Inspection Reports for Coachman Square at Woodbridge

The inspection visit was conducted as a licensing inspection and renewal of the facility license.

The report includes verification of Alzheimer's special care units or programs and compliance with infection prevention and control requirements as per P.A. 21-185. Approval for issuance of license was granted.

The inspection was a renewal licensing inspection conducted to review the facility's compliance with regulations and to approve issuance of the license.

No violations of the General Statutes of Connecticut or regulations were identified at the time of this inspection. The inspection included a tour, review of client records, personnel files, clinical record reviews, quality assurance documents, interviews with clients and staff, and review of staffing schedules.

The inspection visit was conducted as a renewal licensing inspection for the facility.

No violations of the General Statutes of Connecticut and/or regulations of State Agencies were identified at the time of this inspection. Approval for issuance of license was granted.

The inspection was conducted as a renewal licensing inspection for the facility BAL Woodbridge (ALSA #144).

No violations of the General Statutes of Connecticut and/or regulations of the State Agencies were identified at the time of this inspection. Policy review was done relative to record reviews and/or violations as appropriate.

Unannounced visits were made to BAL Woodbridge on February 5 and August 24, 2020 by a representative of the Facility Licensing and Investigations Section of the Department of Public Health for the purpose of conducting multiple investigations.

Violations of the Regulations of Connecticut State Agencies and General Statutes were noted during the visits, including failure of Licensed Practical Nurses to report changes in clients' conditions to the Registered Nurse and failure to appoint a qualifying Nursing Supervisor. The plan of correction outlines measures to prevent recurrence, including policy updates, audits, staff re-inservice, and documentation improvements.

An unannounced visit was made to BAL Woodbridge on September 13, 2018 by a representative of the Facility Licensing and Investigations Section of the Department of Public Health for the purpose of conducting a complaint investigation.

The investigation found that the agency nurses failed to reconcile the physician's medication orders against the current medication supply and/or labels for one client requiring nursing services for medication administration. No violations were identified at the time of the inspection.

Complaint investigation #24059 was conducted. Violations were not identified at the time of the inspection.

The visit was an unannounced licensing inspection conducted on May 4 and 5, 2017, for the purpose of renewal of the assisted living facility license.

Violations of the General Statutes of Connecticut and regulations were identified during the inspection, including failure to develop and implement policies for medication pre-pouring and failure to update client service programs related to hospice services. A plan of correction was submitted to address these deficiencies.

Unannounced visits were made to BAL at Woodbridge on August 19, 2015 by a representative of the Facility Licensing and Investigations Section of the Department of Public Health for the purpose of conducting an investigation and a licensing inspection, with additional information obtained on August 25, 2015.

The Assisted Living Services Agency (ALSA) failed to orient the private aide to the client's plan of care and/or coordinate the client's care with other entities involved in the client's service program. The private aide was observed transferring a client without using a mechanical lift as required and was involved in an incident of physical altercation with another aide. Documentation of orientation and coordination was lacking.

The inspection was conducted as a complaint investigation (Complaint Investigation # CT18018) along with a licensing inspection at BAL at Woodbridge on August 18 and 19, 2015.

Violations of Connecticut State regulations were identified, including failure to orient a private aide to the client's plan of care and failure to coordinate the client's care with other entities. The investigation found evidence of physical abuse by a private aide towards a client and inadequate documentation and coordination by the agency.

Complaint Investigation # CT18018 was substantiated with findings of physical abuse by a private aide and failure of the agency to properly orient and coordinate care for Client #1.