Inspection Reports for
Hancock Hall
31 Staples St, Danbury, CT 06810, United States, CT, 06801
Back to Facility ProfileDeficiencies (last 4 years)
Deficiencies (over 4 years)
9.5 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
70% worse than Connecticut average
Connecticut average: 5.6 deficiencies/year
Deficiencies per year
12
9
6
3
0
Occupancy
Latest occupancy rate
96% occupied
Based on a April 2025 inspection.
Occupancy rate over time
Inspection Report
Complaint Investigation
Deficiencies: 6
Date: May 1, 2025
Visit Reason
The inspection was conducted based on complaints alleging verbal and physical abuse, failure to provide appropriate pressure ulcer care, medication regimen review issues, medication storage problems, and infection control deficiencies.
Complaint Details
The complaint investigation included allegations of verbal abuse by staff member NA #1 towards Resident #57, physical abuse involving Resident #58 hitting Resident #5, failure to provide appropriate pressure ulcer care for Residents #61 and #72, delayed response to pharmacy medication review recommendations for Resident #36, expired medications found in storage, and failure to follow infection control protocols including PPE use and hand hygiene.
Findings
The facility was found to have failed in ensuring respectful treatment of residents, protecting residents from abuse, providing appropriate pressure ulcer care, timely addressing pharmacy medication reviews, removing expired medications and monitoring refrigerator temperatures, and enforcing infection prevention and control practices including PPE use and hand hygiene.
Deficiencies (6)
Failed to ensure a resident was treated in a respectful and dignified manner; verbal abuse allegation involving staff member NA #1.
Failed to protect a resident from physical abuse; resident to resident altercation without injury.
Failed to ensure initial comprehensive skin assessment and regular assessment of air mattress settings according to manufacturer guidelines for residents with pressure ulcers.
Failed to address pharmacy medication/drug regimen review recommendations in a timely manner for a resident's medication.
Failed to remove expired medications from medication refrigerator and failed to ensure refrigerator temperatures were monitored as required.
Failed to ensure personal protective equipment (PPE) was worn while providing direct care and failed to perform hand hygiene according to infection control practices.
Report Facts
Weight loss percentage: 25.41
Weight loss in pounds: 18.8
Expired medications count: 8
Refrigerator temperature monitoring days missed: 25
Refrigerator temperature monitored once per day: 74
Deficiencies cited: 6
Employees mentioned
| Name | Title | Context |
|---|---|---|
| NA #1 | Nurse Aide | Named in verbal abuse allegation towards Resident #57 and placed on administrative leave pending investigation. |
| NA #2 | Nurse Aide | Witnessed interaction with Resident #57 and assisted NA #1. |
| NA #3 | Nurse Aide | Observed providing incontinent care without PPE to Resident #61. |
| LPN #2 | Licensed Practical Nurse | Observed providing incontinent care with improper hand hygiene to Resident #61. |
| DNS | Director of Nursing Services | Provided interviews regarding abuse investigation, wound tracking, air mattress settings, and infection control expectations. |
| APRN #2 | Advanced Practice Registered Nurse | Provided wound consultations and identified issues with wound tracking and air mattress settings. |
| RN #1 | Regional President of Nursing Services | Interviewed regarding wound tracking and infection control practices. |
| RN #5 | Nursing Supervisor | Failed to complete assessment for newly identified skin injury on Resident #61. |
| LPN #1 | Licensed Practical Nurse | Identified expired medications and discussed refrigerator temperature monitoring. |
| RN #2 | Registered Nurse | Observed air mattress settings and adjusted settings for Resident #72. |
| MD #1 | Medical Director | Provided input on air mattress orders and settings. |
Inspection Report
Complaint Investigation
Deficiencies: 6
Date: May 1, 2025
Visit Reason
The inspection was conducted following complaints related to resident abuse, pressure ulcer care, medication regimen review, medication storage, and infection control practices.
Complaint Details
The complaint investigation included allegations of verbal abuse by staff, physical abuse between residents, inadequate pressure ulcer care, delayed medication regimen review follow-up, improper medication storage including expired medications, and failure to follow infection control protocols including PPE use and hand hygiene. The verbal abuse allegation was unsubstantiated; other issues were substantiated with findings.
Findings
The facility was found to have failed to ensure respectful treatment of residents, protect residents from abuse, provide appropriate pressure ulcer care, maintain proper medication regimen review and storage, and implement infection prevention and control practices including proper use of PPE and hand hygiene.
Deficiencies (6)
F 0550: The facility failed to ensure a resident was treated in a respectful and dignified manner, with an allegation of verbal abuse by a nursing assistant that was unsubstantiated after investigation.
F 0600: The facility failed to protect a resident from physical abuse during a witnessed resident-to-resident altercation without injury, with appropriate interventions and monitoring initiated.
F 0686: The facility failed to ensure an initial comprehensive skin assessment was completed for a newly identified pressure ulcer and failed to maintain air mattress settings according to manufacturer guidelines for residents at risk.
F 0756: The facility failed to address a pharmacy medication/drug regimen review recommendation regarding a medication in a timely manner, resulting in a 48-day delay in follow-up.
F 0761: The facility failed to remove expired medications from the medication refrigerator and failed to ensure refrigerator temperatures were monitored according to policy.
F 0880: The facility failed to ensure personal protective equipment was worn while providing direct care to a resident on enhanced barrier precautions and failed to perform hand hygiene in accordance with infection control practices.
Report Facts
Weight loss percentage: 25.41
Weight loss in pounds: 18.8
Days delay in medication regimen review follow-up: 48
Expired vaccines count: 8
Refrigerator temperature monitoring days missed: 25
Refrigerator temperature monitored once per day: 74
Employees mentioned
| Name | Title | Context |
|---|---|---|
| NA #1 | Nursing Assistant | Named in verbal abuse allegation involving Resident #57. |
| NA #2 | Nursing Assistant | Witnessed interaction with Resident #57 during verbal abuse allegation. |
| NA #3 | Nursing Assistant | Observed providing incontinent care without PPE to Resident #61. |
| LPN #2 | Licensed Practical Nurse | Observed providing incontinent care with improper hand hygiene to Resident #61. |
| RN #1 | Regional President of Nursing Services | Provided interview regarding hand hygiene expectations and medication storage policy. |
| DNS | Director of Nursing Services | Interviewed regarding abuse investigation, wound tracking, air mattress settings, and infection control expectations. |
| APRN #2 | Advanced Practice Registered Nurse | Provided wound consultations and identified gaps in wound assessment documentation. |
| RN #5 | Nursing Supervisor | Failed to complete assessment for newly identified skin injury on Resident #61. |
| LPN #2 | Licensed Practical Nurse | Assigned nurse when open area to buttocks was first identified on Resident #61. |
| RN #2 | Registered Nurse | Interviewed regarding air mattress settings and resident weight. |
| MD #1 | Medical Director | Provided interview regarding air mattress order and setting recommendations. |
Inspection Report
Renewal
Census: 92
Capacity: 96
Deficiencies: 0
Date: Apr 25, 2025
Visit Reason
The inspection visit was conducted as a licensing renewal inspection and included a complaint investigation identified as CT 44158.
Complaint Details
Complaint investigation number CT 44158 was reviewed during this inspection; no substantiation status or findings are provided.
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.
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
| Name | Title | Context |
|---|---|---|
| Lavon Davis | Administrator | Personnel contacted during the inspection |
Inspection Report
Follow-Up
Census: 93
Capacity: 96
Deficiencies: 1
Date: 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)
Violation #1 identified in previous inspection
Report Facts
Licensed Bed Capacity: 96
Census: 93
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Omera Young | Regional Director Of Nursing | Contacted personnel related to findings and notified of compliance status |
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: Aug 6, 2024
Visit Reason
The inspection was conducted following a complaint related to a resident fall incident involving improper wheelchair positioning and transport.
Complaint Details
The complaint investigation substantiated that Resident #1 fell from a wheelchair due to improper positioning and lack of footrest use by Nurse Aide #1 during transport. The resident sustained a forehead laceration requiring emergency care and staples.
Findings
The facility failed to ensure Resident #1 was properly positioned in the wheelchair with footrests in place prior to transport, resulting in a fall with minor injury. The nurse aide transporting the resident did not use footrests, contrary to facility policy, leading to a laceration requiring hospital treatment.
Deficiencies (1)
F 0689: The facility failed to ensure the nursing home area was free from accident hazards and did not provide adequate supervision to prevent accidents. Resident #1 fell from a wheelchair during transport because footrests were not used as required by policy.
Report Facts
Staples to be removed: 4
Date of fall incident: Jul 10, 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Nurse Aide #1 | Nurse Aide | Named in fall incident for improper wheelchair transport |
| Director of Nursing | Director of Nursing | Interviewed regarding incident and facility policy |
| Advanced Practice Registered Nurse | APRN | Notified and ordered hospital transfer for Resident #1 |
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: Aug 6, 2024
Visit Reason
The inspection was conducted following a complaint related to a fall incident involving Resident #1 who was improperly positioned in a wheelchair during transport, resulting in a fall with minor injury.
Complaint Details
The complaint investigation was substantiated. Resident #1 fell out of the wheelchair during transport by Nurse Aide #1 who did not place footrests on the wheelchair. Resident sustained a forehead laceration requiring emergency department evaluation and staples.
Findings
The facility failed to ensure Resident #1 was properly positioned in the wheelchair with footrests in place prior to transport, leading to a fall and a forehead laceration requiring hospital evaluation and staples. Interviews and policy review confirmed noncompliance with proper wheelchair safety procedures.
Deficiencies (1)
Failure to ensure Resident #1 was properly positioned in the wheelchair with footrests in place prior to transport, resulting in a fall with minor injury.
Report Facts
Date of fall incident: Jul 10, 2024
Number of staples: 4
Timeframe for staple removal: 7
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Nurse Aide #1 | Nurse Aide | Named in fall incident for improper wheelchair transport |
| Director of Nursing | Director of Nursing | Interviewed regarding failure to ensure proper wheelchair positioning |
| Advanced Practice Registered Nurse | APRN | Notified and ordered transfer to Emergency Department after fall |
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: Jan 29, 2024
Visit Reason
The inspection was conducted due to a complaint investigation regarding medication administration errors at Havencare at Hancock Hall.
Complaint Details
The complaint investigation found substantiated medication errors involving incorrect medication administration to one resident and medication omissions for eleven residents. The facility reported the errors, notified responsible parties, and monitored residents with no ill effects noted.
Findings
The facility failed to ensure correct medication administration for multiple residents, including one resident receiving the wrong medication and eleven residents not receiving medications as ordered. The errors were self-reported and involved omissions and incorrect administration during the evening shift on 1/5/24.
Deficiencies (1)
F 0684: The facility failed to provide appropriate treatment and care according to orders, resident preferences, and goals. One resident received incorrect medication, and eleven residents did not receive medications as ordered during the evening shift on 1/5/24.
Report Facts
Residents affected: 12
Date of medication error event: Jan 5, 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| LPN #1 | Licensed Practical Nurse | Administered incorrect medication and failed to administer medications as ordered; worked first shift at facility on 1/5/24. |
| RN #1 | Registered Nurse, Nursing Supervisor | Assigned nursing supervisor during 11:00 PM to 7:00 AM shift on 1/5/24; notified of medication errors and omissions; conducted clinical record review. |
| Director of Nursing | DNS | Worked until 9:00 PM on 1/5/24; rounded building and was informed of medication errors; expected LPN #1 to be more attentive. |
| RN #2 | Registered Nurse, Nursing Supervisor | Assigned nursing supervisor on 3:00 PM to 11:00 PM shift on 1/5/24; stated LPN #1 did not report issues with medication administration. |
Inspection Report
Complaint Investigation
Deficiencies: 2
Date: Jan 29, 2024
Visit Reason
The inspection was conducted due to medication administration errors involving multiple residents, including administration of incorrect medication to one resident and failure to administer medications as ordered to several others during the evening shift on 1/5/24.
Complaint Details
The complaint investigation found substantiated medication errors including administration of incorrect medication to Resident #12 and multiple medication omissions for eleven other residents. The facility reported the errors, notified responsible parties, and monitored residents with no ill effects noted.
Findings
The facility failed to ensure correct medication administration for one resident and failed to administer medications according to physician orders for eleven residents. Medication omissions and errors were identified, with no ill effects noted, and the facility provided education to staff following the event.
Deficiencies (2)
Incorrect medication administered to Resident #12 due to failure to properly identify the resident before medication administration.
Failure to administer medications as ordered to Residents #1 through #11 during the 3:00 PM - 11:00 PM shift on 1/5/24.
Report Facts
Residents affected: 12
Date of medication error event: Jan 5, 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| LPN #1 | Licensed Practical Nurse | Administered incorrect medication to Resident #12 and failed to administer medications to multiple residents; worked first shift at facility on 1/5/24. |
| RN #1 | Registered Nurse, Nursing Supervisor | Assigned nursing supervisor during 11:00 PM to 7:00 AM shift on 1/5/24; notified of medication errors and omissions; followed up with LPN #1 and notified APRN, physician, and DNS. |
| Director of Nursing | DNS | Worked until 9:00 PM on 1/5/24; rounded building; involved in notification and oversight related to medication errors. |
| RN #2 | Registered Nurse, Nursing Supervisor | Assigned nursing supervisor on 3:00 PM to 11:00 PM shift on 1/5/24; stated LPN #1 did not report issues with medication administration. |
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: Dec 13, 2023
Visit Reason
The inspection was conducted due to a complaint investigation regarding neglect in providing incontinent care to residents at Havencare at Hancock Hall.
Complaint Details
The complaint investigation found neglect in incontinent care for three residents. The neglect was substantiated with evidence of delayed care from 7:00 AM to 12:00 PM on 11/17/23. Residents were found in wet briefs and denied pain or distress. Staff interviews confirmed the delay and lack of communication.
Findings
The facility neglected to provide incontinent care and morning personal care to three residents for five hours, resulting in residents being found in wet briefs and delayed care. Staff interviews revealed heavy assignments and lack of communication contributed to the delay. The facility provided staff education and initiated weekly audits to address the issue.
Deficiencies (1)
F 0600: The facility neglected to provide incontinent care and morning personal care to Residents #1, #2, and #3 for five hours, despite care plans requiring assistance every two hours. Staff failed to notify charge nurses or request help when behind in care.
Report Facts
Hours without incontinent care: 5
Number of residents affected: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| NA #1 | Agency Nurse Aide | Named in neglect finding for failing to provide incontinent care and not notifying charge nurse. |
| NA #2 | Nurse Aide | Named in neglect finding for failing to provide incontinent care and not notifying charge nurse. |
| DNS | Director of Nursing | Interviewed regarding staffing and care delays; provided staff education after incident. |
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: Dec 13, 2023
Visit Reason
The inspection was conducted due to a complaint investigation regarding neglect in providing incontinent care to residents at Havencare at Hancock Hall.
Complaint Details
The complaint investigation found neglect in incontinent care provision for three residents. The neglect was substantiated by clinical record reviews, staff interviews, and direct observation. Residents were found in wet briefs after five hours without care. Staff acknowledged the delay and failure to notify supervisors.
Findings
The facility neglected to provide incontinent care and morning personal care for Residents #1, #2, and #3 for a period of five hours on 11/17/23, despite care plans requiring assistance and timely care. Staff interviews revealed that nurse aides were overwhelmed and did not notify supervisors when behind, resulting in delayed care. The facility provided staff education and initiated weekly audits to address the issue.
Deficiencies (1)
Failure to provide incontinent care and morning personal care to Residents #1, #2, and #3 for five hours, contrary to their care plans.
Report Facts
Hours without incontinent care: 5
Residents affected: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| NA #1 | Agency Nurse Aide | Named in the finding for neglecting incontinent care and failing to notify charge nurse. |
| NA #2 | Nurse Aide | Named in the finding for neglecting incontinent care and failing to notify charge nurse. |
| DNS | Director of Nursing | Interviewed regarding staffing and expectations for incontinent care. |
Inspection Report
Routine
Deficiencies: 5
Date: Apr 13, 2023
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements related to resident assessments, treatment and care, medication administration, and drug storage in the facility.
Findings
The facility failed to electronically submit discharge tracking information within required timeframes, did not document RN assessments after resident falls, failed to complete neurological assessments after multiple unwitnessed falls, administered medication contrary to physician orders, and stored expired intravenous fluid supplies.
Deficiencies (5)
Failed to electronically submit discharge tracking information to CMS within required timeframes for multiple residents.
Failed to ensure RN assessment was documented after a resident fall and resident was moved prior to assessment.
Failed to complete neurological assessments after multiple unwitnessed falls.
Failed to follow physician's order related to blood pressure parameters when administering metoprolol.
Failed to ensure intravenous fluid supplies were within their expiration dates.
Report Facts
Residents reviewed for assessment: 5
Residents reviewed for accidents: 3
Fall event date: Nov 5, 2022
Medication administration record period: 10
Expired IV fluid bags: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| LPN #4 | Licensed Practical Nurse | Interviewed regarding delay in transmitting discharge tracking information |
| LPN #2 | Licensed Practical Nurse | Completed fall investigation form and assisted with resident fall |
| NA #1 | Nursing Assistant | Witnessed resident fall and assisted resident |
| RN #1 | Registered Nurse | Performed assessment after resident fall but failed to document |
| RN #2 | Registered Nurse (previous DNS) | Interviewed regarding RN assessment documentation |
| DNS | Director of Nursing Services | Interviewed regarding documentation and neurological assessments |
| APRN #1 | Advanced Practice Registered Nurse | Interviewed regarding medication administration and parameters |
| LPN #1 | Licensed Practical Nurse | Administered medication contrary to physician order and documented error |
| LPN #2 | Licensed Practical Nurse | Unit manager, provided education on medication errors |
| Pharmacist #1 | Pharmacist | Interviewed regarding expired IV fluid supplies and pharmacy responsibilities |
| Recreation Person #1 | Recreation Staff | Witnessed resident fall and notified charge nurse |
Inspection Report
Routine
Deficiencies: 3
Date: Apr 13, 2023
Visit Reason
Routine state inspection survey conducted to assess compliance with regulatory requirements related to resident care, medication administration, and facility safety.
Findings
The facility failed to timely submit resident discharge tracking data to CMS, did not document RN assessments after resident falls, failed to complete neurological assessments after multiple unwitnessed falls, administered medication contrary to physician orders, and maintained expired intravenous fluid supplies in the medication dispensing system.
Deficiencies (3)
F0640: The facility failed to electronically submit discharge tracking information to CMS within required timeframes for five discharged residents.
F0684: The facility failed to document RN assessments after a resident fall, did not complete neurological assessments after multiple unwitnessed falls, and administered medication contrary to physician's blood pressure parameters.
F0761: The facility failed to ensure intravenous fluid supplies stored in the Omnicell medication dispensing system were within their expiration dates.
Report Facts
Residents reviewed for discharge tracking: 5
Residents reviewed for falls and medication: 3
Expired IV fluid bags observed: 3
Medication administration errors: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| LPN #1 | Licensed Practical Nurse | Named in medication error for administering metoprolol against physician's order |
| LPN #2 | Licensed Practical Nurse | Completed fall form and assisted with resident transfer after fall |
| RN #1 | Registered Nurse | Performed assessment after resident fall but failed to document it |
| APRN #1 | Advanced Practice Registered Nurse | Provided clarification on medication parameters and was notified of medication error |
| Pharmacist #1 | Pharmacist | Reported on pharmacy's role in medication expiration monitoring and IV fluid supply |
| DNS | Director of Nursing Services | Interviewed regarding fall assessments, neurological assessments, and medication order confusion |
Inspection Report
Annual Inspection
Deficiencies: 5
Date: Mar 12, 2020
Visit Reason
The inspection was conducted as part of the annual survey to assess compliance with regulatory requirements and quality of care standards at Havencare at Hancock Hall.
Findings
The facility was found deficient in several areas including failure to ensure mail delivery on Saturdays, incomplete care planning for a resident removing oxygen, medication administration errors including incorrect dosing and omission of medication doses, and failure to perform proper hand hygiene by staff to prevent infection spread.
Deficiencies (5)
Failure to ensure mail was delivered on Saturdays to residents.
Failure to develop a complete care plan within 7 days of comprehensive assessment addressing resident's behavior of removing oxygen.
Failure to provide services meeting professional standards of quality, including medication administration errors.
Failure to provide appropriate treatment and care according to orders, including omission of Coumadin dose.
Failure to ensure hand hygiene was performed after providing incontinent care to prevent spread of infection.
Report Facts
Date of survey completion: Mar 12, 2020
Medication dose: 12.5
Medication dose: 25
INR levels: 2.78
INR levels: 2.52
Coumadin dose: 2.5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| RN #3 | Registered Nurse | Named in medication error finding for incorrect tramadol dose administration |
| DNS | Director of Nursing Services | Interviewed regarding medication errors and care plan deficiencies |
| RN #2 | Nursing Supervisor | Interviewed regarding Coumadin administration practice |
| LPN #1 | Charge Nurse | Interviewed regarding Coumadin scheduling error |
| RN #1 | Staff Development Nurse | Interviewed regarding hand hygiene education and compliance |
| NA #1 | Nursing Assistant | Observed and interviewed regarding hand hygiene after incontinent care |
| NA #2 | Nursing Assistant | Observed and interviewed regarding hand hygiene after incontinent care |
Inspection Report
Routine
Deficiencies: 5
Date: Mar 12, 2020
Visit Reason
The inspection was conducted to assess compliance with regulatory standards related to resident care, medication administration, infection control, and communication access at Havencare at Hancock Hall.
Findings
The facility failed to ensure mail delivery on Saturdays, timely revision of care plans addressing resident behaviors, correct medication administration, and proper hand hygiene practices. Several deficiencies were identified related to care planning, medication errors, and infection prevention.
Deficiencies (5)
F 0576: The facility failed to ensure mail was delivered to residents on Saturdays, impacting residents' reasonable access to communication methods.
F 0657: The facility failed to develop and revise the care plan within 7 days to address Resident #80's behavior of removing oxygen despite monitoring and interventions.
F 0658: The facility failed to administer medication according to professional standards, including an incorrect dose of tramadol given to Resident #68.
F 0684: The facility failed to administer Resident #68's medications per physician's orders, including omission of a Coumadin dose due to transcription error.
F 0880: The facility failed to ensure hand hygiene was performed after glove removal, increasing risk of infection transmission.
Report Facts
Medication dose: 12.5
Medication dose: 25
Medication dose: 2.5
INR level: 2.78
INR level: 2.52
Employees mentioned
| Name | Title | Context |
|---|---|---|
| RN #3 | Registered Nurse | Administered incorrect tramadol dose to Resident #68 |
| DNS | Director of Nursing Services | Provided information on medication errors and counseling of RN #3 |
| RN #2 | Nursing Supervisor | Discussed Coumadin administration and transcription error |
| LPN #1 | Charge Nurse | Reported on Coumadin scheduling and error identification |
| RN #1 | Staff Development Nurse | Educated staff on hand hygiene practices |
Inspection Report
Original Licensing
Deficiencies: 0
Date: 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
| Name | Title | Context |
|---|---|---|
| Kim Hriceniak | Public Health Services Manager | Acting on behalf of the Facility Licensing and Investigations Section in the Pre-Licensure Consent Order |
| Yitzchok Dovid Shapiro | CEO and Member of Hancock Opco LLC | Acting on behalf of Hancock Opco LLC in the Pre-Licensure Consent Order |
| Maureen Golas Markure | Supervising Nurse Consultant | Designated contact for reports required by the document |
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