Inspection Reports for Crescent Point at Niantic

The inspection was conducted as a licensing renewal inspection and included review of complaint investigations CT40581 and CT41481.

The report indicates that violations were identified during the inspection, with attached violation letters and certification files referenced. No citations or amended letters were issued at the time of this report.

Complaint investigations CT40581 and CT41481 were reviewed as part of this inspection.

The inspection was conducted as a complaint investigation related to Complaint Investigations #43711.

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

Complaint Investigations #43711 was the basis for the visit. The complaint was not substantiated as no violations were found.

The inspection visit was conducted as a licensing renewal inspection and included review of complaint investigations.

The report indicates that complaint investigations were reviewed and the certification file was examined. No violations of the General Statutes or regulations were identified at the time of this inspection.

Complaint investigations referenced include CT #34118, CT #33796, and CT #31822. No substantiation status is provided.

The inspection was conducted as a renewal licensing inspection and also referenced a complaint investigation #CT 00030185.

The facility was found to be in compliance with visitation requirements and did not have violations identified at the time of this inspection. The facility applied for CMP and CRF funds.

Complaint investigation referenced as #CT 00030185, but no substantiation status or findings are detailed in this report.

An unannounced visit was made to Touchpoints At Chestnut by representatives of the Facility Licensing and Investigations Section of the Department of Public Health for the purpose of conducting an investigation and renewal inspection, including complaint investigation #CT 00030185.

The inspection identified multiple violations related to resident care, medication administration, infection control, and intravenous therapy policies. Specific findings included failure to timely assess injuries, failure to ensure timely receipt of medications, improper use of PPE by staff, and inadequate IV therapy policies. Plans of correction were submitted addressing these issues.

Complaint #30185 was investigated related to allegations of neglect involving Resident #23 and Resident #390. The facility failed to report the allegation timely and did not provide a statement from Resident #390 until after the investigation. The complaint was investigated with interviews and record reviews.

The inspection was an unannounced renewal visit conducted by the Facility Licensing and Investigations Section of the Department of Public Health to review compliance and investigate complaint #CT 00030185.

The inspection identified multiple violations related to resident care, medication administration, infection control, and intravenous therapy policies. The facility was required to submit a plan of correction by August 22, 2021. Specific findings included failure to timely assess injuries, medication administration errors, improper PPE use, and incomplete employee screening.

Complaint #CT 00030185 was investigated. Allegations included neglect and abuse related to resident care and medication administration. The complaint was substantiated with findings of neglect in care and medication errors.

The Department of Public Health conducted a COVID-19 Focused Survey and a complaint investigation at Touchpoints At Chestnut to determine compliance with Federal requirements related to infection prevention and control and to address an allegation of mistreatment involving improper use of an assistive device during a resident transfer.

The survey revealed that the facility was not in substantial compliance with infection control requirements. A clinical record review and staff interviews found that the facility failed to ensure proper use of an assistive device during a resident transfer, resulting in a skin tear injury to the resident.

The complaint involved an allegation of mistreatment where Resident #1 sustained a skin tear during a transfer due to improper use of an assistive device. The allegation was substantiated based on clinical record review, staff interviews, and policy review.

The Department of Public Health conducted a COVID-19 focused survey and complaint investigation at Touchpoints At Chestnut on December 3, 2020, to determine compliance with Federal requirements related to infection prevention and control practices and to investigate an allegation of mistreatment.

The survey revealed that the facility was not in substantial compliance with infection prevention and control requirements. A clinical record review and interviews found that the facility failed to ensure an assistive device was used during a resident transfer, resulting in a skin tear injury to Resident #1.

The complaint involved an allegation of mistreatment of Resident #1, who sustained a skin tear during a transfer when a nurse aide pulled the resident's hand instead of using a gait belt as required by facility policy. Interviews and documentation confirmed the incident and policy noncompliance.

An unannounced visit was conducted at Touchpoints At Chestnut on October 15, 2020, by the Department of Public Health for the purpose of conducting a COVID-19 infection control survey.

The facility failed to ensure staff utilized personal protective equipment (PPE) according to professional standards, specifically a nursing assistant was observed wearing a surgical mask underneath an N95 mask, which was against infection control protocols.

A COVID-19 Focused Survey and complaint investigation 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 facility failed to ensure staff utilized personal protective equipment (PPE) according to professional standards, specifically an employee wearing a surgical mask underneath an N95 mask, which is against proper protocol. The facility disagreed with the findings and requested an Informal Dispute Resolution but provided a plan of correction including education and audits.

The visit was complaint-related and included a substantiation of failure to follow proper PPE protocols, specifically improper use of masks by staff.

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 facility failed to implement necessary infection prevention measures to prevent the spread of COVID-19 from a resident with potential exposure to a roommate who was considered COVID-19 negative. Specifically, Resident #1, requiring transmission-based precautions, was sharing a room with Resident #2, who was negative and could have been moved to a different room.

The visit was a desk audit conducted on 6/20/19 for the purpose of reviewing care related to a violation letter dated 6/15/19, to verify correction of previous deficiencies.

No violations of the General Statutes of Connecticut or regulations were identified at the time of this inspection. The violations cited in the prior letter dated 6/15/19 were deemed corrected with no remaining violations.

Unannounced visits were made to Touchpoints At Chestnut by representatives of the Facility Licensing and Investigations Section of the Department of Public Health for the purpose of conducting an investigation into violations of Connecticut General Statutes and/or Regulations of Connecticut State Agencies.

The facility was found to have multiple deficiencies including failure to ensure residents were free from physical mistreatment, failure to accurately complete resident assessments, failure to develop comprehensive person-centered care plans, failure to revise care cards to address dental needs, failure to complete assessments after resident deaths, failure to document medication administration and pain management properly, and failure to conduct required tests such as the Abnormal Involuntary Motion Scale (AIMS) test.

The investigation was complaint-driven, focusing on allegations including physical mistreatment of Resident #16 and other care deficiencies.

The inspection was a desk audit conducted on 6/8/2018 as part of the facility's regulatory oversight and renewal process.

Violations of the General Statutes of Connecticut and/or regulations were identified during the inspection, with an amended violation letter dated April 23, 2018. The report includes detailed findings of deficiencies related to resident care, medication administration, documentation, and staff performance evaluations.

Unannounced visits were made on April 12 and 13, 2017, by the Department of Public Health for the purpose of conducting multiple investigations related to complaints and regulatory compliance.

Violations of Connecticut State Agencies regulations were identified during the inspection, including failures in comprehensive assessment of residents, timely physician visits, verbal abuse, inadequate care planning, medication administration, and environmental safety. Plans of correction were submitted with target compliance dates.

Complaint investigations #21521, 21407, CT209633, CT2045 were conducted. Violations were substantiated as noted in attached violation letters dated 4/26/17 and 2/14/17.