Inspection Reports for
Connecticut Baptist Homes

The investigation was complaint-driven, focusing on incidents involving Residents #42, #9, and #7. The complaint was substantiated with findings of immediate jeopardy due to failures in supervision and safe transfer practices.

The facility failed to monitor Resident #42 every 15 minutes as required, resulting in the resident eloping unsupervised. Resident #9 was not transferred according to physician orders, causing a fall with injury. Resident #7 was transferred without a gait belt, resulting in a fall and femoral fracture.

The facility was found deficient in multiple areas including failure to complete neurological assessments after falls, inadequate weekly skin assessments, failure to monitor and document resident location leading to elopement, improper transfer techniques causing resident injuries, failure to complete orthostatic blood pressure monitoring for residents on antipsychotic medications, and lack of documentation for staff training and competency evaluations.

The complaint involved an allegation by Resident #1 that Nurse Aide #1 threw a washcloth at him/her during care and was unsympathetic and mean. The facility failed to investigate this allegation as abuse and did not report it timely to the state agency. The grievance was resolved by reassigning NA #1 to limited duties for Resident #1.

The facility failed to properly investigate and report an allegation of abuse, failed to develop a comprehensive care plan for a resident with wandering behavior, failed to ensure consistent monitoring of pressure relief mattresses and timely dietician involvement for pressure ulcers, and failed to monitor targeted behaviors and orthostatic blood pressure for a resident on antipsychotic medication.

The complaint investigation involved Resident #25, who exhibited behavioral disturbances and was subject to verbal abuse by staff (NA #1). The investigation confirmed the abuse and failure to report behaviors, resulting in termination of NA #1. The complaint was substantiated.

The inspection found violations of Connecticut State regulations, including failure to ensure dignified care for a resident with dementia and improper medication cart security. Specific incidents involved staff behavior towards Resident #25 and medication administration practices.

The complaint involved allegations that Resident #25 was not treated with dignity and respect. The investigation found that NA #1 made an inappropriate comment about punching the resident and failed to report resident behaviors. The comment was not substantiated as abuse but was deemed undignified. NA #1 was terminated. The resident was interviewed with an interpreter and reported being treated well by others.

The facility failed to ensure Resident #25 was cared for in a dignified manner when a nurse aide made an inappropriate comment about the resident. Additionally, the facility failed to keep the medication cart locked and under direct observation as required.

The facility was found deficient in providing dignified care to a resident with dementia, as evidenced by a nurse aide's inappropriate comment and behavior. Additionally, the facility failed to ensure medication carts were locked and under direct observation when unattended.

Two violations were identified: 1) Failure to ensure care was provided in a dignified manner to Resident #25, including inappropriate staff behavior; 2) Failure to ensure the medication cart remained locked and under direct observation of authorized staff.

The facility was found deficient in notifying the state mental health authority of a significant change in a resident's mental status requiring psychiatric treatment, and in food safety practices including improper storage, labeling, and dating of food items in the dietary department.

Violations of the Regulations of Connecticut State Agencies and/or General Statutes were identified during the inspection, including failure to notify the state designated agency of significant changes in a resident's mental status and improper storage and dating of food items in the dietary department.

The Plan of Correction addresses violations identified during the survey, including failure to notify the approved state designated agency of significant changes in a resident's mental status and improper storage and dating of food items in the Dietary Department.

Violations of Connecticut State Agencies regulations were identified during the inspection. The facility failed to provide a dignified dining experience, failed to identify frequency of out of bed regimen per family request, failed to develop and implement comprehensive person-centered care plans, failed to ensure sufficient activities for cognitively impaired residents, and failed to ensure resident choice for activities. A plan of correction was submitted to address these issues.