Inspection Report
Complaint Investigation
Census: 39
Capacity: 45
Deficiencies: 0
Sep 15, 2025
Visit Reason
The inspection was conducted as a complaint investigation referenced by Complaint Investigation #2603873.
Findings
Violations of the General Statutes of Connecticut and/or regulations of Connecticut State Agencies were identified at the time of this inspection.
Complaint Details
Complaint Investigation #2603873 was the basis for this inspection. Violations were found, but no further details on substantiation or specific deficiencies are provided.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kerren Ruffner | DNS | Personnel contacted during the inspection. |
| Marikate Lynch | Administrator | Personnel contacted during the inspection. |
Inspection Report
Complaint Investigation
Census: 37
Capacity: 45
Deficiencies: 0
Jul 17, 2025
Visit Reason
The inspection visit was conducted as a complaint investigation related to Complaint #44978 (QIES #130599).
Findings
No violations of the General Statutes of Connecticut and/or regulations of Connecticut State Agencies were identified at the time of this inspection.
Complaint Details
Complaint investigation #44978 (QIES #130599) was conducted and found no violations.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Marikate Lynch | Administrator | Personnel contacted during the inspection. |
| Lorene Hayden | Director of Nursing | Personnel contacted during the inspection. |
| Deborah Smith | RN, NC | Report submitted by. |
Inspection Report
Renewal
Census: 40
Capacity: 45
Deficiencies: 0
Jan 6, 2025
Visit Reason
The inspection was conducted as a licensing renewal inspection and included review of a complaint investigation #31385.
Findings
No violations of the General Statutes of Connecticut or regulations were identified at the time of this inspection. No citations were issued or verified as corrected.
Complaint Details
Complaint investigation #31385 was reviewed during the inspection; no violations were found.
Report Facts
Licensed Bed Capacity: 45
Census: 40
Inspection Report
Original Licensing
Deficiencies: 0
Mar 14, 2024
Visit Reason
This document is a Pre-Licensure Consent Order related to the initial licensing of Essex Meadows LLC to operate a Chronic and Convalescent Nursing Home in Connecticut. It outlines the terms and conditions for licensing, including staffing, compliance, and facility requirements prior to finalizing the license.
Findings
The document details the requirements and conditions the Licensee must meet, including contracting an Independent Nurse Consultant, conducting regular assessments and rounds, maintaining compliance with federal and state regulations, and completing a Plan of Correction. It also includes provisions for facility maintenance, safety inspections, and ongoing monitoring to ensure compliance.
Report Facts
Duration of Consent Order: 1
Fine amount: 1000
Independent Nurse Consultant hours: 8
Independent Nurse Consultant minimum duration: 6
Plan of Correction submission date: 2024
Penalty amount: 100
Vendor payment timeframe: 120
Report submission timeframe: 30
Repair completion timeframe: 12
Inspection completion timeframe: 90
Daily rounds documentation retention: 5
Quality Assurance meeting frequency: 30
Emergency preparedness plan review timeframe: 4
Re-evaluation frequency: 3
Medical records audit frequency: 5
Generator operation minimum capacity: 80
Generator operation minimum duration: 72
Door replacement timeframe: 60
Door replacement timeframe for other doors: 12
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kim Hriceniak | Public Health Services Manager Healthcare Quality and Safety | Signed the Pre-Licensure Consent Order on behalf of the Department of Public Health. |
| Chris Bird | President and COO | Signed the Pre-Licensure Consent Order on behalf of Essex Meadows LLC. |
| Roberta McMenamin | VP/Sr. DOM | Signed the Plan of Correction submission. |
| Judith Birtwistle | Supervising Nurse Consultant | Designated recipient for reports required by the Order. |
| Anthony Bruno | Unit Leader – Building Fire Safety Unit | Referenced in Exhibit B related to fire safety inspections. |
Inspection Report
Plan of Correction
Deficiencies: 8
Feb 29, 2024
Visit Reason
This document is a Plan of Correction submission related to the change of ownership (CHOW) for Essex Meadows Health Center, addressing facility ownership responses, response plans, and dates of completion for various facility maintenance and compliance items.
Findings
The plan outlines corrective actions including evaluations and repairs of roofing, electrical systems, heating and cooling, asbestos survey, resident furnishings, emergency electrical systems, doors, exterior and interior maintenance, nurse-call systems, water management, dietary and housekeeping evaluations, and other facility components. Several items are noted as compliant, while some require waivers or further corrective actions.
Deficiencies (8)
| Description |
|---|
| Examination room provision is non-compliant and requires a waiver (Attachment #1). |
| One autoclave per facility is non-compliant and requires a waiver (Attachment #3). |
| Bathtub provision in nursing units is non-compliant and requires a waiver (Attachment #4). |
| Lighting fixtures hung off sprinkler piping in laundry room not compliant with NFPA 13 (repairs completed). |
| Soiled utility rooms, janitors and housekeeping closets ceiling tiles not compliant with public health code (repairs completed). |
| Housekeeping closets flooring tiles stained and not providing homelike environment (repairs completed). |
| Windows above grade open beyond allowable public health code tolerances (repairs completed). |
| Manual activation handle of kitchen above maximum allowable tolerance of NFPA 96 (repairs completed). |
Report Facts
Days to complete roofing inspection: 90
Days to forward roofing inspection report: 30
Months to complete repairs: 12
Days to complete electrical inspection: 120
Days to complete heating system inspection: 180
Days to complete generator inspection: 120
Days to complete door inspection: 90
Days to complete exterior inspection: 120
Days to complete asbestos survey: Asbestos survey completed in 2018 as part of former CHOW.
Square feet of clean workroom: 101.1
Square feet of soiled workroom: 98.5
Days to complete water management plan review: 180
Days to complete dietary evaluation: 180
Days to complete housekeeping evaluation: 180
Days to complete maintenance evaluation: 180
Days to complete cabinet and countertop evaluation: 180
Days to complete deep cleaning: 120
Days to install portable natural gas equipment restraints: 60
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Anthony M. Bruno | Health Services Fire Safety & Construction Unit Supervisor | Signed letter approving the Plan of Correction. |
| Robert Boulanger | Facility Consultant, Certified Fire Inspector | Prepared the Plan of Correction document. |
| Roberta McMenamin | VP/Sr. DOM | Acknowledged and signed the Plan of Correction submission. |
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