Inspection Reports for Four Corners Rest Home, Inc.
306 Naugatuck Ave, Milford, CT 06460, CT, 06460
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Inspection Report
Renewal
Census: 15
Capacity: 18
Deficiencies: 0
Nov 30, 2022
Visit Reason
The inspection was conducted as a licensing inspection for renewal of the facility license.
Findings
Violations of the General Statutes of Connecticut and/or regulations of Connecticut State Agencies were identified at the time of this inspection. Approval for issuance of license was granted.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Mary Elizabeth Hagerty | Person-in-Charge | Personnel contacted during inspection |
| Karen Gworek | RN | Signature of FLIS Staff and report submitter |
| Daniel Tomascak | BFSI | Signature of FLIS Staff |
Inspection Report
Plan of Correction
Deficiencies: 3
Nov 30, 2022
Visit Reason
An unannounced visit was made to Four Corners Rest Home Inc on November 30, 2022 by representatives of the Facility Licensing and Investigations Section of the Department of Public Health for the purpose of conducting a licensure inspection.
Findings
The facility was found to have violations including failure to ensure narcotic medications were stored in a double locked system and failure to comply with fire safety codes regarding the use of extension cords and appliance wiring.
Deficiencies (3)
| Description |
|---|
| Failure to ensure narcotic medications were stored in a double locked system; an unlocked box containing controlled medications was found inside a locked file cabinet. |
| Use of extension cords as substitutes for permanent wiring in multiple rooms, not in compliance with NFPA 1 section 11.1.3.2. |
| A small refrigerator was plugged into a relocatable power tap instead of a permanently installed receptacle, violating fire safety codes. |
Report Facts
Date of inspection: Nov 30, 2022
Date of corrective measures: Dec 22, 2022
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Mary Hagerty | Administrator | Named as responsible party for compliance correction related to medication storage and fire safety violations |
| Darren Hagerty | Administrator | Named as responsible party for compliance correction related to fire safety violations |
| Karen Gworek | Supervising Nurse Consultant | Author of the inspection report letter |
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