Inspection Reports for Farmington Station, A Senior Living Residence
CT, 06032
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Inspection Report
Complaint Investigation
Deficiencies: 0
Aug 7, 2025
Visit Reason
The inspection visit was conducted as a complaint investigation related to Complaint Investigation #44448.
Findings
No violations of the General Statutes of Connecticut and/or regulations of Connecticut State Agencies were identified at the time of this inspection. Verification of Alzheimer's special care units and part-time Infection Prevention and Control Specialist requirements were confirmed.
Complaint Details
Complaint Investigation #44448 was conducted and no violations were substantiated at the time of inspection.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Lindsay Miller | Executive Director | Personnel contacted during the inspection. |
| Mermisa Carney | RN | Personnel contacted during the inspection. |
Inspection Report
Complaint Investigation
Deficiencies: 0
Aug 7, 2025
Visit Reason
The inspection visit was conducted as a complaint investigation related to Complaint Investigation #44448.
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 #44448 was not substantiated as no violations were found during the inspection.
Report Facts
Complaint Investigation Number: 44448
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Lindsay Miller | Executive Director | Personnel contacted during the inspection |
| Mermisa Carney | RN | Personnel contacted during the inspection |
Inspection Report
Complaint Investigation
Census: 88
Capacity: 134
Deficiencies: 0
Jan 7, 2025
Visit Reason
The inspection visit was conducted as a complaint investigation related to complaint numbers 40816 and 42348.
Findings
Violations of the General Statutes of Connecticut and/or regulations of Connecticut State Agencies were identified at the time of this inspection, as noted in an attached violation letter dated 2025-03-24.
Complaint Details
Complaint investigation numbers 40816 and 42348 were the basis for this visit. Violations were found and documented in a violation letter.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Lindsay Miller | ED | Personnel contacted during the inspection. |
| Mermisa Carney | SALSA | Personnel contacted during the inspection. |
Inspection Report
Complaint Investigation
Deficiencies: 1
Jan 7, 2025
Visit Reason
An unannounced visit was made to Farmington Station A Senior Living Residence on January 7, 2025, by the Department of Public Health to conduct an investigation related to Complaint #42348 concerning alleged abuse by a facility aide.
Findings
The investigation found that the agency failed to ensure proper supervision of agency aide staff, resulting in abuse of a client by an aide staff member. Video surveillance and staff interviews confirmed the aide's abusive actions toward a client. The facility took disciplinary action by suspending and terminating the associate involved.
Complaint Details
Complaint #42348 was investigated following reports of abuse by an aide staff member toward a client. The complaint was substantiated based on video evidence and staff interviews. The associate was suspended immediately and terminated following the investigation.
Deficiencies (1)
| Description |
|---|
| The agency failed to ensure the supervision of the agency aide staff in the performance of their care and services to clients and failed to safeguard the client from abuse from a facility aide staff member. |
Report Facts
Dates of medication errors: 3 medication errors occurred on 7/2/23, 6/16/24, and 8/20/24
Incident date: Incident occurred on 12/5/24
Notification date: RCD notified on 12/6/24
Termination date: Associate terminated on 12/11/24
Plan of correction submission deadline: Plan of correction to be submitted by April 3, 2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Elizabeth Heiney | DPH Supervising Nurse Consultant | Recipient of the plan of correction response and author of the notice of noncompliance |
| Lindsay Miller | Executive Director | Named in relation to the investigation and plan of correction response |
Inspection Report
Complaint Investigation
Deficiencies: 0
Jul 15, 2024
Visit Reason
The inspection was conducted as a complaint investigation related to Complaint Investigation #388813 and violations of the General Statutes of Connecticut and/or regulations of Connecticut State Agencies were identified at the time of this inspection.
Findings
Violations of the General Statutes of Connecticut and/or regulations of Connecticut State Agencies were identified during the inspection. An attached violation letter dated 7/29/24 is referenced for details.
Complaint Details
Complaint Investigation #388813 was the basis for the visit. Violations were substantiated as violations were identified at the time of inspection.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Lindsay Miller | Executive Director | Personnel contacted during the inspection |
| Mermisa Carney | SALSA | Personnel contacted during the inspection |
| Megan Edson-Sawyer | Nurse Consultant and Survey Team Leader | Signature of FLIS Staff and report submitter |
| Elizabeth Heiney | Supervisor | Supervisor of the survey team |
Inspection Report
Complaint Investigation
Deficiencies: 0
Jul 15, 2024
Visit Reason
The inspection visit was conducted as part of a complaint investigation (#388813) and to identify any violations of the General Statutes of Connecticut and/or regulations of Connecticut State Agencies.
Findings
Violations of the General Statutes of Connecticut and/or regulations of Connecticut State Agencies were identified at the time of this inspection, with an attached violation letter dated 7/29/24.
Complaint Details
Complaint Investigation #388813 was the basis for the visit; violations were found as noted in the attached violation letter.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Lindsay Miller | Executive Director | Personnel contacted during the inspection |
| Mermisa Carney | SALSA | Personnel contacted during the inspection |
| Megan Edson-Sawyer | Nurse Consultant and Survey Team Leader | Signature of FLIS Staff and report submitter |
| Elizabeth Heiney | Supervisor | Supervisor of the survey team |
Inspection Report
Complaint Investigation
Deficiencies: 1
Jul 15, 2024
Visit Reason
The inspection was conducted as a complaint investigation related to Complaint Investigation #388813 and violations of Connecticut State regulations were identified at the time of inspection.
Findings
The Assisted Living Service Agency (ALSA) failed to properly assess and document the condition of a client who experienced multiple falls and bruising. The agency did not adequately follow its policies regarding resident falls and assessments, resulting in identified violations.
Complaint Details
Complaint Investigation #388813 was substantiated with violations identified related to inadequate nursing services and failure to properly assess and document client condition after falls.
Deficiencies (1)
| Description |
|---|
| Failure to assess and document bruising after client falls on 05/07/2024, 05/09/2024, and 05/11/2024 and failure to follow resident falls policy. |
Report Facts
Complaint Investigation Number: 388813
Inspection Date: Jul 15, 2024
Client Admission Date: Apr 5, 2024
Client Assessment Date: Apr 11, 2024
Nursing Notes Dates: Multiple nursing notes dated 05/07/2024, 05/09/2024, 05/10/2024, 05/11/2024, and 05/12/2024 referenced.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Megan Edson-Sawyer | Nurse Consultant and Survey Team Leader | Signature on inspection report and report submitter. |
| Elizabeth Heiney | Supervisor | Supervisor of the survey team. |
| Lindsay Miller | Executive Director | Interviewed during agency investigation and mentioned in findings. |
| Mermisa Carney | SALSA | Personnel contacted during inspection. |
Inspection Report
Plan of Correction
Deficiencies: 1
Mar 19, 2024
Visit Reason
Unannounced visits were made to Farmington Station A Senior Living Residence on March 19, 2024, by the Department of Public Health for the purpose of conducting an investigation and licensure inspection related to Complaint #37112.
Findings
The Assisted Living Service Agency (ALSA) failed to timely identify and report a client's change in condition to the RN or RN designee and failed to ensure the client was assessed by an RN following the change in condition. The community acknowledged the communication gap and plans to conduct re-training on timely communication to the RN.
Complaint Details
Complaint #37112 triggered the investigation. The complaint involved failure to identify and report a client's change in condition and failure to ensure RN assessment. The community agreed with the findings and provided a plan of correction.
Deficiencies (1)
| Description |
|---|
| Failure to identify and report Client #1's change in condition (unsteady gait and congestion) to the SALSA or RN Designee and failure to ensure Client #1 was assessed by an RN following the change in condition. |
Report Facts
Dates: Mar 19, 2024
Dates: Mar 4, 2024
Dates: May 4, 2024
Dates: May 10, 2024
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Lindsay Miller | Executive Director | Signed the plan of correction letter and involved in interview and review of client clinical record |
| Elizabeth Heiney | Supervising Nurse Consultant | Issued the violation notice and correspondence related to the complaint investigation |
Inspection Report
Complaint Investigation
Deficiencies: 0
Sep 18, 2023
Visit Reason
The inspection visit was conducted as a complaint investigation related to Complaint Investigation # CT35750.
Findings
Violations of the General Statutes of Connecticut and/or regulations of Connecticut State Agencies were identified at the time of this inspection, as referenced in an attached violation letter dated 10/15/23.
Complaint Details
Complaint Investigation # CT35750 was substantiated with violations identified during the inspection.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Mermisa Carney | Personnel contacted during the inspection. | |
| Megan Edson-Sawyer | Survey Team Leader | Named as Survey Team Leader for the inspection. |
| Elizabeth Heiney | Supervisor | Named as Supervisor for the inspection. |
Inspection Report
Complaint Investigation
Deficiencies: 1
Apr 12, 2023
Visit Reason
An unannounced visit was made to Farmington Station A Senior Living Residence on April 12, 2023, by a representative of the Department of Public Health for the purpose of conducting a Complaint Investigation Survey related to Complaint #34344.
Findings
The investigation found failures in conducting investigations after unwitnessed injuries, failure to notify a Registered Nurse of changes in condition, failure to revise care plans after multiple falls, and failure to follow agency policies. Specific incidents involving two clients were detailed, including multiple falls and inadequate staff response and documentation.
Complaint Details
Complaint #34344 triggered the investigation. The report details substantiated findings of noncompliance related to client safety and staff response failures.
Deficiencies (1)
| Description |
|---|
| Failure to conduct an investigation after unwitnessed injuries, failure to notify a Registered Nurse of a change in condition, failure to revise the plan of care after multiple falls, and failure to follow agency policies. |
Report Facts
Dates of incidents: 5
Plan of correction submission deadline: 2023
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Elizabeth Heiney | Supervising Nurse Consultant | Named as contact for response to the plan of correction and involved in the complaint investigation. |
| Mermisa Carney | RN, RCD | Responsible for ongoing monitoring of nurses notes and incident reports as part of the plan of correction. |
Inspection Report
Complaint Investigation
Deficiencies: 1
Apr 12, 2023
Visit Reason
An unannounced visit was made to Farmington Station A Senior Living Residence on April 12, 2023, by a representative of the Facility Licensing and Investigations Section of the Department of Public Health for the purpose of conducting a Complaint Investigation Survey.
Findings
The Assisted Living Services Agency failed to conduct an investigation after unwitnessed injuries were identified, failed to notify a Registered Nurse of changes in condition, failed to revise the plan of care after multiple falls, and failed to follow agency policies. Multiple instances were noted where Licensed Practical Nurses failed to notify the RN on duty after client falls and failed to update service plans accordingly.
Complaint Details
The visit was complaint-related as indicated by the purpose of the visit and the reference to Complaint #34344. The substantiation status is not explicitly stated.
Deficiencies (1)
| Description |
|---|
| Failure to conduct an investigation after unwitnessed injuries were identified, failure to notify a Registered Nurse of a change in condition, failure to revise the plan of care after multiple falls, and failure to follow agency policies. |
Report Facts
Date of visit: Apr 12, 2023
Plan of correction submission deadline: May 12, 2023
Plan of correction review date: May 19, 2023
Number of charts to be reviewed monthly: 3
Monitoring period: 6
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Elizabeth Heiney | Supervising Nurse Consultant | Contact person for response to the plan of correction and instructions in the letter |
| Lindsey Miller | Executive Director | Facility Executive Director addressed in the letter and interviewed during investigation |
Inspection Report
Plan of Correction
Census: 116
Deficiencies: 3
Jun 29, 2022
Visit Reason
The document is a plan of correction submitted by Farmington Station following a compliance review completed on June 29, 2022, addressing identified violations related to regulatory compliance in a senior living residence.
Findings
The report identifies three main violations: failure to ensure the governing authority met twice annually, failure to conduct Quality Assurance meetings and annual program review, and failure of the Supervisor of Assisted Living Services to complete required supervision and reporting for assisted living aides. Plans of correction are detailed for each violation.
Deficiencies (3)
| Description |
|---|
| Failure to ensure the governing authority met at least twice annually as required by regulations. |
| Failure to conduct Quality Assurance meetings every 120 days and to conduct an annual program review. |
| Supervisor of Assisted Living Services failed to complete required supervision of assisted living aides every 120 days and failed to complete weekly and monthly reports to the Service Coordinator. |
Report Facts
Date of compliance review: Jun 29, 2022
Governing Authority meeting date: May 26, 2022
Next Governing Authority meeting date: Oct 5, 2022
Quality Assurance meeting interval: 120
Last Quality Assurance meeting date: Dec 11, 2020
Number of clients reviewed for supervision: 3
Supervision interval: 120
Current census: 116
Hospice residents: 8
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Michael Schaus | Interim Executive Director | Named as responsible for oversight and plan of correction |
| Jessica Ferreira | Executive Director/Service Coordinator | Named in Governing Authority meeting minutes |
| Jenna Worthington | Director of Compliance | Signed the meeting minutes and involved in compliance |
| Bob Larkin | Managing Partner & General Counsel | Member of Governing Authority Committee |
| Mike Schaus | Director of Operations | Member of Governing Authority Committee |
Inspection Report
Renewal
Census: 112
Capacity: 135
Deficiencies: 0
Jun 28, 2022
Visit Reason
The inspection was conducted as a renewal licensing inspection for Farmington Station.
Findings
Violations of the General Statutes of Connecticut and/or regulations of Connecticut State Agencies were identified at the time of this inspection, as noted in an attached violation letter dated 6/12/22.
Report Facts
Licensed Bed Capacity: 135
Census: 112
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Micheal Schaus | Executive Admin (interim) | Personnel contacted during inspection |
| Samantha Felician | Interim ED | Personnel contacted during inspection |
| Maria Caruso | RN SALSA | Personnel contacted during inspection |
Inspection Report
Complaint Investigation
Deficiencies: 4
Mar 10, 2021
Visit Reason
An unannounced visit was made to Farmington Station A Senior Living Residence on March 10, 2021, by a representative of the Facility Licensing and Investigations Section of the Department of Public Health for the purpose of conducting an investigation related to complaint CT #29631.
Findings
The Assisted Living Services Agency (ALSA) failed to conduct an investigation after unwitnessed injuries were identified, failed to notify a Registered Nurse (RN) of a change in condition, failed to revise the plan of care to address behaviors, and the governing authority failed to develop policies conforming to state regulations. Specific findings included failure to notify RN of injuries to Client #1, lack of investigation policy for injuries of unknown origin, and inadequate communication and care planning.
Complaint Details
Complaint CT #29631 triggered the investigation. The complaint involved failure to investigate injuries and notify appropriate nursing staff.
Deficiencies (4)
| Description |
|---|
| Failure to conduct an investigation after unwitnessed injuries were identified. |
| Failure to notify a Registered Nurse (RN) of a change in condition. |
| Failure to revise the plan of care to address behaviors. |
| Governing authority failed to develop policies to conform to state regulations. |
Report Facts
Complaint number: 29631
Date of visit: Mar 10, 2021
Plan of correction submission deadline: Apr 9, 2021
Plan of correction acceptance date: Apr 12, 2021
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jessica Ferreira | Executive Director | Named in relation to clinical record review and plan of correction |
| Karen Donato | Supervising Nurse Consultant/Interim | Signed the notice letter and involved in complaint investigation |
Inspection Report
Complaint Investigation
Deficiencies: 1
Feb 16, 2021
Visit Reason
An unannounced visit was made to Farmington Station A Senior Living Residence on February 16, 2021, by a representative of the Facility Licensing and Investigations Section of the Department of Public Health for the purpose of conducting an investigation related to a complaint.
Findings
The Assisted Living Services Agency (ALSA) failed to ensure the development of policies and procedures to follow for fall incidents. Specifically, a client who sustained a fall did not have a completed incident report or fall investigation by ALSA staff, and there was no policy or guideline for documenting fall circumstances, including staff interviews and root cause analysis to prevent recurrence.
Complaint Details
The investigation was complaint-related, focusing on a client who sustained a fall. The complaint was substantiated by findings that ALSA staff failed to complete an incident report and fall investigation, and lacked policies for documenting fall incidents.
Deficiencies (1)
| Description |
|---|
| Failure to ensure the development of policies and procedures to follow for fall incidents, including incomplete incident report and lack of fall investigation and documentation. |
Report Facts
Client admission date: Jul 31, 2020
Service Plan date: Nov 7, 2020
Nursing note date: Oct 4, 2020
Incident date: Feb 16, 2021
Inservice training completion goal date: Jun 1, 2021
Resident charts for review: 10
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jessica Ferreira | Executive Director | Interviewed regarding fall incident and responsible for compliance oversight in plan of correction |
| Inna Erlikh | Supervising Nurse Consultant/Interim | Author of the investigation letter and contact for the Facility Licensing and Investigations Section |
Inspection Report
Plan of Correction
Deficiencies: 3
Dec 10, 2020
Visit Reason
An unannounced visit was made to Farmington Station A Senior Living Residence on December 7, 2020, by a representative of the Facility Licensing and Investigations Section of the Department of Public Health for the purpose of conducting multiple investigations with additional information received through December 10, 2020.
Findings
Violations of the Regulations of Connecticut State Agencies and/or General Statutes were identified, including failure to develop policies and procedures for fall incidents and medication administration, failure to ensure all staff were tested weekly for COVID-19 as mandated, and failure to assess clients' ability to self-administer medications. The facility submitted a plan of correction addressing these issues.
Deficiencies (3)
| Description |
|---|
| Failure to develop policies and procedures to follow for fall incidents for one client who sustained a fall. |
| Failure to develop policies and procedures to ensure the safety of medication delivery and to assess the client for the ability to self-administer medications prior to assigning an aide to remind medications. |
| Failure to ensure all facility staff were tested for COVID-19 on a weekly basis in accordance with the Department of Public Health mandate. |
Report Facts
Date of visit: Dec 10, 2020
Number of employees: 98
Employee COVID-19 testing counts: 28
Employee COVID-19 testing counts: 27
Employee COVID-19 testing counts: 21
Employee COVID-19 testing counts: 43
Employee COVID-19 testing counts: 24
Employee COVID-19 testing counts: 36
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Loan Nguyen | Supervising Nurse Consultant | Signed as Supervising Nurse Consultant for Facility Licensing and Investigations Section |
| Jessica Ferreira | Executive Director | Named in plan of correction and response letter |
Inspection Report
Complaint Investigation
Deficiencies: 1
Jul 17, 2020
Visit Reason
An unannounced visit was made to Farmington Station, A Senior Living Residence on July 17, 2020, by a representative of the Facility Licensing and Investigations Section of the Department of Public Health for the purpose of conducting an investigation.
Findings
A violation was identified related to the failure of the Supervisor of Assisted Living to ensure completion and documentation of nursing assessments for a client experiencing significant weight loss, including failure to update the plan of care and provide acceptable nursing services during the client's physiological decline.
Complaint Details
The investigation was complaint-related, focusing on the care of one client who experienced significant weight loss and inadequate nursing assessments and interventions. The client was admitted to hospice care on 6/26/2020.
Deficiencies (1)
| Description |
|---|
| Supervisor of Assisted Living failed to ensure completion and documentation of nursing assessments for a client with significant weight loss and failed to update the plan of care or provide acceptable nursing services during physiological decline. |
Report Facts
Weight loss: 30
Dates of client weights: Client weighed 84 pounds on 6/19/2020 and 78.9 pounds on 6/24/2020
Days for plan of correction submission: 25
Days between assessments: 120
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Loan Nguyen | Supervising Nurse Consultant | Signed the notice of violation and investigation report |
| Jessica Ferreira | Executive Director | Named as staff member responsible for ensuring compliance with plan of correction |
| Kim Marfyak | Supervisor of Assisted Living Services Agency | Recipient of the notice of violation |
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