Inspection Reports for Laurel Ridge Health Care Center
642 Danbury Rd, Ridgefield, CT 06877, CT, 06877
Back to Facility ProfileDeficiencies per Year
8
6
4
2
0
Severe
High
Moderate
Low
Unclassified
Census Over Time
Census
Capacity
Inspection Report
Renewal
Census: 113
Capacity: 126
Deficiencies: 0
Apr 9, 2025
Visit Reason
The inspection was conducted as a licensing inspection with a focus on renewal and included a complaint investigation related to complaint numbers 43429, 43705, 43743, and 43762.
Findings
The report indicates that violations of the General Statutes of Connecticut and/or regulations were identified during the inspection. Specific details of violations or deficiencies are not provided in the visible portion of the report.
Complaint Details
Complaint investigation was conducted for complaint numbers 43429, 43705, 43743, and 43762. No substantiation status or further details are provided.
Report Facts
Licensed Bed Capacity: 126
Census: 113
Inspection Report
Complaint Investigation
Deficiencies: 6
Apr 8, 2025
Visit Reason
Unannounced visits were made to Laurel Ridge Center For Health & Rehabilitation, concluding on April 8, 2025, for the purpose of conducting a recertification and a complaint investigation survey.
Findings
The investigation identified multiple violations including resident-to-resident altercations, failure to report injuries and abuse timely, neglect in providing incontinent care, incomplete nursing assessments, inadequate staffing, failure to maintain food temperatures, and incomplete medical records documentation. Several residents were involved in incidents of aggression and neglect was substantiated.
Complaint Details
The complaint investigation was substantiated for neglect related to failure to provide incontinent care and failure to report resident-to-resident altercations and injuries timely to the State Agency.
Deficiencies (6)
| Description |
|---|
| Failure to provide timely incontinent care to residents #27, #40, #62, and #99. |
| Failure to report resident-to-resident altercations and injuries to the State Agency timely. |
| Failure to complete nursing assessments and documentation timely for residents involved in incidents. |
| Failure to maintain adequate staffing levels during Quarter 2 of 2024. |
| Failure to ensure food temperatures were palatable and snacks were provided as needed. |
| Failure to maintain complete and accurate medical records including timely documentation of APRN visits. |
Report Facts
Complaints referenced: 3
Resident count for social work staffing: 120
Required social work hours: 64
Staffing quarter: 2
Weight of Resident #40: 202
Weight of Resident #45: 114
Weight of Resident #102: 87
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Judith Birtwistle | Supervising Nurse Consultant | Signed the initial notice letter regarding the inspection and violations. |
| LPN #1 | Identified for failure to provide timely incontinent care and failure to complete nursing assessments. | |
| LPN #2 | Involved in assessment and reporting of resident altercations and injuries. | |
| LPN #3 | Notified of resident injury and responsible for reporting to nursing supervisor and APRN. | |
| RN #1 | Day Shift Supervisor | Notified about missed care and failed to complete assessments timely. |
| RN #2 | Nursing Supervisor | Responsible for oversight of nursing assessments and reporting; identified failures in documentation and reporting. |
| RN #4 | Identified issues with air mattress settings and hospice coordination. | |
| RN #5 | Observed air mattress settings and ensured proper documentation. | |
| Director of Nursing Services (DNS) | Interviewed regarding reporting delays and investigation findings. | |
| Administrator | Interviewed regarding staffing and snack provision. | |
| Food Service Director (FSD) | Interviewed regarding food temperature and meal service issues. | |
| Recreation Director | Responsible for plan of correction related to recreational activities. |
Inspection Report
Renewal
Census: 113
Capacity: 126
Deficiencies: 0
Mar 27, 2025
Visit Reason
The inspection was conducted as a licensing renewal inspection and included review of complaint investigations numbered 43429, 43705, 43743, and 43762.
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 5/9/25.
Complaint Details
Complaint investigations referenced by numbers 43429, 43705, 43743, and 43762 were reviewed during this inspection.
Report Facts
Licensed Bed Capacity: 126
Census: 113
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Caitlin Cannavaro | Administrator | Personnel contacted during the inspection |
Inspection Report
Original Licensing
Deficiencies: 0
Jul 8, 2024
Visit Reason
The document is a Change of Ownership Pre-Licensure Consent Order for Laurel Ridge Center for Health & Rehabilitation, seeking an initial license to operate a nursing home in Connecticut. The visit and inspection were conducted to evaluate compliance with statutory and regulatory requirements for initial licensing.
Findings
The report outlines extensive requirements and conditions for licensing, including appointment of an Infection Control Nurse (INC), quality assurance programs, staffing and supervisory roles, facility maintenance, and compliance with state and federal regulations. It includes a Plan of Correction approved on August 7, 2024, with detailed corrective actions and timelines for compliance.
Report Facts
Plan of Correction submission date: 2024
Fine amount per day: 1000
Timeframe for Plan of Correction cure: 14
Timeframe for initial assessment report: 4
Retention period for documentation: 5
Frequency of Quality Assurance Committee meetings: 30
Retention period for Quality Assurance Committee minutes: 3
Timeframe for electrical and mechanical inspections: 120
Timeframe for fire safety inspections: 60
Resident room occupancy limit: 2
Resident counts by floor: 34
Resident counts by floor: 46
Resident counts by floor: 46
Shower stalls and tubs: 2
Shower rooms: 3
Days for elevator inspection report: 120
Days for roof inspection report: 60
Days for asbestos survey: 180
Days for fire safety repairs: 120
Days for kitchen suppression system inspection: 60
Days for hood ventilation system inspection: 90
Days for laundry and dietary evaluations: 180
Days for housekeeping evaluation: 180
Days for maintenance evaluation: 180
Days for dietary equipment repairs: 90
Days for fire and smoke barrier repairs: 90
Days for all other repairs: 180
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Lorraine Cullen | Branch Chief, Healthcare Quality and Safety Branch, Department of Public Health | Acting on behalf of the Department in executing the Pre-Licensure Consent Order |
| Marvin Ostreicher | Member of Laurel Ridge Acquisition Operator LLC | Member of the Licensee executing the Consent Order |
| Keith Edwards | Director of Engineering & Planning | Prepared the Plan of Correction |
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