (1)
| Description |
|---|
| Failed to comply with Governor's Executive Orders 7UU and 7AAA to include 100% employee testing in weekly PPS testing, with multiple testing rosters failing to indicate all employees were tested. |
Report Facts
Testing dates with incomplete employee testing: 5
Gap in testing days: 13
Completion date for corrective actions: 2020
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Beata Kozubal | Supervisor of Assisted Living Services Agency | Recipient of the Plan of Correction letter. |
| Loan Nguyen | Contact for submission of plan of correction. | |
| Executive Director | Interviewed on multiple dates regarding employee testing rosters and employee illness. |
Inspection Report
Renewal
Deficiencies: 0
Jun 10, 2019
Visit Reason
The inspection visit was conducted as a renewal inspection and also included a complaint investigation (#24894).
Findings
No violations of the General Statutes of Connecticut and/or regulations of Connecticut State Agencies were identified at the time of this inspection.
Complaint Details
Complaint investigation #24894 was referenced, but no violations were found during the inspection.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Yvette Massette | RN, SALSA | Personnel contacted during the inspection. |
| Deanna Riley | Executive Director | Personnel contacted during the inspection. |
Inspection Report
Renewal
Census: 46
Capacity: 46
Deficiencies: 0
Jan 11, 2019
Visit Reason
The inspection visit was conducted as a renewal licensing inspection of the assisted living facility Brookdale Chatfield.
Findings
Violations of the General Statutes of Connecticut and/or regulations were identified at the time of inspection. Policy review and record reviews were conducted as part of the inspection process.
Report Facts
Number of ALSA clients: 46
Number of home visits: 2
Number of records reviewed: 3
Licensed bed capacity: 46
Census: 46
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Lucia Figueiredo | SALSA Designee | Personnel contacted during inspection |
| Deanne Riley | Service Coordinator | Managed Residential Community visited |
| Melissa J. Swierad | Report submitted by |
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