Inspection Reports for Masonicare At Ashlar Village
74 Cheshire Rd, Wallingford, CT 06492, CT, 06492
Back to Facility ProfileInspection Report Summary
The most recent inspection on May 29, 2024, identified deficiencies related to violations of Connecticut statutes and regulations during a complaint investigation and re-licensure review. Earlier inspections showed a mixed pattern, with some complaint investigations substantiating violations and others finding no issues, while renewal inspections in 2022 were clean. The main themes of deficiencies involved regulatory compliance issues, including documentation and clinical record-keeping. Complaint investigations were substantiated at times, including concerns about clinical orders and family notification, but enforcement actions such as fines or license suspensions were not listed in the available reports. The inspection history shows ongoing challenges with compliance, with no clear trend of improvement or worsening over time.
Deficiencies (last 6 years)
Deficiencies (over 6 years)
0.7 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
88% better than Connecticut average
Connecticut average: 5.6 deficiencies/yearDeficiencies per year
4
3
2
1
0
Census
Latest occupancy rate
93% occupied
Based on a February 2023 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Census over time
Inspection Report
Complaint Investigation
Capacity: 89
Deficiencies: 0
May 29, 2024
Visit Reason
The inspection was conducted as a complaint investigation related to Complaint #38793 and included a licensing inspection and renewal review.
Findings
Violations of the General Statutes of Connecticut and/or regulations of Connecticut State Agencies were identified during the inspection. A violation letter dated 7/1/24 was attached. The re-licensure survey included a tour and review of government authority minutes, quality assurance meeting minutes, personnel folders, and clinical record reviews.
Complaint Details
Inspection was triggered by Complaint #38793. Violations were substantiated as indicated by the attached violation letter dated 7/1/24.
Report Facts
Census: 123
Total Capacity: 89
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Michael J. Smith | Nurse Consultant | Signature of FLIS staff and report submitter |
| Rachael Laudano | ExDirector | Personnel contacted during inspection |
Inspection Report
Monitoring
Deficiencies: 0
Jul 26, 2023
Visit Reason
The inspection visit was conducted as a strike monitoring supplement to the licensing inspection report.
Findings
The report does not provide detailed findings or deficiencies within the provided pages; it is a monitoring visit related to strike conditions.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Megan Edson-Sawyer | Survey Team Leader and Nurse Consultant | Report submitter and survey team leader for the inspection. |
| Lauren Dubuque | Executive Director | Personnel contacted during the inspection. |
| Sarah Patterson | RN Designee | Personnel contacted during the inspection. |
| Elizabeth Heiney | Supervisor | Supervisor for the survey team. |
Inspection Report
Complaint Investigation
Census: 76
Capacity: 82
Deficiencies: 0
Feb 1, 2023
Visit Reason
The inspection visit was conducted as a complaint investigation related to Complaint Investigation #33791.
Findings
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 #33791 was the reason for the visit; violations were identified during the inspection.
Report Facts
Licensed Bed Capacity: 82
Census: 76
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Lauren Dubuque | ED | Personnel contacted during the inspection |
| Susan Cartier | SALSA | Personnel contacted during the inspection |
| Laura Boggio | Survey Team Leader | Conducted the inspection |
| Elizabeth Heiney | Supervisor | Supervised the inspection |
Inspection Report
Complaint Investigation
Census: 76
Capacity: 82
Deficiencies: 0
Feb 1, 2023
Visit Reason
The inspection visit was conducted as a complaint investigation related to complaint #33893.
Findings
No 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 #33893 was conducted and found no violations.
Inspection Report
Renewal
Deficiencies: 0
Aug 22, 2022
Visit Reason
The inspection was conducted as a renewal licensing inspection for Masonicare Ashlar Village.
Findings
No violations of the General Statutes of Connecticut and/or regulations were identified at the time of this inspection.
Inspection Report
Renewal
Deficiencies: 0
Aug 23, 2018
Visit Reason
The inspection was conducted as a renewal licensing inspection and included a complaint investigation (Complaint Investigation #23078).
Findings
Violations of the General Statutes of Connecticut and/or regulations were identified at the time of this inspection, as indicated by the attached violation letter.
Complaint Details
Complaint Investigation #23078 was part of this inspection; substantiation status is not stated.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Julie Baisley | SAUA | Personnel contacted during the inspection. |
| Perry Phillips | ED | Personnel contacted during the inspection. |
Inspection Report
Complaint Investigation
Census: 122
Deficiencies: 1
Oct 3, 2017
Visit Reason
The inspection was conducted as a complaint investigation based on Complaint Investigation #20921 and #21416, involving unannounced visits on October 3, 4, and 5, 2017 to Masonicare At Ashlar Village / Pond Ridge.
Findings
The investigation found that for one client requiring oxygen therapy, the agency failed to ensure a physician's order for the oxygen therapy was obtained. Specific deficiencies included lack of physician orders for oxygen and humidification equipment and incomplete documentation in the client's medical record.
Complaint Details
Complaint Investigation #20921 and #21416. Violations were identified and substantiated as noted in the attached violation letter dated 2018-07-23.
Deficiencies (1)
| Description |
|---|
| Failure to ensure the physician ordered the oxygen therapy for Client #4 who required oxygen therapy. |
Report Facts
Census: 122
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Elizabeth Brown | Supervisor of Assisted Living Services Agency | Personnel contacted during inspection |
| Loan Nguyen | Supervising Nurse Consultant | Report submitted by and referenced in violation letter |
| Jason Rieger | Assistant Administrator | Signed Plan of Correction |
Inspection Report
Renewal
Census: 35
Capacity: 41
Deficiencies: 3
May 23, 2016
Visit Reason
Unannounced visits were made on May 23 and 24, 2016 for the purpose of conducting an investigation and a licensing renewal survey at Masonicare At Ashlar Village / Pond Ridge Assisted Living.
Findings
The inspection identified violations related to failure to notify family of clinical changes, inadequate updating of client service programs, and failure to maintain client safety in a memory impaired secured unit. Three violations were noted and a plan of correction was requested.
Complaint Details
Complaint #18711 triggered the investigation. The complaint was substantiated as violations were identified during the inspection.
Deficiencies (3)
| Description |
|---|
| Nursing staff failed to notify a family member or significant other of a change in Client #1's condition in a timely manner. |
| Client service program was not updated to reflect new goals and interventions related to oral hygiene. |
| Assisted living agency failed to maintain the safety of a client who was a fall risk and experienced multiple falls. |
Report Facts
Number of violations noted: 3
Census: 35
Licensed Capacity: 41
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Loan Nguyen | Supervising Nurse Consultant | Signed the violation letter and approval for issuance of license. |
| Jason Rieger | Assistant Administrator / Assisted Living | Named in the Plan of Correction document. |
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