Inspection Reports for Hancock Hall

31 Staples St, Danbury, CT 06810, United States, CT, 06801

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Inspection Report Renewal Census: 92 Capacity: 96 Deficiencies: 0 Apr 25, 2025
Visit Reason
The inspection visit was conducted as a licensing renewal inspection and included a complaint investigation identified as CT 44158.
Findings
The report does not specify any violations or deficiencies identified during the inspection. No citations or violations were noted at the time of this inspection.
Complaint Details
Complaint investigation number CT 44158 was reviewed during this inspection; no substantiation status or findings are provided.
Report Facts
Inspection dates: Inspection visits occurred on 2025-04-25, 2025-04-28, 2025-04-29, 2025-04-30, and 2025-05-01
Employees Mentioned
NameTitleContext
Lavon DavisAdministratorPersonnel contacted during the inspection
Inspection Report Follow-Up Census: 93 Capacity: 96 Deficiencies: 1 Oct 16, 2024
Visit Reason
A desk audit was conducted to review the implementation of the Plan of Correction for a previously identified violation dated 8/19/24.
Findings
The audit found that Violation #1 was in compliance as of 9/3/24, and the Regional Director of Nursing was notified on 10/17/24 that the violation was back into compliance.
Deficiencies (1)
Description
Violation #1 identified in previous inspection
Report Facts
Licensed Bed Capacity: 96 Census: 93
Employees Mentioned
NameTitleContext
Omera YoungRegional Director Of NursingContacted personnel related to findings and notified of compliance status
Inspection Report Original Licensing Deficiencies: 0 Pre Licensure Consent Order Hancock Hall Executed Pre Licensure Consent
Visit Reason
This document is a Pre-Licensure Consent Order for Hancock Hall, a Chronic and Convalescent Nursing Home, outlining the conditions and requirements for the issuance of an initial nursing home license.
Findings
The document details the obligations of Hancock Opco LLC to comply with regulatory requirements including contracting an Independent Nurse Consultant, infection control measures, staffing ratios, quality assurance programs, water management, and life safety compliance prior to and upon issuance of the nursing home license.
Report Facts
Order duration: 1 Independent Nurse Consultant hours: 8 Infection Preventionist hours: 32 Nurse aide staffing ratios: 10 Nurse aide staffing ratios: 12 Nurse aide staffing ratios: 20 Licensed nurse staffing ratio: 30 Invoice payment timeframe: 120 Contract with Environmental Consulting Firm timeframe: 14 Initial onsite review timeframe: 30 Report development timeframe after initial review: 30 Re-evaluation frequency: 3 Report development timeframe after re-evaluation: 14 Invoice payment timeframe: 7
Employees Mentioned
NameTitleContext
Kim HriceniakPublic Health Services ManagerActing on behalf of the Facility Licensing and Investigations Section in the Pre-Licensure Consent Order
Yitzchok Dovid ShapiroCEO and Member of Hancock Opco LLCActing on behalf of Hancock Opco LLC in the Pre-Licensure Consent Order
Maureen Golas MarkureSupervising Nurse ConsultantDesignated contact for reports required by the document

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