Inspection Reports for Orange Health Care Center
225 Boston Post Road, Orange, CT 06477, CT, 06477
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Inspection Report
Renewal
Census: 50
Capacity: 60
Deficiencies: 0
Jul 15, 2025
Visit Reason
The inspection visit was conducted as a renewal licensure inspection for the facility.
Findings
The inspection was a licensure renewal inspection with no violations of the General Statutes or regulations identified at the time of this inspection. The certification file was reviewed.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Andree Acampora | Administrator | Personnel contacted during the inspection |
| Denise Mancusolo | DNS | Personnel contacted during the inspection |
Inspection Report
Complaint Investigation
Census: 52
Capacity: 60
Deficiencies: 0
Dec 6, 2022
Visit Reason
The inspection visit was conducted as part of a complaint investigation, specifically Complaint Investigation #33386.
Findings
No violations of the General Statutes of Connecticut and/or regulations of Connecticut State Agencies were identified at the time of this inspection related to the complaint investigation.
Complaint Details
Complaint Investigation #33386 was conducted and no deficiencies were identified, indicating the complaint was not substantiated.
Inspection Report
Complaint Investigation
Census: 52
Capacity: 60
Deficiencies: 0
Dec 6, 2022
Visit Reason
A complaint investigation survey CT# 33386 was conducted to determine compliance with 42 CFR Part 483 requirements for Long Term Care Facilities.
Findings
The investigation consisted of record reviews, interviews, review of staffing, observations, and a tour of the facility. No deficiencies were identified as a result of this investigation.
Complaint Details
Complaint investigation survey CT# 33386 was conducted. No deficiencies were identified.
Report Facts
Licensed Bed Capacity: 60
Census: 52
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Andree Acampora | administrator | Personnel contacted during inspection |
| Denise Mancuso | DNS | Personnel contacted during inspection |
| Connie Vumback | RN | Survey Team Leader and report submitter |
| Meg McKinney | RN | Supervisor |
Inspection Report
Renewal
Census: 50
Capacity: 60
Deficiencies: 8
Apr 19, 2021
Visit Reason
The inspection was a licensure renewal inspection conducted with unannounced visits to Orange Health Care Center to perform multiple investigations, licensure, and certification inspection. The visit also included complaint investigations #25365, #29307, and #29566.
Findings
Violations of Connecticut State regulations and statutes were identified during the inspection, including deficiencies related to resident care plans, skin integrity, medication storage, staff training, documentation, and infection control. Plans of correction were required and submitted for multiple violations.
Complaint Details
Complaint investigations #25365, #29307, and #29566 were included in the inspection. The report references findings related to these complaints but does not explicitly state substantiation status.
Deficiencies (8)
| Description |
|---|
| Failure to keep residents' Advanced Directives current and signed by physician as required by regulations. |
| Failure to develop a comprehensive plan to address a resident's fragile skin integrity and increased risk for bruising related to aspirin use. |
| Failure to ensure privacy curtains were maintained in a clean and sanitary manner and resident rooms maintained in homelike conditions. |
| Failure to ensure required yearly in-service training related to caring for cognitively impaired residents was completed. |
| Failure to ensure medication storage refrigerators were frost-free and free of food items unrelated to medication administration. |
| Failure to ensure clinical records were complete regarding skin assessments and activities of daily living (ADL) care. |
| Failure to provide nurses' aides with education related to intravenous therapy (IV) and maintain IV therapy logs with pertinent information. |
| Failure to maintain current physician orders for Do Not Resuscitate (DNR) status and renew orders timely. |
Report Facts
Licensed Bed/Bassinet Capacity: 60
Census: 50
Inspection Dates: 2021-04-13 to 2021-04-19
Plan of Correction Submission Deadline: May 22, 2021
Plan of Correction Monitoring Date: May 31, 2021
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Andree Acampora | Administrator | Named as personnel contacted during inspection and signatory on plan of correction. |
| Denise Mancuso | DNS (Director of Nursing Services) | Named as personnel contacted during inspection and monitor of plan of correction. |
| Sandra Vermont-Hollis | Supervising Nurse Consultant | Author of the violation letter and overseeing complaint investigations. |
Inspection Report
Renewal
Census: 50
Capacity: 60
Deficiencies: 0
Apr 19, 2021
Visit Reason
The inspection was conducted as a renewal licensing inspection and included review of complaint investigations #25365, #29307, and #29566.
Findings
Violations of the General Statutes of Connecticut and/or regulations of Connecticut State Agencies were identified during this inspection. The report indicates compliance with CMP fund verification, CRF grant verification, and visitation compliance as of 4/15.
Report Facts
Complaint Investigation Numbers: Complaint investigations referenced: #25365, #29307, #29566
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Andree Acampora | Administrator | Personnel contacted during inspection |
| Denise Mancuso | DNS | Personnel contacted during inspection |
Inspection Report
Plan of Correction
Deficiencies: 7
Apr 19, 2021
Visit Reason
Unannounced visits were made to Orange Health Care Center concluding on April 19, 2021, by representatives of the Facility Licensing and Investigations Section of the Department of Public Health for the purpose of conducting multiple investigations, a licensure and a certification inspection.
Findings
The report details multiple violations of Connecticut State Regulations related to resident care, documentation, infection control, medication storage, staff training, and facility policies. The facility failed to maintain current DNR orders, develop comprehensive care plans for skin integrity, ensure timely lab specimen collection, provide required in-service training, and maintain medication refrigerators frost-free.
Deficiencies (7)
| Description |
|---|
| Failure to ensure physician's orders for DNR were kept current on subsequent physician's orders. |
| Failure to develop a comprehensive plan to address resident's fragile skin integrity and increased risk for bruising. |
| Failure to ensure timely collection and processing of urine samples for culture and sensitivity. |
| Failure to ensure required yearly in-service training related to care of cognitively impaired residents was completed. |
| Failure to ensure medication storage refrigerators were frost-free and free of food items unrelated to medication administration. |
| Failure to ensure clinical records were complete regarding initial skin assessment and ADL care. |
| Failure to ensure nurses' aides were provided education related to intravenous therapy and maintain accurate IV therapy logs. |
Report Facts
Complaint numbers: 3
Dates of monitoring: May 31, 2021
Number of sampled residents: 2
Number of sampled residents: 1
Number of sampled residents: 1
Number of sampled residents: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Andree Acampora | Administrator | Named as recipient of the amended violation letter and plan of correction |
| Sandra Vermont-Hollis | Supervising Nurse Consultant | Signed the violation letter |
| LPN #1 | Charge nurse interviewed regarding DNR order renewal and urine sample collection | |
| Medical Director | Interviewed regarding renewal of orders including code status | |
| DNS | Director of Nursing Services | Interviewed multiple times regarding DNR orders, lab specimen collection, and training |
| APRN #1 | Interviewed regarding resident assessments and lab results | |
| RN #1 | Interviewed regarding nurse aide training and medication storage observations | |
| RN #4 | Observed medication storage refrigerator and interviewed about freezer maintenance | |
| RN #5 | Observed medication storage refrigerator and interviewed about freezer maintenance | |
| Infection Preventionist | Interviewed regarding IV therapy log maintenance | |
| Staff Development Nurse | Interviewed regarding IV education and in-service training |
Inspection Report
Abbreviated Survey
Census: 46
Deficiencies: 1
Apr 28, 2020
Visit Reason
A COVID-19 Focused Survey was conducted to determine compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities, including infection prevention and control practices to prevent COVID-19 transmission.
Findings
The facility failed to develop and implement policies related to the extended use of personal protective equipment (PPE) in a facility with residents known to have COVID-19. Observations and interviews revealed lack of formal policies for extended PPE use despite staff education and verbal instructions. By 5/5/2020, the facility implemented cohorting and extended gown use policies consistent with CDC guidelines, with monitoring and no findings on a subsequent visit.
Severity Breakdown
SS=D: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to develop and implement policies related to the extended use of personal protective equipment (PPE) in a facility with residents known to have COVID-19. | SS=D |
Report Facts
Residents tested positive for COVID-19: 22
Total residents present: 46
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| ADNS | Assistant Director of Nursing | Interviewed regarding COVID-19 testing and PPE policies. |
| DNS | Director of Nursing Services | Monitored progress of PPE use and infection control methods. |
Inspection Report
Abbreviated Survey
Census: 46
Deficiencies: 1
Apr 28, 2020
Visit Reason
A COVID-19 Focused Survey was conducted to determine compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities, including infection prevention and control practices to prevent COVID-19 transmission.
Findings
The facility failed to develop and implement policies related to the extended use of personal protective equipment (PPE) in a facility with residents known to have COVID-19. Observations and interviews revealed lack of formal policies for extended PPE use despite verbal instructions and staff education.
Severity Breakdown
SS=D: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to develop and implement policies related to the extended use of personal protective equipment (PPE) in a facility with residents known to have COVID-19. | SS=D |
Report Facts
Residents tested positive for COVID-19: 22
Total residents present: 46
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Assistant Director of Nursing (ADNS) | Interviewed regarding COVID-19 testing and PPE policies. | |
| Director of Nursing Services (DNS) | Monitored progress of infection control methods. | |
| Infection Preventionist | Monitored progress of infection control methods. | |
| Administrator | Monitored progress of infection control methods. |
Inspection Report
Plan of Correction
Census: 46
Deficiencies: 1
Apr 28, 2020
Visit Reason
An unannounced visit was conducted by the Department of Public Health to Orange Health Care Center for the purpose of conducting an investigation related to infection control and COVID-19 policies.
Findings
The facility failed to develop and implement policies related to the extended use of personal protective equipment (PPE) for residents known to have COVID-19, including lack of formal policies for donning and doffing PPE despite verbal instructions to staff. The facility submitted a plan of correction disputing the finding and outlining corrective actions consistent with CDC and DPH guidelines.
Deficiencies (1)
| Description |
|---|
| Failure to develop and implement policies related to the extended use of personal protective equipment (PPE) in a facility with residents known to have COVID-19. |
Report Facts
Residents tested positive for COVID-19: 22
Total residents: 46
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Andree Acampora | Administrator | Named as the facility administrator and signer of the plan of correction. |
| Alice Martinez | Supervising Nurse Consultant | Signed the notice letter related to the inspection findings. |
Inspection Report
Complaint Investigation
Census: 58
Capacity: 60
Deficiencies: 5
Mar 10, 2019
Visit Reason
Unannounced visits were made to Orange Health Care Center on March 10, 11, 12, and 13, 2019 by representatives of the Facility Licensing and Investigations Section for the purpose of conducting an investigation into violations of Connecticut General Statutes and/or regulations.
Findings
Violations were identified related to residents' code status documentation, contracture care, nutrition and weight monitoring, dialysis communication, and infection prevention program. Plans of correction were submitted addressing these issues. No violations were issued on a follow-up visit on 10/16/19.
Complaint Details
The visit was complaint-related as indicated by the checked box for 'See Complaint Investigation #' on the inspection face sheet dated 3/10/19 and 10/16/19. The complaint investigation number referenced is 26193. The complaint was substantiated with violations found.
Deficiencies (5)
| Description |
|---|
| Failure to ensure physician's orders for code status and/or care plan reflected the resident's choices. |
| Failure to identify, monitor, and/or treat Resident #35's upper extremity contractures/limited range of motion. |
| Failure to weigh Resident #153 upon admission and monitor nutritional status. |
| Failure to have a consistent communication process with the Dialysis center for Resident #302. |
| Failure to follow policy regarding infection rates, surveillance criteria, and data collection in the Infection Prevention program. |
Report Facts
Licensed Bed Capacity: 60
Census: 58
Census: 49
Census: 56
Resident Weight: 205.48
Resident Weight: 204.2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Andree Acampora | Administrator | Named as personnel contacted during inspection |
| Denise Mancuso | Director of Nursing Services (DNS) | Named as personnel contacted during inspection and involved in infection prevention findings |
| Marie Mathew | RN/NC | Signed report indicating no violations issued on follow-up visit |
Inspection Report
Plan of Correction
Deficiencies: 5
Mar 10, 2019
Visit Reason
Unannounced visits were made to Orange Health Care Center on March 10, 11, 12, and 13, 2019 by representatives of the Facility Licensing and Investigations Section of the Department of Public Health for the purpose of conducting an investigation.
Findings
The facility was found to have multiple violations related to failure to ensure physician orders reflected residents' choices, failure to identify and treat contractures, failure to weigh residents upon admission, failure to maintain consistent communication with the dialysis center, and failure to follow infection prevention policies. Plans of correction were submitted addressing each violation.
Deficiencies (5)
| Description |
|---|
| Failure to ensure physician's orders for code status and care plan reflected Resident #31's choices. |
| Failure to identify, monitor, and treat upper extremity contracture for Resident #35. |
| Failure to weigh Resident #153 upon admission and document weight accurately. |
| Failure to have a consistent communication process with the dialysis center for Resident #302. |
| Failure to follow infection prevention policy regarding infection rates, surveillance criteria, and data collection. |
Report Facts
Resident admission date: May 1, 2017
Resident admission date: May 4, 2016
Resident admission date: Mar 6, 2019
Resident admission date: Sep 8, 2017
Resident weight: 204.2
Resident discharge weight: 205.48
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Cher Michaud | Supervising Nurse Consultant | Signed letter to facility administrator |
| Andree Acampora | Administrator | Facility administrator named in report |
Inspection Report
Annual Inspection
Deficiencies: 8
Feb 25, 2019
Visit Reason
Unannounced visits were made to the facility on February 19, 20, 21, and 25, 2019 by representatives of the Facility Licensing & Investigations Section for the purpose of conducting a certification survey and a licensure inspection.
Findings
The facility was found deficient in multiple areas including failure to provide advance directive information and ensure physician orders matched resident directives, failure to timely assess residents after falls and properly transcribe medication orders, inaccurate smoking status documentation, lack of required dementia training and performance evaluations for nurse aides, insufficient staffing to meet resident needs, failure to provide appropriate behavioral health interventions, failure to ensure laboratory tests were obtained as ordered, and improper disposal of garbage and refuse.
Severity Breakdown
SS=D: 7
SS=E: 1
Deficiencies (8)
| Description | Severity |
|---|---|
| Failure to ensure residents or their representatives were provided information on advance directives and physician orders matched resident directives. | SS=D |
| Failure to ensure timely assessment after falls and correct transcription of medication orders. | SS=D |
| Failure to ensure resident smoking evaluation accurately reflected smoking status and resident was included on smoking list. | SS=D |
| Failure to provide required dementia training and timely performance evaluations for nurse aides. | SS=E |
| Failure to provide sufficient staffing to meet resident needs, resulting in delayed personal care and transfers. | SS=D |
| Failure to provide appropriate treatment and services following threats of aggression by a resident. | SS=D |
| Failure to ensure laboratory tests were obtained as ordered for a resident on insulin therapy. | SS=D |
| Failure to properly dispose of garbage and refuse, resulting in litter and overfilled containers at dumpster site. | SS=D |
Report Facts
Dates of unannounced visits: February 19, 20, 21, and 25, 2019
Number of falls for Resident #19: 2
Nurse Aide assignment: 10
Units of Novolin insulin: 4
Units of Novolin insulin: 10
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| RN #3 | Registered Nurse | Identified blank advanced directive forms for Residents #6 and #138 |
| RN #7 | Registered Nurse | Identified failure to assess Resident #19 timely after fall and medication transcription errors |
| RN #8 | Registered Nurse | Communicated fall information but did not ensure follow-up assessment |
| DNS | Director of Nursing Services | Acknowledged lapses in communication and responsibility for compliance with plans of correction |
| NA #3 | Nurse Aide | Assisted Resident #46 with smoking but did not check smoking list |
| RN #4 | Registered Nurse | Identified lack of dementia training for nurse aides |
| Director of Human Resources | Identified lack of timely nurse aide performance evaluations | |
| NA #1 | Nurse Aide | Reported heavy assignment and delay in assisting Resident #111 out of bed |
| LPN #2 | Licensed Practical Nurse | Reported short staffing impacting timely care for Resident #111 |
| RN #2 | Registered Nurse | Identified lack of follow-up for Resident #117's aggressive behavior |
| RN #9 | Registered Nurse | Documented Resident #117's threat to harm roommate |
| RN #7 | Registered Nurse | Identified failure to ensure lab orders were entered and labs drawn for Resident #71 |
| Director of Maintenance | Reported refuse pickup delay due to blocked dumpster access | |
| Administrator | Acknowledged staffing shortages and efforts to address them |
Inspection Report
Plan of Correction
Deficiencies: 8
Feb 19, 2019
Visit Reason
Unannounced visits were made to Middlesex Health Care Center on February 19, 20, 21, and 25, 2019 by representatives of the Facility Licensing and Investigations Section for the purpose of conducting an investigation, a licensure and a certification inspection.
Findings
The facility was found to have multiple violations related to advanced directives, fall assessments and medication transcription, smoking evaluations, dementia training and staff evaluations, staffing adequacy, behavioral/emotional care, laboratory results for medications, and proper disposal of garbage and refuse.
Deficiencies (8)
| Description |
|---|
| Failure to ensure that residents and/or their representatives were provided information on advanced directives and that physician's orders matched residents' identified advanced directives. |
| Failure to ensure residents were assessed timely after a fall and medication was transcribed correctly. |
| Failure to ensure accurate smoking evaluation and identification of residents as smokers on the facility smoking roster. |
| Failure to provide required dementia training and timely performance evaluations for nursing aides. |
| Failure to ensure adequate staffing to meet residents' needs, resulting in delayed care and transfers. |
| Failure to provide appropriate treatment and services following threats of aggression by a resident. |
| Failure to ensure laboratory results were obtained as recommended for residents on medications. |
| Failure to properly dispose of garbage and refuse, resulting in littered dumpster area and overfilled containers. |
Report Facts
Inspection dates: 4
Residents reviewed: 9
Residents reviewed: 3
Residents reviewed: 1
Nurse aides reviewed: 3
Residents reviewed: 1
Residents reviewed: 1
Residents reviewed: 5
Inspection violations: 8
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