Inspection Reports for Chelsea Place Care Center LLC

The inspection visit was conducted as a complaint investigation related to Complaint Investigation #44347 and #44355.

Violations of the General Statutes of Connecticut and/or regulations of Connecticut State Agencies were identified at the time of this inspection, as noted in the attached violation letter dated 2025-06-10.

Complaint Investigation #44347 and #44355 were the basis for this inspection. Violations were substantiated as indicated by the attached violation letter.

An unannounced visit was made to Chelsea Place Care Center LLC on May 27, 2025, by a representative of the Facility Licensing and Investigations Section of the Department of Public Health for the purpose of conducting multiple investigations related to complaints.

Two violations were identified: 1) Failure to prevent serving food to a resident with documented food allergies, and 2) Failure to maintain staffing levels to meet minimum requirements for direct care hours. Plans of correction were submitted addressing education, audits, and staffing meetings.

The visit was complaint-related involving Complaint #44347 and #44355. The complaints concerned food allergy management and staffing levels.

The inspection was conducted as a complaint investigation related to Complaint Investigation #43351 and #42743.

Violations of the General Statutes of Connecticut and/or regulations of Connecticut State Agencies were identified at the time of this inspection, as noted in the attached violation letter dated 2025-04-02.

Complaint Investigation #43351 and #42743 were the basis for this visit. Violations were substantiated as indicated by the attached violation letter.

A desk audit was conducted for the survey with EID 3.17.25 as part of the facility's licensing renewal process.

Tags 697 and 804 and the corresponding violations have been corrected as of 2025-04-25, and no new non-compliance was identified during the desk audit.

An unannounced visit was made to Chelsea Place Care Center LLC on March 17, 2025, by the Department of Public Health for the purpose of conducting multiple investigations related to regulatory compliance.

The report identifies multiple violations including failure to administer prescribed pain medication, inadequate dietary services with unpalatable meals, and failure to maintain required staffing levels. Plans of correction include staff education, audits, and oversight responsibilities assigned to the Director of Nursing and Administrator.

The visit was complaint-related, involving complaints #42743 and #43351. Specific substantiation status is not stated.

The inspection visit was conducted as a complaint investigation referenced by Complaint Investigation #43163.

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 #43163 was the basis for the visit. Violations were not identified at the time of inspection.

A desk audit was conducted to review the implementation of the Plan of Correction for a violation letter dated 2025-01-11.

All federal violations numbered 1 through 18 were identified as corrected as of 2024-12-18. The Administrator was notified on 2025-01-16 that all federal violations were corrected.

The inspection was conducted as a desk audit related to the renewal of the facility's license.

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

The inspection was conducted as a licensing renewal inspection and included complaint investigations for CT 41709, CT 41708, and CT 41365.

The report indicates that violations of the General Statutes of Connecticut and/or regulations were identified during the inspection, with attached violation letters referenced.

Complaint investigations were conducted for CT 41709, CT 41708, and CT 41365; no substantiation status is explicitly stated.

The inspection was conducted as a desk audit on 9/18/2024 to review compliance with licensing requirements.

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

Unannounced visits were made to Chelsea Place Care Center to conduct multiple investigations by the Facility Licensing and Investigations Section of the Department of Public Health.

Violations of the Regulations of Connecticut State Agencies and/or General Statutes were noted during the visits, including failure to obtain consent for room searches and failure to ensure resident dignity and respect during searches.

The visit was related to complaints CT #'s 24927, 25304, 25896, 26623. The report does not state substantiation status.

A desk audit was conducted to review the implementation of the plan of correction for violations identified in a prior violation letter dated 4/1/24.

The desk audit found that violations #1, #2, #3, and #4 were corrected as of 5/13/24, and the administrator was notified by telephone that all violations were corrected.

The inspection visit was conducted as a complaint investigation for complaints #39157 and #39310.

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

The visit was complaint-related for complaints #39157 and #39310. Violations were not identified at the time of inspection.

The inspection visit was conducted as a complaint investigation related to Complaint Investigation #37612 and #38426.

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

The visit was complaint-related referencing Complaint Investigation #37612 and #38426. No violations were substantiated during this inspection.

Unannounced visits were made to Chelsea Place Care Center 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 CT #37414.

The investigation identified multiple violations including failure to develop care plans for refusals of care, failure to ensure timely notification of significant weight loss to dietician and physician, incomplete and inaccurate clinical records, and failure to maintain proper documentation of wound care and medication administration.

Complaint CT #37414 triggered the investigation. The complaint involved issues with care planning, weight loss monitoring, clinical record accuracy, and medication administration documentation. The complaint was substantiated as violations were found.

A desk audit was completed on 11/16/23 to review the implementation of the plan of correction for the violation letter dated 8/16/23.

Violations #1 (F656) and #2 were corrected as of 9/18/23. On 11/16/23, the DNS Donna Perrin was notified via telephone that all violations were corrected.

An unannounced visit was made to Chelsea Place Care Center on January 6, 2023, for the purpose of conducting a complaint investigation related to allegations of sexual harassment by a facility employee.

Deficiencies and violations of the General Statutes of Connecticut and regulations were identified during the visit, including substantiated allegations that a housekeeper sexually harassed Resident #1. The housekeeper was terminated on October 5, 2022, following the investigation.

Complaint Investigation #33595 was conducted. The facility substantiated the allegations against the housekeeper based on interviews with staff, residents, and witnesses. The housekeeper was terminated on 10/5/22. The Administrator took corrective actions including re-education of employees and interviews to ensure understanding of policies.

The inspection was conducted as a complaint investigation triggered by Complaint #33088 to assess violations of Connecticut State regulations and statutes.

The facility was found to have violations related to resident rights and safety, including failure to allow residents to smoke as per physician orders and inadequate reporting of a physical altercation incident. The facility also failed to ensure timely notification of reportable incidents to the State Agency.

Complaint #33088 was investigated. The complaint involved resident rights violations related to smoking policies and failure to report a physical altercation incident timely. The complaint was substantiated with findings of noncompliance.

The visit was conducted to review the implementation of the plan of correction for the violation letter dated 4/21/22.

An unannounced visit was conducted to review the implementation of the plan of correction. Staffing was reviewed from 8/1/22 through 8/12/22 and met the minimum qualifications of the State of Connecticut Public Health Code. Violations #1 through #10 were corrected as of 5/25/22 and the administrator was notified.

Unannounced visits were made to Chelsea Place Care Center to conduct a Re-Certification Survey to determine compliance with 42 CFR Part 483 requirements for Long Term Care Facilities, including a licensing renewal inspection.

Violations of the Regulations of Connecticut State Agencies and General Statutes were identified, including deficiencies related to resident dignity and privacy, facility cleanliness and maintenance, medical record accuracy, resident care planning, and dietary services. The facility submitted plans of correction for each violation with specified completion dates.

The inspection was conducted as a complaint investigation triggered by complaint #29999 regarding alleged violations of Connecticut State regulations.

Violations of the General Statutes of Connecticut and/or regulations were identified during the complaint investigation. The facility was found to have deficiencies related to abuse allegations, failure to ensure timely fall reporting and assessment, and incomplete clinical documentation.

Complaint #29999 triggered the investigation. The complaint involved allegations of mistreatment and failure to provide incontinent care. The investigation found the allegations were not fully investigated and the facility failed to report and investigate the mistreatment allegations timely.

An unannounced visit was made to Chelsea Place Care Center to conduct a complaint investigation based on Complaint Investigation #29999.

Violations of the General Statutes of Connecticut and/or regulations were identified related to neglect allegations involving Resident #1, including failure to investigate allegations of mistreatment and inadequate incontinent care.

Complaint Investigation #29999 was substantiated with findings of neglect related to Resident #1's care and failure to investigate allegations properly.

A Complaint Investigation Survey was conducted at Chelsea Place Care Center to determine compliance with 42 CFR Part 483 requirements for Long Term Care Facilities.

Deficiencies were cited as a result of the complaint investigation survey conducted at the facility.

The survey was complaint-related as indicated by the description of the survey as a Complaint Investigation Survey, ACTS Reference Number 29999.

An unannounced visit was made to Chelsea Place Care Center on March 29, 2021 by a representative of the Facility Licensing and Investigations Section of the Department of Public Health for the purpose of conducting an investigation related to complaint #29774.

The facility was found to have failed to ensure adequate supervision to prevent an accident, timely reporting and assessment after a fall, and complete and accurate clinical documentation when a resident was observed on the floor. The investigation identified issues with staff not reporting allegations of mistreatment and failure to follow fall management protocols.

Complaint #29774 triggered the investigation. The complaint involved allegations of mistreatment and failure to properly report and investigate a fall incident involving Resident #1. The allegations were substantiated based on interviews and record reviews.

The inspection visit was conducted as a focused infection control COVID survey.

The report indicates that violations of the General Statutes of Connecticut and/or regulations of Connecticut State Agencies were identified during the inspection. The report was submitted with scanned and attached documentation.

A COVID-19 Focused Infection Control Survey was conducted to determine compliance with 42 CFR §483.80 Infection Control regulations for Long Term Care Facilities.

The facility has implemented CMS and CDC recommended practices related to COVID-19. No deficiencies were cited as a result of this survey.

A COVID-19 Focused Survey was conducted to determine compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities, including proper infection prevention and control practices to prevent the development and transmission of COVID-19.

No deficiencies were cited as a result of this COVID-19 focused survey.

A COVID-19 Focused Survey was conducted to determine compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities, including proper infection prevention and control practices to prevent the development and transmission of COVID-19.

No deficiencies were cited as a result of this survey.

A COVID-19 Focused Survey was conducted to determine compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities, including proper infection prevention and control practices to prevent the development and transmission of COVID-19.

The survey found no deficiencies related to infection prevention and control practices for COVID-19 at Chelsea Place Care Center.

The inspection was conducted as a complaint investigation triggered by Complaint #CT 00026320 to assess violations of Connecticut General Statutes and regulations at Chelsea Place Care Center.

The investigation found violations related to failure to ensure a resident was assessed by a licensed nurse prior to being moved after an unwitnessed fall, and failure to maintain an accurate behavior tracking log for another resident. Staff education and corrective actions were planned to address these deficiencies.

Complaint #CT 00026320 was substantiated with findings of noncompliance related to nursing assessment after falls and behavior tracking documentation.

An unannounced visit was made to Chelsea Place Care Center 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 #26320.

The investigation found that the facility failed to ensure a resident who had an unwitnessed fall was assessed by a licensed nurse prior to being moved, resulting in potential harm. Staff education and policy review were identified as corrective measures.

Complaint #26320 triggered the investigation. The report does not explicitly state substantiation status.

An unannounced visit was made to Chelsea Place Care Center on May 3, 2019, by a representative of the Facility Licensing and Investigations Section of the Department of Public Health for the purpose of conducting a complaint investigation with additional information received through May 3, 2019.

The facility failed to ensure the behavior tracking log for one resident was accurate, with discrepancies noted in documentation and behavior recording. The review identified issues with the behavior tracking log and nursing documentation, and the facility's behavior monitoring policy was partially directed to address these concerns.

Complaint #25255 was investigated. The complaint investigation concluded on May 3, 2019, with findings of noncompliance related to behavior tracking documentation accuracy.

Unannounced visits were made to Chelsea Place Care Center commencing on January 22, 2019 and concluding on January 31, 2019 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 multiple violations related to clinical record reviews, medication administration, resident safety, respiratory care, and resident rights. Specific deficiencies include failure to maintain visual contact with a resident at risk for elopement, failure to conduct respiratory assessments, incomplete clinical records, and medication administration errors.

An unannounced visit was made to Chelsea Place Care Center on June 21, 2018, by a representative of the Department of Public Health for the purpose of conducting an investigation related to complaint investigation #23616 and review of violation letters dated 7/05/18.

Violations of the General Statutes of Connecticut and regulations were identified, including failure to complete skin assessments, failure to provide behavioral care per care plan, and failure to ensure clinical records were complete and accurate. The facility was found to have deficiencies related to resident care, documentation, and abuse allegations.

Complaint investigation #23616 was substantiated with violations identified. The facility failed to complete required skin assessments, provide behavioral care per plan, and maintain accurate clinical records. Abuse allegations involving Resident #1 were investigated with findings of staff pushing and inappropriate handling. The facility was required to submit a plan of correction.