Inspection Reports for Farmington Station, A Senior Living Residence

CT, 06032

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Inspection Report Summary

The most recent inspection on August 7, 2025, found no deficiencies during a complaint investigation. Earlier inspections identified various deficiencies related primarily to supervision of aide staff, client safety following falls, timely reporting and assessment of changes in client condition, and policy development for incident investigations. Notably, a January 2025 investigation substantiated abuse by a facility aide, resulting in suspension and termination of the staff member involved. Complaint investigations prior to 2025 generally found substantiated violations, while more recent complaint investigations have not substantiated violations. The record shows some improvement in compliance with no deficiencies found in the latest inspection after a period of multiple citations.

Deficiencies (last 6 years)

Deficiencies (over 6 years) 2.8 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

50% better than Connecticut average
Connecticut average: 5.6 deficiencies/year

Deficiencies per year

4 3 2 1 0
2020
2021
2022
2023
2024
2025

Census

Latest occupancy rate 66% occupied

Based on a January 2025 inspection.

This facility has shown a decline in demand based on occupancy rates.

Occupancy over time

80 100 120 140 Jun 2022 Jun 2022 Jan 2025

Inspection Report

Complaint Investigation
Deficiencies: 0 Date: Aug 7, 2025

Visit Reason
The inspection visit was conducted as a complaint investigation related to Complaint Investigation #44448.

Complaint Details
Complaint Investigation #44448 was conducted and no violations were substantiated at the time of inspection.
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.

Employees mentioned
NameTitleContext
Lindsay MillerExecutive DirectorPersonnel contacted during the inspection.
Mermisa CarneyRNPersonnel contacted during the inspection.

Inspection Report

Complaint Investigation
Deficiencies: 0 Date: Aug 7, 2025

Visit Reason
The inspection visit was conducted as a complaint investigation related to Complaint Investigation #44448.

Complaint Details
Complaint Investigation #44448 was not substantiated as no violations were found during the inspection.
Findings
No violations of the General Statutes of Connecticut and/or regulations of Connecticut State Agencies were identified at the time of this inspection.

Report Facts
Complaint Investigation Number: 44448

Employees mentioned
NameTitleContext
Lindsay MillerExecutive DirectorPersonnel contacted during the inspection
Mermisa CarneyRNPersonnel contacted during the inspection

Inspection Report

Complaint Investigation
Census: 88 Capacity: 134 Deficiencies: 0 Date: Jan 7, 2025

Visit Reason
The inspection visit was conducted as a complaint investigation related to complaint numbers 40816 and 42348.

Complaint Details
Complaint investigation numbers 40816 and 42348 were the basis for this visit. Violations were found and documented in a violation letter.
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.

Employees mentioned
NameTitleContext
Lindsay MillerEDPersonnel contacted during the inspection.
Mermisa CarneySALSAPersonnel contacted during the inspection.

Inspection Report

Plan of Correction
Deficiencies: 1 Date: Jan 7, 2025

Visit Reason
The visit was conducted on January 7, 2025, for the purpose of conducting an investigation related to Complaint #42348 regarding alleged abuse by a facility aide staff member.

Complaint Details
Complaint #42348 was investigated following reports of abuse by a facility aide staff member toward a client. The complaint was substantiated by interviews, video surveillance, and agency investigation. The associate involved was suspended and subsequently terminated.
Findings
The investigation found that the agency failed to ensure supervision of agency aide staff in the performance of care and services and failed to safeguard a client from abuse by a facility aide staff member. The incident involved an aide staff member forcibly handling a client, as documented by staff interviews and video surveillance.

Deficiencies (1)
The agency failed to ensure the supervision of the agency aide staff in the performance of their care and services to the 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
NameTitleContext
Lindsay MillerExecutive DirectorNamed in response letter and involved in investigation interviews
Elizabeth HeineyDPH Supervising Nurse ConsultantRecipient of plan of correction and complaint oversight

Inspection Report

Complaint Investigation
Deficiencies: 0 Date: 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.

Complaint Details
Complaint Investigation #388813 was the basis for the visit. Violations were substantiated as violations were identified at the time of 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.

Employees mentioned
NameTitleContext
Lindsay MillerExecutive DirectorPersonnel contacted during the inspection
Mermisa CarneySALSAPersonnel contacted during the inspection
Megan Edson-SawyerNurse Consultant and Survey Team LeaderSignature of FLIS Staff and report submitter
Elizabeth HeineySupervisorSupervisor of the survey team

Inspection Report

Complaint Investigation
Deficiencies: 0 Date: 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.

Complaint Details
Complaint Investigation #388813 was the basis for the visit; violations were found as noted in the attached violation letter.
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.

Employees mentioned
NameTitleContext
Lindsay MillerExecutive DirectorPersonnel contacted during the inspection
Mermisa CarneySALSAPersonnel contacted during the inspection
Megan Edson-SawyerNurse Consultant and Survey Team LeaderSignature of FLIS Staff and report submitter
Elizabeth HeineySupervisorSupervisor of the survey team

Inspection Report

Complaint Investigation
Deficiencies: 1 Date: 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.

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.
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.

Deficiencies (1)
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
NameTitleContext
Megan Edson-SawyerNurse Consultant and Survey Team LeaderSignature on inspection report and report submitter.
Elizabeth HeineySupervisorSupervisor of the survey team.
Lindsay MillerExecutive DirectorInterviewed during agency investigation and mentioned in findings.
Mermisa CarneySALSAPersonnel contacted during inspection.

Inspection Report

Plan of Correction
Deficiencies: 1 Date: 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.

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.
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.

Deficiencies (1)
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
NameTitleContext
Lindsay MillerExecutive DirectorSigned the plan of correction letter and involved in interview and review of client clinical record
Elizabeth HeineySupervising Nurse ConsultantIssued the violation notice and correspondence related to the complaint investigation

Inspection Report

Complaint Investigation
Deficiencies: 0 Date: Sep 18, 2023

Visit Reason
The inspection visit was conducted as a complaint investigation related to Complaint Investigation # CT35750.

Complaint Details
Complaint Investigation # CT35750 was substantiated with violations identified during the inspection.
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.

Employees mentioned
NameTitleContext
Mermisa CarneyPersonnel contacted during the inspection.
Megan Edson-SawyerSurvey Team LeaderNamed as Survey Team Leader for the inspection.
Elizabeth HeineySupervisorNamed as Supervisor for the inspection.

Inspection Report

Complaint Investigation
Deficiencies: 1 Date: 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.

Complaint Details
Complaint #34344 triggered the investigation. The report does not explicitly state substantiation status.
Findings
Violations were identified related to failure to conduct investigations after unwitnessed injuries, failure to notify a Registered Nurse of changes in condition, failure to revise plans of care after multiple falls, and failure to follow agency policies including workplace safety and lifting restrictions. Two clients receiving assisted living services were involved in these findings.

Deficiencies (1)
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 after multiple falls, and failure to follow agency policies.

Employees mentioned
NameTitleContext
Elizabeth HeineySupervising Nurse ConsultantSigned the complaint investigation report and directed responses.
Mermisa CarneyRN, RCDResponsible for ongoing monitoring and review of nurses notes and incident reports.

Inspection Report

Complaint Investigation
Deficiencies: 1 Date: 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.

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.
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.

Deficiencies (1)
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
NameTitleContext
Elizabeth HeineySupervising Nurse ConsultantContact person for response to the plan of correction and instructions in the letter
Lindsey MillerExecutive DirectorFacility Executive Director addressed in the letter and interviewed during investigation

Inspection Report

Plan of Correction
Census: 116 Deficiencies: 3 Date: 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)
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
NameTitleContext
Michael SchausInterim Executive DirectorNamed as responsible for oversight and plan of correction
Jessica FerreiraExecutive Director/Service CoordinatorNamed in Governing Authority meeting minutes
Jenna WorthingtonDirector of ComplianceSigned the meeting minutes and involved in compliance
Bob LarkinManaging Partner & General CounselMember of Governing Authority Committee
Mike SchausDirector of OperationsMember of Governing Authority Committee

Inspection Report

Renewal
Census: 112 Capacity: 135 Deficiencies: 0 Date: 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
NameTitleContext
Micheal SchausExecutive Admin (interim)Personnel contacted during inspection
Samantha FelicianInterim EDPersonnel contacted during inspection
Maria CarusoRN SALSAPersonnel contacted during inspection

Inspection Report

Complaint Investigation
Deficiencies: 4 Date: 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.

Complaint Details
Complaint CT #29631 triggered the investigation. The complaint involved failure to investigate injuries and notify appropriate nursing staff.
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.

Deficiencies (4)
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
NameTitleContext
Jessica FerreiraExecutive DirectorNamed in relation to clinical record review and plan of correction
Karen DonatoSupervising Nurse Consultant/InterimSigned the notice letter and involved in complaint investigation

Inspection Report

Plan of Correction
Deficiencies: 1 Date: 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.

Complaint Details
The visit was complaint-related, investigating a fall incident involving one client with Parkinson's dementia and history of falls. The complaint was substantiated by findings of failure to complete incident reports and fall investigations.
Findings
The Assisted Living Services Agency failed to ensure the development of policies and procedures for fall incidents, including failure to complete incident reports, fall investigations, and documentation of circumstances with root cause analysis to prevent recurrence.

Deficiencies (1)
Failure to ensure the development of policies and procedures to follow for fall incidents, including incomplete incident report and/or fall investigation, and lack of policy or guideline for documenting the circumstances of a fall with root cause analysis.
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 Number of resident charts for review: 10

Employees mentioned
NameTitleContext
Jessica FerreiraExecutive DirectorNamed in relation to interview and plan of correction oversight
Inna ErlikhSupervising Nurse Consultant/InterimAuthor of the investigation letter and contact for the Department of Public Health

Inspection Report

Plan of Correction
Deficiencies: 3 Date: 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)
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
NameTitleContext
Loan NguyenSupervising Nurse ConsultantSigned as Supervising Nurse Consultant for Facility Licensing and Investigations Section
Jessica FerreiraExecutive DirectorNamed in plan of correction and response letter

Inspection Report

Complaint Investigation
Deficiencies: 1 Date: 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.

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.
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.

Deficiencies (1)
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
NameTitleContext
Loan NguyenSupervising Nurse ConsultantSigned the notice of violation and investigation report
Jessica FerreiraExecutive DirectorNamed as staff member responsible for ensuring compliance with plan of correction
Kim MarfyakSupervisor of Assisted Living Services AgencyRecipient of the notice of violation

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