Inspection Reports for Parkville Care Center

The inspection was conducted as a complaint investigation related to Complaint Investigation #41649 and #42557.

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 2025-01-15.

Complaint Investigation #41649 and #42557 triggered the inspection. Violations were substantiated as noted.

A desk audit was completed to review the implementation of the Plan of Correction for the EID of 4/11/25.

Multiple deficiencies (F565, F568, F584, F657, F660, F684, F688, F698, F725, F804, F812, F880, F921, and F926) were identified as corrected as of 5/23/25. Compliance was confirmed federally on 6/30/25.

A desk audit was conducted to review supporting documentation for the submitted plan of correction at Parkville Care Center.

The corrections were approved as completed on 2025-01-21 with no new compliance issues identified during the desk audit.

An unannounced visit was conducted at Parkville Care Center on December 19, 2024, by the Department of Public Health to investigate multiple allegations, including staff to resident verbal abuse.

The investigation found that the facility failed to report an allegation of verbal abuse by staff towards a resident to the State Agency as required. The Director of Nursing investigated but could not substantiate the allegation and did not report the incident. The facility's abuse policy requires all allegations to be promptly reported and investigated.

The complaint involved an allegation of verbal abuse by a nurse aide towards Resident #1 on 10/24/24. The Director of Nursing investigated but could not substantiate the allegation and did not report it to the State Agency, which was a violation of policy.

Unannounced visits were made to Parkville Care Center by the Department of Public Health representatives to conduct multiple investigations related to regulatory compliance.

The facility failed to meet staffing levels as required by the Connecticut Public Health Code on multiple dates in September 2023, with documented understaffing of nurse aide hours. The Administrator acknowledged responsibility but could not explain the staffing shortfalls. A plan of correction was submitted to address these issues.

Complaint CT #s 35609, 35779 were investigated; substantiation status is not stated.

The inspection visit was conducted as a complaint investigation related to Complaint Investigation #35609 & #35779.

Violations of the General Statutes of Connecticut and/or regulations of Connecticut State Agencies were identified during the inspection. A violation letter dated 10.18.2023 is attached for details.

Complaint Investigation #35609 & #35779 were the basis for the visit. Violations were substantiated as indicated by the attached violation letter.

The inspection visit was conducted as a renewal licensing inspection and included review of complaint investigations identified by numbers CT33052, CT28077, and CT28399.

The report indicates that violations of the General Statutes of Connecticut and/or regulations were identified, with attached violation letters referenced. Additional information was obtained after the onsite inspection dates.

Complaint investigations referenced by numbers CT33052, CT28077, and CT28399 were reviewed during the inspection. No substantiation status is explicitly stated.

Office/telephone conference held to discuss disputed violations from a prior recertification survey dated 06/24/21, specifically violations #3, 4, 5, 9, 10, and 12, with the facility withdrawing requests to dispute violations #14 and 15.

Violation #3 was moved into violation #1, and violations #4, 5, 9, 10, and 12 were deleted. A revised violation letter was issued on 04/28/22.

A desk audit review was conducted on 3/18/2022 to review the plan of correction for a violation letter dated 1/19/2022.

The review identified that violation 1a had been corrected. The desk audit confirmed compliance with the corrective actions submitted by the facility.

A desk audit review was conducted to review the plan of correction for the violation letter dated 1/19/2022.

The review identified that violation 1a has been corrected as of the date of the desk audit.

The inspection was conducted as a complaint investigation triggered by Complaint Investigation #31338 to assess violations of Connecticut State regulations at Parkville Care Center.

Violations of the General Statutes of Connecticut and/or regulations were identified during the inspection. Specifically, the facility failed to ensure neurological checks were monitored and recorded for 48 hours after a resident sustained an unwitnessed fall and bruising, indicating deficient clinical record review and documentation.

Complaint Investigation #31338 was substantiated with violations identified. The facility was required to submit a plan of correction by January 29, 2022.

The inspection was conducted as a renewal licensing inspection for Parkville Care Center.

No violations or citations were identified during this renewal inspection. Certification file and fund verifications were completed.

The inspection was conducted as a renewal licensing inspection of Parkville Care Center to verify compliance with state regulations and licensing requirements.

The inspection found no violations of the General Statutes of Connecticut or regulations at the time of the inspection. A desk audit review conducted later confirmed that previously identified violations had been corrected.

An unannounced visit was conducted to investigate allegations of mistreatment at Parkville Care Center.

The facility failed to develop a comprehensive care plan addressing sexually inappropriate behavior for Resident #4 and failed to consistently document fifteen-minute checks for Resident #1 while on observational status. The facility disputed the findings but agreed to corrective actions including staff education and audits.

The investigation was triggered by allegations of mistreatment involving residents exhibiting inappropriate sexual behavior. The facility disputed the findings and requested an Informal Dispute Resolution.

An unannounced visit was made to Parkville Care Center on 1/29/21 by a representative of the Facility Licensing & Investigations Section for the purpose of conducting a complaint investigation.

The facility failed to develop a comprehensive care plan for residents with allegations of mistreatment, including failure to document appropriate interventions for sexually inappropriate behavior and failure to consistently document 15-minute checks for a resident on one-to-one observation. The facility is in disagreement with the findings and has requested an Informal Dispute Resolution.

The complaint investigation was triggered by allegations of mistreatment involving residents. The facility failed to develop a comprehensive care plan for one resident with sexually inappropriate behavior and failed to consistently document 15-minute checks for another resident on one-to-one observation. Resident #4 continues to be free from any allegations of mistreatment. Resident #1 continues to be free from any allegations of mistreatment.

A COVID-19 Focused Infection Control Survey was conducted to determine compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities, including proper infection prevention and control practices to prevent the transmission of COVID-19.

The facility failed to ensure that face masks were worn by staff and residents as recommended by the CDC during the COVID-19 pandemic. Observations included staff and residents not wearing masks properly or at all in various situations.

An unannounced visit was made to Parkville Care Center to conduct a COVID-19 Focused Infection Control Survey with additional information received through July 25, 2020.

The facility was found to have violations related to failure to ensure staff and residents wore face masks as recommended by the CDC during the COVID-19 pandemic. Specific observations included staff and residents not wearing masks properly or at all during the visit.

A COVID-19 Focused Infection Control Survey was conducted to determine compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities, including proper infection prevention and control practices to prevent the transmission of COVID-19.

The facility failed to ensure that medically approved personal protective equipment (PPE) was worn while in resident care areas, specifically a nursing assistant was observed wearing a cloth mask instead of a surgical mask. The facility disagreed with the findings and requested an Informal Dispute Resolution. The facility plans to provide inservice education on approved PPE and conduct weekly audits to ensure compliance.

An unannounced visit was made to Parkville Care Center to conduct a COVID-19 Focused Survey with additional information received through June 2, 2020.

The facility failed to adhere to infection control practices by allowing staff to wear cloth masks instead of surgical masks while caring for residents, contrary to CDC guidelines. The facility lacked a policy on cloth mask use and was found noncompliant with PPE requirements.

The visit was a monitoring visit focused on COVID-19 infection control conducted by the Department of Public Health.

The inspection found violations related to the facility's handling of personal protective equipment (PPE) during the COVID-19 pandemic, including lack of N95 masks and improper use and storage of Tyvek suits. The facility was not provided with N95 masks and did not perform fit testing. The Director of Nursing and Administrator provided information on PPE usage and supply issues.

The visit was an unannounced monitoring inspection conducted to assess COVID-19 infection control practices at Parkville Care Center.

The facility failed to provide staff working in COVID-19 designated areas with appropriate PPE, including N95 masks and Tyvek suits, and did not follow CDC recommendations for PPE use and fit testing, placing staff and residents at risk of infection.

A COVID-19 Focused Survey was conducted to determine compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities, including proper infection prevention and control practices to prevent the development and transmission of COVID-19.

The facility failed to provide staff working in designated COVID-19 areas with appropriate and recommended Personal Protective Equipment (PPE), including the use of Tyvek suits and N95 masks according to CDC recommendations, potentially exposing staff and residents to infection risk.

An unannounced visit was made to Parkville Care Center on May 12, 2020 by a representative of the Facility Licensing and Investigations Section of the Department of Public Health for the purpose of conducting a COVID-19 focused survey.

The survey found that the facility was separated into five units with two units dedicated to COVID-19 positive residents. Observations noted lack of N95 masks in storage and on resident care units, use of KN95 masks by nursing staff, and improper use and storage of Tyvek suits. The Director of Nursing indicated the facility was not provided with N95 masks and fit testing was not required. Documentation showed delivery of N95 and KN95 masks on May 6, 2020, but the DON had not received the N95 masks at the time of the survey.

A COVID-19 Focused Survey was conducted to determine compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities, including proper infection prevention and control practices to prevent the development and transmission of COVID-19.

The facility failed to ensure proper use of Tyvek suits according to CDC recommendations during the pandemic, with staff reusing suits across shifts despite education. Observations noted approximately thirty used Tyvek suits hanging in a room, and the Director of Nursing was unable to provide CDC guidance on one-time use of these suits.

A COVID-19 Focused Survey was conducted to determine compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities, including proper infection prevention and control practices to prevent the development and transmission of COVID-19.

The survey found no deficiencies related to infection prevention and control practices for COVID-19 at Parkville Care Center.

A COVID-19 Focused Survey was conducted to determine compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities, including proper infection prevention and control practices to prevent the development and transmission of COVID-19.

The survey found no deficiencies related to infection prevention and control practices for COVID-19 at Parkville Care Center.

An unannounced visit was made to Parkville Care Center on November 12, 2019 by a representative of the Facility Licensing and Investigations Section of the Department of Public Health for the purpose of conducting an investigation.

The report identifies multiple violations related to the care of Resident #1, including failure to implement safety interventions for suicidal ideation, failure to revise care plans after an attempted suicide, failure to monitor targeted behaviors related to antipsychotic medication, and failure to report an attempted self-injury to the state agency. The facility submitted a plan of correction addressing these deficiencies.

Unannounced visits were made to the facility on March 24, 25, 26, and 27, 2019 by representatives of the Facility Licensing & Investigations Section for the purpose of conducting a certification survey.

The facility was found deficient in multiple areas including failure to ensure accurate documentation of advance directives, failure to notify responsible parties and physicians of injuries of unknown origin, failure to report such injuries to the state agency, failure to complete timely comprehensive assessments, inaccuracies in Minimum Data Set (MDS) coding, failure to notify or involve responsible parties in care plan conferences, failure to provide adequate nail care, failure to follow physician orders for surgical consults, improper resident positioning during meals, failure to apply splints as ordered, and failure to maintain a safe environment including secure medication storage and wheelchair maintenance.

Unannounced visits were made to Parkville Care Center which concluded on March 27, 2019 by representatives of the Facility Licensing and Investigations Section of the Department of Public Health for the purpose of conducting a certification survey.

The report details multiple violations of Connecticut State Agencies regulations related to documentation of residents' code status, mistreatment notifications, injury reporting, care planning, medication administration, and facility safety. The facility failed to ensure accurate documentation, timely reporting, and proper care in several areas, including advance directives, injury investigations, MDS submissions, and medication storage.

The inspection was conducted due to a complaint investigation regarding violations of Connecticut State statutes and regulations at Parkville Care Center.

The investigation identified multiple deficiencies related to resident care, including failure to provide appropriate notifications for injuries, inadequate documentation, failure to ensure safety interventions, and issues with medication administration and care planning.

The visit was complaint-related, investigating allegations of mistreatment and failure to provide appropriate care and notifications related to injuries of unknown origin and other care deficiencies.

Unannounced visits were made to the facility on 3/5/19 and 3/11/19 by a representative of the facility licensing and investigation section for the purpose of conducting an investigation related to a complaint.

The facility failed to make continued attempts to reach a responsible party and/or take action when a change in condition was identified for Resident #1. Additionally, the facility failed to obtain ordered parathyroid hormone bloodwork, ensure intake and output documentation, provide consistent social services support, and maintain accurate documentation of tube feeding flushes.

The investigation was triggered by a complaint regarding failure to notify responsible parties of changes in condition and failure to provide adequate care and social services to Resident #1.