Inspection Reports for
Complete Care at Groton Regency LLC

The complaint involved Resident #1 alleging unprofessional conduct by RN #1, who used inappropriate language during medication administration. The facility also failed to prevent the resident from being left unattended with medication, resulting in a fall. The nursing home is disputing the citation related to medication administration.

The facility failed to ensure Resident #1 was treated with respect during medication administration, including unprofessional language by RN #1. Additionally, the facility failed to ensure the resident was not left unattended with administered medications, resulting in a fall and potential harm.

The complaint investigation was triggered by a report that Resident #1 had a traumatic fall resulting in a fractured shoulder and that the facility failed to arrange transportation for the resident's orthopedic appointment on 7/11/24. The complaint was substantiated based on review of clinical records, interviews, and facility documentation.

The facility failed to transport Resident #1 to an orthopedic appointment per physician's order and did not complete a fall risk assessment until 23 days after the fall. Additionally, the facility failed to adequately supervise Resident #1, who required assistance with ambulation, resulting in multiple falls and injuries including fractures to the right humerus and right femur. The facility attempted interventions but supervision was insufficient to prevent repeated falls.

The complaint investigations #33690 and #38728 involved allegations of resident-to-resident physical altercation resulting in bruising to Resident #1. The investigation found the bruising and failure to report the incident by staff. The facility was required to submit a plan of correction by June 27, 2024.

Violations of Connecticut State regulations were identified, including failure to maintain resident safety during an altercation and failure to report the incident appropriately. The facility was required to submit a plan of correction addressing these issues.

The complaint investigation was substantiated. Resident #1 reported to family that a staff member grabbed and threw him/her. Interviews and investigation confirmed bruising and failure to report the incident by the Nurse Aide.

The facility failed to maintain the safety of Resident #1 who sustained bruises during an altercation with a roommate. The Nurse Aide who witnessed the incident failed to report it to licensed staff. The bruising was initially thought to be related to medical procedures but was later determined to be caused by the altercation. The Nurse Aide did not report the incident immediately due to fear.

The facility failed to ensure the main dining room was consistently open on weekends due to staffing shortages, did not complete a required Significant Change in Status MDS assessment for a hospice resident, lacked sufficient nursing staff to transport residents on weekends, failed to remove expired food from the refrigerator, and did not maintain accurate advanced directive documentation in resident records.

The complaint alleged that a male nurse aide put his hands down Resident #1's pants. The police and APRN were notified, and an investigation was conducted. The nurse aide was new and unaware of the resident's independence with toileting. The police determined there was no crime. Resident #1 was agitated and transferred to the hospital for evaluation.

The facility failed to ensure staff followed the resident's plan of care regarding continence and proper care procedures. The investigation found that the nurse aide did not review the resident's care plan and entered the resident's room while he was asleep, leading to the resident's agitation and allegations of inappropriate contact. The police investigation determined no crime occurred.

Complaint Investigation #34142 was substantiated with identified deficiencies related to abuse allegations involving a male nurse aide and Resident #1. Police and APRN were notified, and the facility took corrective actions including removal of the staff member from schedule and transfer of the resident to the hospital for evaluation.

Deficiencies were identified during the visit, including failure to ensure staff followed the resident plan of care for a resident who was continent. The investigation involved review of clinical records, interviews, and incident reports related to an alleged staff abuse incident.

Complaint #31562 triggered the investigation. The complaint was substantiated as violations were identified during the inspection.

Violations of Connecticut State regulations were identified including failures in medication administration, medication storage and self-administration, improper storage and reuse of PPE, and failure to ensure appropriate protective equipment was worn by unvaccinated staff. Plans of correction were submitted to address these issues.

The facility was found deficient in maintaining a safe, clean, and comfortable environment, ensuring comprehensive care plan development and revision with resident representative involvement, providing adequate assistance with activities of daily living including grooming, and ensuring proper nutritional monitoring including obtaining reweights after significant weight loss as per physician orders.

Complaint investigation was conducted based on multiple complaints (#27991, 28170, 28382, 28959, 30744). The resident to resident incident involving Resident #89 was substantiated as abuse. Other findings included medication errors, environmental issues, mistreatment, misappropriation, and care plan deficiencies.

The investigation identified multiple violations including failure to timely notify responsible parties of missing medication, environmental disrepair, failure to prevent resident mistreatment, misappropriation of resident property, failure to ensure comprehensive care plan reviews, failure to provide necessary services for ADLs, failure to complete yearly performance reviews for nursing staff, and failure to ensure safe resident transfers.

The facility was found deficient in multiple areas including environmental maintenance issues such as peeling wallpaper and dirty vents, failure to conduct timely and comprehensive care plan meetings involving resident representatives, inadequate assistance with activities of daily living such as personal hygiene, and failure to obtain reweights after significant resident weight loss as per physician orders.

The facility was found deficient in multiple areas including failure to ensure dignified care for a resident, failure to maintain a safe and homelike environment, failure to timely report suspected abuse to the state agency, failure to re-admit a resident after hospitalization in accordance with policy, failure to ensure social service follow-up after an abuse allegation, and failure to provide thickened liquids as prescribed by physician orders.

The complaint investigation involved allegations of verbal abuse by a nurse aide to Resident #18, failure to maintain a safe environment, failure to timely report abuse allegations, failure to re-admit Resident #269 after hospitalization, failure of social services to follow up after abuse allegations involving Resident #275, and failure to provide prescribed thickened liquids to Resident #114. The verbal abuse allegation was unsubstantiated due to inconsistent statements. Other findings identified procedural and policy failures.

The facility failed to ensure dignified care for a resident, maintain a safe and homelike environment, timely report suspected abuse, re-admit a resident after hospitalization according to policy, provide social service follow-up after abuse allegations, and provide thickened liquids as prescribed. Several investigations found abuse allegations unsubstantiated but identified policy and procedural failures.