Inspection Reports for Cambridge Health and Rehabilitation Center

The inspection was conducted as a complaint investigation related to complaint numbers #42646 and #42887.

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 for complaints #42646 and #42887; no violations were substantiated.

Unannounced visits were made to Cambridge Health And Rehabilitation Center on January 14, 2025, by representatives of the Facility Licensing and Investigations Section of the Department of Public Health for the purpose of conducting multiple investigations.

The report identifies violations of Connecticut State regulations related to failure to timely notify physicians/designees about missed antipsychotic medication doses and failure to ensure oxygen was administered and assessed timely for residents with changes in condition. Specific deficiencies involved Resident #4 and Resident #2 regarding medication administration and oxygen therapy.

Complaints #42378, #42530, #42574, #42615 were investigated as part of the visit.

The inspection was conducted as a licensing inspection for renewal purposes and included a complaint investigation (Complaint Investigation # CT 30759).

The report indicates that violations of the General Statutes of Connecticut and/or regulations were identified, with attached violation letters and a narrative report referenced. Certification files were reviewed as part of the inspection.

Complaint Investigation # CT 30759 was included in the inspection; no substantiation status is explicitly stated.

Unannounced visits were made to Cambridge Health And Rehabilitation Center concluding on July 30, 2024, for multiple investigations, a licensure renewal, and certification inspection.

The facility was found deficient in multiple areas including failure to obtain residents' code status on admission, failure to notify resident representatives of medication changes, inconsistent revision of care plans after falls, medication administration errors, failure to monitor vital signs and neurological checks, inconsistent administration of specialty medications, inadequate pressure ulcer assessments, delayed feeding assistance, improper oxygen administration, incomplete narcotic drug counts, unnecessary medication use, delayed resolution for lost dentures, and inaccurate fall risk documentation.

A desk audit was completed on 6/25/24 to review the implementation of the Plan of Correction for the Violation letter dated 4/30/24.

Violations #1 and #2 were identified as corrected as of 6/11/24. The Administrator was notified via telephone on 6/25/24 that all violations were corrected.

Unannounced visits were made on April 26, 29, and 30, 2024, to conduct multiple investigations related to complaints #38412, #38534, and #34231.

Violations of Connecticut State regulations were identified involving failure to provide incontinent care, inadequate monitoring of intake and output during intravenous therapy, and medication reconciliation errors. The facility was found deficient in ensuring proper care and documentation for residents.

The investigation was triggered by complaints #38412, #38534, and #34231. The violations were substantiated as the facility failed to provide required care and documentation for residents as per state regulations.

The inspection was conducted as a complaint investigation to determine compliance with 42 CFR Part 483 requirements for long term care facilities, triggered by complaint investigation numbers CT35922, CT35997, and CT36102.

Violations of the General Statutes of Connecticut and/or regulations of Connecticut State Agencies were identified at the time of the inspection. The facility was cited for violations as a result of this complaint investigation survey.

Complaint Investigation Survey, ACTS Reference Numbers CT #35922 was conducted to determine compliance with 42 CFR Part 483 requirements. Violations were cited as a result of this survey.

The inspection was conducted as a complaint investigation referenced by Complaint Investigation #33184 to determine compliance with regulatory requirements.

Deficiencies were cited as a result of the complaint investigation survey conducted at the facility on 11/1/22.

Complaint Investigation Survey, ACTS Reference Numbers CT# 33184, was conducted to determine compliance with 42 CFR Part 483 requirements for long term care facilities. Deficiencies were cited as a result of this survey.

The inspection was conducted as a licensing inspection for renewal purposes at Cambridge Health & Rehab.

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

An unannounced visit was made to Cambridge Health And Rehabilitation Center on January 28, 2021, by a representative of the Facility Licensing and Investigations Section of the Department of Public Health for the purpose of conducting a Covid-19 focused infection control survey.

The inspection identified violations related to food storage and sanitation practices in the kitchen, including unlabeled and undated food items in the refrigerator, improper sanitizing procedures, and failure to discard expired foods. The Administrator and dietary staff acknowledged these issues and facility policies were reviewed to ensure proper food safety and sanitizing protocols.

A COVID-19 Focused Infection Control Survey was conducted to determine compliance with infection control regulations for Long Term Care Facilities, including proper infection prevention and control practices to prevent COVID-19 transmission.

The facility failed to discard expired food items, failed to label and date food items properly, and did not maintain proper sanitizer levels in the kitchen's 3-bay sink. Deficiencies were observed in food storage, labeling, and sanitizing practices.

An unannounced visit was conducted on May 15, 2020, at Cambridge Health And Rehabilitation Center by a representative of the Facility Licensing and Investigations Section of the Department of Public Health for the purpose of conducting a COVID-19 focused infection control survey.

The facility failed to ensure infection control standards were followed during visitor entry and screening practices and failed to ensure the proper use of PPE according to facility policy. Specific observations included improper cleaning and disinfection of a tympanic thermometer and staff not wearing face shields or adequate eye protection as required.

The inspection was conducted as a renewal licensing inspection with multiple onsite inspection dates in early February 2020.

Violations of the General Statutes of Connecticut and/or regulations were identified at the time of this inspection, as noted in an attached violation letter. The report also references a focused infection control inspection later in the year with no violations found.

This document is a plan of correction submitted by Cambridge Health & Rehabilitation Center in response to alleged violations cited during a regulatory inspection.

The plan addresses multiple alleged deficient practices including timely provision of ice cream, notification of family members regarding psychotropic medication changes, completion of significant change MDS, quarterly assessments, accurate gender status coding, and food service safety. The facility outlines education, auditing, and monitoring plans to achieve compliance by 9/3/19.

The inspection was conducted as a complaint investigation related to multiple complaints (CT #25016, CT #24775, CT #25725) and included a renewal licensing inspection and desk audit.

The facility was found to have multiple deficiencies related to resident care, medication administration, abuse and neglect policies, and documentation. Several residents were reviewed for changes in condition, abuse, neglect, and discharge planning. The facility failed to notify responsible parties of medication changes, failed to follow abuse prohibition policies, and had issues with food service safety. Plans of correction were submitted addressing these deficiencies.

Complaint investigation was conducted for complaints CT #25016, CT #24775, and CT #25725. The investigation found multiple deficiencies related to medication notification, abuse and neglect policies, and resident care. The allegations were substantiated with corrective actions required.

The inspection was conducted as a licensing inspection with a renewal purpose.

The report indicates that violations were identified and an amended letter was issued on 2018-08-06. A desk audit was also conducted during the inspection.

This document is a Plan of Correction submitted by Cambridge Health & Rehabilitation Center in response to alleged violations of Connecticut State Agencies regulations.

The plan addresses multiple alleged deficient practices involving residents and staff, including issues related to advance directives, medication administration, fall care plans, neurological checks, pressure ulcer assessments, feeding assistance, oxygen therapy, controlled substance handling, pharmacy medication review, dental services, and fall risk evaluations. Licensed nurses and staff were educated, and audits will be conducted to ensure compliance.