Inspection Reports for Pomperaug Woods

The inspection visit was conducted as a complaint investigation related to complaint numbers #43783 and #43834.

No violations of the General Statutes of Connecticut and/or regulations of Connecticut State Agencies were identified at the time of this inspection.

Complaint investigation related to complaint numbers #43783 and #43834; no violations were substantiated.

An unannounced visit was made to Pomperaug Woods Health Center on January 7, 2025, by the Department of Public Health to conduct an investigation based on additional information received through January 8, 2025.

The facility failed to ensure proper control and accounting of a controlled medication, Oxycodone, as one blister pack and its corresponding disposition sheet were unaccounted for. An investigation revealed missing medication despite audits and searches, indicating a deficiency in narcotic medication management and documentation.

Complaint #42057 triggered the investigation. The complaint was substantiated as the facility was found noncompliant with narcotic medication control and documentation requirements.

The inspection visit was conducted as a complaint investigation related to Complaint Investigation #42057.

Violations of the General Statutes of Connecticut and/or regulations of Connecticut State Agencies were identified at the time of this inspection, as noted in an attached violation letter dated 2025-01-16.

Complaint Investigation #42057 was the basis for the visit. Violations were substantiated as violations were identified during the inspection.

The inspection visit was conducted as a complaint investigation referenced by complaint #42057.

Violations of the General Statutes of Connecticut and/or regulations of Connecticut State Agencies were identified at the time of this inspection, with an attached violation letter dated 2025-01-16.

Complaint investigation #42057 was conducted and violations were substantiated as indicated by the attached violation letter.

A follow-up visit was conducted to review the implementation of the Plan of Correction for violations identified in a previous violation letter dated 2024-10-30.

All previously identified violations (Violation #1a, 2a, 3a, 4a, 5a, 5c, 6a, 6b, 7a, 8a, 9a, 9b, 9c, 9d) were corrected as of 2024-11-22, and the administrator was notified in person on 2024-12-11 that all violations were corrected.

The inspection was conducted as a licensing inspection renewal combined with a complaint investigation (Complaint Investigation #36764).

The report indicates that violations of the General Statutes of Connecticut and/or regulations were reviewed, but no specific violations or citations were noted in this summary page. Additional narrative or violation letters may be attached but are not included here.

Complaint Investigation #36764 was part of the inspection process; no substantiation status or findings are explicitly stated in this document.

The inspection visit was conducted as a complaint investigation referenced by Complaint Investigation #36816.

No violations of the General Statutes of Connecticut and/or regulations of Connecticut State Agencies were identified at the time of this inspection.

Complaint Investigation #36816 was conducted and found no violations; the complaint was not substantiated.

The inspection visit was conducted as a complaint investigation referenced by complaint #36816.

No violations of the General Statutes of Connecticut and/or regulations of Connecticut State Agencies were identified at the time of this inspection.

Complaint investigation #36816 was conducted and found no violations; the complaint was not substantiated.

The inspection was conducted as a renewal licensing inspection for the facility.

Violations of the General Statutes of Connecticut and/or regulations of Connecticut State Agencies were identified at the time of this inspection, as noted in an attached violation letter dated May 10, 2023.

A desk audit was conducted on 3/15/22 to review the implementation for the plan of correction from the Violation letter dated 1/4/2021.

Violations #1 (a), (b), (c), #2, and #3 have been corrected. The MDS Coordinator was notified that State Violations #1-3 were corrected, and an email was sent to the Administrator and DNS.

Unannounced visits were made to Pomperaug Woods Health Center on December 20, 21, and 22, 2021 for the purpose of conducting a complaint investigation.

Violations of the Regulations of Connecticut State Agencies and/or General Statutes were identified related to inadequate assessments and documentation of pressure ulcers, failure to document effectiveness of laxative medication, and failure to monitor nutritional supplement intake and resident weights as per physician orders.

Complaint investigation #31297 was conducted. Violations were substantiated as noted in the findings and violation letter dated 01/04/2022.

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.

The facility failed to ensure appropriate eye protection was worn by staff when providing care to residents on transmission-based droplet precautions in the COVID-19 suspected unit, contrary to CDC guidance.

The visit was conducted to investigate compliance with COVID-19 transmission-based droplet precautions in the facility's COVID-19 suspected unit.

The facility failed to ensure appropriate eye protection was worn by staff when providing care to residents on transmission-based droplet precautions. Multiple staff members were observed providing care without wearing face shields or goggles as required.

An unannounced visit was conducted on September 11, 2020 at Pomperaug Woods Health Center by the Department of Public Health for the purpose of conducting a COVID-19 focused infection control survey.

The facility failed to ensure appropriate eye protection was worn by staff when providing care to residents on transmission-based droplet precautions in the COVID-19 suspected unit. Observations showed multiple staff members providing care without face shields or goggles, contrary to CDC guidance and facility policy.

The visit was an unannounced COVID-19 infection control survey conducted on September 11, 2020, to assess compliance with infection control measures related to COVID-19.

Violations of Connecticut State regulations were identified related to failure to ensure appropriate eye protection was worn by staff when providing care to residents on transmission-based droplet precautions. Specific observations included staff providing care without face shields or goggles and improper storage of PPE.

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.

No deficiencies were cited as a result of this COVID-19 focused 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 survey found no deficiencies related to infection prevention and control practices for COVID-19 at Pomperaug Woods Health 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.

No deficiencies were cited as a result of this COVID-19 focused survey.

A COVID-19 Focused Survey was conducted on June 3, 2020 at Pomperaug Woods Health Center 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.

Deficiencies were not cited as a result of this COVID-19 focused survey.

The visit was conducted to address infection control practices related to COVID-19, specifically regarding the use of personal protective equipment (PPE) by private duty caregivers.

The Director of Nursing identified that private duty caregivers did not consistently use gloves or gowns when caring for residents on isolation precautions. The facility provided infection prevention education and updated policies to ensure proper PPE use and transmission-based precautions.

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 appropriate infection control practices regarding personal protective equipment and signage for COVID-19 precautions. Observations included inadequate signage indicating specific precautions, improper storage of N95 masks, inappropriate use of rain ponchos instead of disposable gowns, and failure of a private duty caregiver to use PPE and clean equipment properly.

An unannounced visit was made to Pomperaug Woods Health Center on May 21, 2020 for the purpose of conducting an investigation and a COVID-19 infection control monitoring visit.

The facility failed to ensure appropriate infection control practices regarding personal protective equipment to prevent and control the transmission of COVID-19. Observations included inadequate signage for COVID-19 precautions, improper storage of N95 masks, inappropriate use of rain ponchos by nursing staff, and a private duty caregiver not following infection control protocols.

The inspection was conducted due to complaints and allegations of mistreatment, verbal abuse, medication diversion, and failure to maintain proper care and safety standards at Pomperaug Woods Health Center.

The facility was found to have multiple violations including mistreatment of residents, verbal abuse, failure to timely report abuse allegations, inadequate skin integrity care, medication diversion, failure to maintain side rails properly, and infection control deficiencies. Several staff members were terminated or reeducated, and plans of correction were implemented.

The complaint investigation involved allegations of mistreatment, verbal abuse, medication diversion, and failure to maintain proper care and safety standards. Some allegations were substantiated based on witness interviews and investigations, leading to staff terminations and corrective actions.

Unannounced visits were made to Pomperaug Woods Health Center on April 15, 16, and 18, 2019 by representatives of the Facility Licensing and Investigations Section of the Department of Public Health for the purpose of conducting an investigation based on complaints.

The facility was found to have multiple violations including mistreatment and verbal abuse of residents, failure to ensure timely reporting of abuse allegations, inadequate skin integrity care, failure to maintain side rails according to manufacturer guidelines, incomplete employee performance evaluations, medication diversion and discrepancies, and failure to maintain sanitary conditions in the dietary department. Several residents were involved in these findings, and staff members were suspended or terminated as a result.

Complaint investigation was substantiated with findings of mistreatment, verbal abuse, failure to report abuse timely, medication diversion, and other regulatory violations.

Unannounced visits were made to Pomperaug Woods Health Center for the purpose of conducting an investigation related to complaints of mistreatment, abuse, neglect, medication diversion, and failure to ensure resident safety and proper care.

The facility was found to have multiple violations including failure to prevent verbal abuse and mistreatment of residents, inadequate supervision and reporting of abuse, failure to ensure proper skin integrity care, medication diversion, and failure to maintain safe environment including side rails and dietary services. Several residents were mistreated verbally and physically, and the facility failed to properly investigate and report these incidents.

The investigation was complaint-driven, involving allegations of mistreatment, abuse, neglect, medication diversion, and failure to ensure resident safety. The allegations were substantiated based on interviews, clinical record reviews, and observations.

Unannounced visits were made to Pomperaug Woods Health Center on April 15, 16, and 18, 2019 by representatives of the Facility Licensing and Investigations Section of the Department of Public Health for the purpose of conducting an investigation.

The facility was found to have multiple violations related to mistreatment, verbal abuse, failure to provide consistent wound measurements, failure to maintain dietary department sanitation, failure to ensure side rails were installed correctly, failure to complete annual performance evaluations, and failure to conduct timely investigations of medication diversion. Several allegations of mistreatment and verbal abuse were substantiated, resulting in staff suspensions and terminations.

Complaint numbers 24322, 24055, and 23674 were investigated. Several allegations of mistreatment and verbal abuse were substantiated based on interviews, clinical record reviews, and investigations.

Unannounced visits were made to Pomperaug Woods Health Center concluding on May 10, 2018, by representatives of the Facility Licensing and Investigations Section of the Department of Public Health for the purpose of conducting multiple investigations, licensing, surveys, and inspections.

Violations of the Regulations of Connecticut State Agencies and/or General Statutes were identified during the inspection, including issues with medication administration, resident environment safety, water management plan for Legionella risk, and emergency preparedness. The facility was found noncompliant in several areas and required to submit a plan of correction.