Inspection Reports for Regency House Of Wallingford I

181 E Main Street, Wallingford, CT 06492, CT, 06492

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Inspection Report Plan of Correction Census: 122 Capacity: 130 Deficiencies: 5 Sep 24, 2025
Visit Reason
A desk audit was conducted to review the implementation of the Plan of Correction for a prior Violation letter dated August 14, 2025.
Findings
Violations #1 through #5 were identified as corrected as of August 39, 2025. The Director of Nursing was notified of the corrections on September 24, 2025.
Deficiencies (5)
Description
Violation #1
Violation #2
Violation #3
Violation #4
Violation #5
Report Facts
Violations corrected: 5
Employees Mentioned
NameTitleContext
Kathy LopezDirector of NursingNotified of correction of violations #1-#5 on September 24, 2025
Inspection Report Complaint Investigation Census: 127 Capacity: 130 Deficiencies: 0 Aug 1, 2025
Visit Reason
The inspection was conducted as a licensing inspection and to investigate complaints identified by complaint investigation numbers 124427 CT, 124416, and CT 2573687.
Findings
The report indicates that 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 referenced.
Complaint Details
Complaint investigation numbers 124427 CT, 124416, and CT 2573687 were referenced in relation to this inspection.
Report Facts
Licensed Bed Capacity: 130 Census: 127
Employees Mentioned
NameTitleContext
David BondAdministratorPersonnel contacted during the inspection.
Katherine LopezDNSPersonnel contacted during the inspection.
Inspection Report Complaint Investigation Census: 129 Capacity: 130 Deficiencies: 0 Jan 3, 2025
Visit Reason
The inspection was conducted as a complaint investigation related to complaint numbers #42277 and #42362.
Findings
No violations of the General Statutes of Connecticut and/or the regulations of Connecticut State Agencies were identified at the time of this inspection.
Complaint Details
Complaint investigation related to complaint numbers #42277 and #42362; no violations were found.
Employees Mentioned
NameTitleContext
David BondAdministratorPersonnel contacted during the inspection.
Inspection Report Renewal Census: 123 Capacity: 130 Deficiencies: 0 Oct 2, 2023
Visit Reason
The inspection was conducted as a renewal licensing inspection of the Regency House Nursing Center.
Findings
Violations of the General Statutes of Connecticut and/or regulations were identified at the time of this inspection. Additional narrative or violation details are referenced but not included in the provided pages.
Report Facts
Licensed Bed/Bassinet Capacity: 130 Census: 123
Employees Mentioned
NameTitleContext
David BoylePersonnel contacted during inspection
Kathleen LopezPersonnel contacted during inspection
Inspection Report Follow-Up Census: 125 Capacity: 130 Deficiencies: 0 Apr 5, 2023
Visit Reason
A desk audit was completed on 4/5/23 to review the implementation of the Plan of Correction for the Violation Letter dated 1/31/23.
Findings
Violation #1 was corrected as of 2/9/23 and the Administrator was notified via telephone on 4/5/23.
Employees Mentioned
NameTitleContext
David BondAdministratorPersonnel contacted during the inspection
Judy BirtwistleSNCReport submitted by and signature on inspection report
Inspection Report Renewal Census: 121 Capacity: 130 Deficiencies: 0 Jul 27, 2021
Visit Reason
The inspection was conducted as a renewal licensing inspection for Regency House Nursing Home.
Findings
The facility was found to be in compliance with visitation policies and no violations of the General Statutes or regulations were identified during this inspection. The facility did not apply for CMP funds but did apply for a CRF grant.
Employees Mentioned
NameTitleContext
Cynthia HaydeRNReport submitted by
David BondAdminPersonnel contacted
Rosalyn MoranoAdminPersonnel contacted
Inspection Report Annual Inspection Deficiencies: 5 Jul 27, 2021
Visit Reason
An unannounced visit was made to Regency House Nursing And Rehabilitation Center by the Department of Public Health for the purpose of conducting an annual survey.
Findings
The report details multiple violations of Connecticut State regulations identified during the visit, including issues with resident care, nursing assessments, medication storage, infection control, and oxygen therapy management. Plans of correction were submitted addressing each violation with measures to prevent recurrence and ensure compliance.
Deficiencies (5)
Description
Failure to ensure timely RN assessment after a resident fall before transfer.
Failure to ensure oxygen tubing was dated to identify last change.
Failure to ensure cleaning supplies and personal supplies were stored appropriately and multidose medications were dated when opened; failure to remove expired medications from medication cart.
Failure to disinfect the facility glucometer after resident use in accordance with facility policy.
Failure to properly disinfect glucometers according to facility policy.
Report Facts
Plan of correction submission deadline: Aug 21, 2021 Dates of observations and incidents: Jul 7, 2021 Dates of observations and incidents: Jul 20, 2021 Dates of observations and incidents: Jul 26, 2021 Dates of observations and incidents: Jul 27, 2021
Employees Mentioned
NameTitleContext
Maureen Golas MarkureSupervising Nurse ConsultantSigned the notice letter and responsible for overseeing the inspection
APRN #1Named in findings related to resident care and elopement risk assessment
RN #1Interviewed regarding resident care and elopement risk
RN #3Interviewed regarding oxygen tubing schedule
RN #6Supervisor involved in resident fall incident
LPN #2Interviewed regarding medication room observations
LPN #3Interviewed regarding medication room observations
LPN #5Witnessed resident fall and involved in incident
NA #5Witnessed resident fall and involved in incident
Inspection Report Renewal Census: 121 Capacity: 130 Deficiencies: 0 Jul 20, 2021
Visit Reason
The inspection was conducted as a renewal licensing inspection for the facility.
Findings
The facility was found to be in compliance with visitation policies and did not apply for CMP funds. The report indicates no violations were identified at the time of inspection.
Employees Mentioned
NameTitleContext
Tricia CalderonePersonnel contacted during the inspection
Inspection Report Complaint Investigation Deficiencies: 4 May 11, 2020
Visit Reason
Unannounced visits were made to Regency House Nursing And Rehabilitation Center to conduct an investigation and a COVID-19 focused infection control survey.
Findings
The facility was found to have multiple violations including failure to notify the physician when a resident continued to complain of pain after a fall, failure to address abnormal diagnostic X-ray findings timely, failure to ensure post-fall monitoring was completed per policy, failure to address complaints of pain adequately, and failure to implement appropriate infection control practices to prevent spread of infection.
Complaint Details
The visit was complaint-related, focusing on falls and infection control practices. The facility was found noncompliant in multiple areas related to resident care and infection control.
Deficiencies (4)
Description
Failed to contact the physician as directed when pain continued after a fall for Resident #1.
Failed to ensure appropriate care and treatment for Resident #1 who was non-ambulatory, including failure to address abnormal diagnostic X-ray findings timely and failure to ensure post-fall monitoring was completed according to policy.
Failed to ensure complaints of pain were addressed after a fall for Resident #1.
Failed to ensure appropriate infection control practices were implemented to prevent and control the spread of infection, including improper use of isolation gowns by staff.
Report Facts
Date of fall event: Apr 26, 2020 Date of X-ray: Apr 27, 2020 Plan of correction submission deadline: Jun 5, 2020 Audit frequency: 4
Employees Mentioned
NameTitleContext
Susan NewtonSupervising Nurse ConsultantAuthor of the inspection report letter
David O. BondAdministratorFacility administrator addressed in the report
LPN #7Licensed Practical NurseDid not inform supervisor of resident's continued pain after fall
RN #4Registered NurseSupervisor who was to be notified of resident's continued pain
APRN #2Advanced Practice Registered NurseDirected staff to notify if resident continued to complain of pain
LPN #1Licensed Practical NurseObserved resident's bed elevated at time of fall
NA #1Nurse AideObserved bed elevated and resident's habit of playing with bed controls
RN #3Registered NurseHelped X-ray technician and reported X-rays taken
LPN #4Licensed Practical NurseCharge nurse on shift unaware of X-ray results and resident's pain complaints
RN #1Registered NurseNursing supervisor who did not receive X-ray results report
RN #2Unit ManagerCalled APRN and sent resident to emergency department after discovering X-ray results
LPN #6Licensed Practical NurseDid not medicate resident with as needed Tylenol after pain complaints
NA #3Nurse AideReported resident's pain complaints during repositioning
NA #4Nurse AideReported resident's pain complaints during repositioning
AdministratorInterviewed about PPE gown shortages and isolation gown usage
Inspection Report Complaint Investigation Deficiencies: 4 May 11, 2020
Visit Reason
A Covid-19 focused survey was conducted to determine compliance with 42 CFR Part 483 requirements for LTC facilities including infection control and prevention, and an investigation for complaint CT #27447 was completed.
Findings
The facility failed to notify the physician timely after a resident's fall with continued pain, failed to provide appropriate care and treatment including timely response to abnormal X-ray findings, failed to monitor post-fall resident properly, and failed to manage pain adequately. Infection control practices were also found deficient related to improper use of isolation gowns.
Complaint Details
Investigation related to complaint CT #27447 regarding failure to notify physician and inadequate care after resident fall with pain complaints.
Severity Breakdown
SS=D: 3 SS=G: 1
Deficiencies (4)
DescriptionSeverity
Failed to notify physician promptly when pain continued after a fall.SS=D
Failed to ensure appropriate care and treatment after fall including timely response to abnormal X-ray findings and post-fall monitoring.SS=G
Failed to ensure complaints of pain were addressed after a fall.SS=D
Failed to implement appropriate infection control practices to prevent spread of infection, including improper use of isolation gowns.SS=D
Report Facts
Deficiencies cited: 4 Fall date: Apr 26, 2020 X-ray order time: 1100 X-ray taken time: 2210 X-ray results received time: 2239 Pain monitoring shifts prior to fall: 75 Pain complaints shifts prior to fall: 2
Employees Mentioned
NameTitleContext
LPN #7Licensed Practical NurseNamed in failure to notify physician of continued pain after fall
RN #4Registered NurseSupervised on day of fall, failed to ensure notification to APRN of continued pain
APRN #2Advanced Practice Registered NurseDirected to be notified if resident continued to complain of pain after fall
LPN #1Licensed Practical NurseWitnessed resident fall from elevated bed
NA #1Nurse AideReported resident habit of elevating bed and found resident on floor
NA #2Nurse AideReported resident needed assistance and found resident on floor
LPN #4Licensed Practical NurseCharge nurse on shift after fall, unaware of X-ray results and pain complaints
RN #1Registered NurseNursing supervisor on shift after fall, did not receive report of pending X-ray results
RN #2Unit ManagerDiscovered X-ray results and arranged transfer to hospital
LPN #6Licensed Practical NurseFailed to medicate resident with as needed pain medication after complaints
NA #3Nurse AideReported resident pain during repositioning not communicated to nurse
NA #4Nurse AideReported resident pain during repositioning not communicated to nurse
Inspection Report Abbreviated Survey Deficiencies: 1 May 9, 2020
Visit Reason
An unannounced visit was made to Regency House Nursing and Rehabilitation Center on May 9, 2020 for the purpose of conducting a COVID-19 Focused survey.
Findings
The facility failed to update policies and improperly reused disposable gowns contrary to CDC recommendations during the COVID-19 pandemic, risking staff and resident safety. Observations and interviews confirmed gowns were reused throughout shifts without proper guidelines on discarding or extended use.
Complaint Details
Complaint #27385 triggered the visit. No substantiation status was stated.
Deficiencies (1)
Description
Facility failed to update policies and failed to utilize personal protective equipment according to CDC recommendations by reusing disposable gowns instead of extending their use, risking infection control.
Report Facts
Disposable gowns available: 600 Facility units with COVID-19 residents: 4
Employees Mentioned
NameTitleContext
Karen GworekSupervising Nurse ConsultantSigned the notice letter and directed questions regarding violations
David BondAdministratorNamed in relation to the facility and plan of correction
Director of NursingInterviewed regarding PPE policies and COVID-19 resident cohorting
Licensed Practical Nurse #1Charge NurseInterviewed about gown use practices during COVID-19 care
Licensed Practical Nurse #2Interviewed about gown use and safety concerns during COVID-19 care
Inspection Report Abbreviated Survey Deficiencies: 1 May 9, 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 proper infection prevention and control practices to prevent the development and transmission of COVID-19.
Findings
The facility failed to update policies and failed to utilize personal protective equipment according to CDC recommendations during the COVID-19 pandemic by extending the use of disposable gowns instead of reusing them, putting staff and residents at risk of infection. Observations and interviews confirmed gowns were reused throughout shifts and hung outside resident rooms, contrary to proper infection control practices.
Severity Breakdown
SS=E: 1
Deficiencies (1)
DescriptionSeverity
Failure to update policies and failure to utilize personal protective equipment according to CDC recommendations during the COVID-19 pandemic by extending the use of disposable gowns instead of reusing disposable gowns.SS=E
Report Facts
Disposable gowns available: 600 Units with COVID-19 positive residents: 4 Audit frequency: 3 Audit frequency: 1
Employees Mentioned
NameTitleContext
Licensed Practical Nurse #1Charge NurseInterviewed regarding PPE gown use and reuse practices
Licensed Practical Nurse #2Interviewed regarding PPE gown use and reuse practices and safety concerns
Director of NursingDirector of NursingInterviewed regarding PPE policies and unable to provide CDC documentation
Inspection Report Routine Deficiencies: 1 May 9, 2020
Visit Reason
An unannounced visit was made to Regency House Nursing and Rehabilitation Center on May 9, 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.
Findings
The facility had 600 disposable gowns available, but staff were reusing disposable gowns throughout shifts when caring for COVID-19 positive residents, contrary to CDC guidelines. The Director of Nursing was unable to provide documentation of CDC recommendations on extended use versus reuse of PPE. The facility's cohort guidelines lacked clarity on when gowns should be discarded. The policy allowed staff to reuse gowns for entire shifts, which was a concern for infection control.
Deficiencies (1)
Description
Staff were not following proper procedure for PPE usage, specifically reusing disposable gowns throughout shifts when caring for COVID-19 positive residents.
Report Facts
Disposable gowns available: 600 Units with COVID-19 positive residents: 4 Audit frequency: 3 Audit frequency: 1
Employees Mentioned
NameTitleContext
Karen GworekSupervising Nurse ConsultantSigned the notice letter
Director of Nursing (DON)Interviewed regarding PPE usage and facility policies
Licensed Practical Nurse (LPN) #1Interviewed about gown usage practices
Licensed Practical Nurse (LPN) #2Interviewed about gown usage practices and concerns
Inspection Report Monitoring Census: 94 Capacity: 130 Deficiencies: 1 May 9, 2020
Visit Reason
The visit was conducted for monitoring COVID-19 infection control and included a complaint investigation (Complaint #27385).
Findings
The inspection identified violations related to the extended use and reuse of disposable gowns for COVID-19 positive residents, with concerns about staff safety and adherence to CDC guidelines. A plan of correction was required to address these issues.
Complaint Details
Complaint investigation #27385 was conducted as part of the visit. The complaint was related to infection control practices concerning COVID-19.
Deficiencies (1)
Description
Improper reuse of disposable gowns for COVID-19 positive residents, contrary to CDC guidelines.
Report Facts
Licensed Bed Capacity: 130 Census: 94 Disposable Gowns: 600
Employees Mentioned
NameTitleContext
Donna DwyerDirector of NursingInterviewed regarding COVID-19 cohorting and gown usage policies.
Karen GworekSupervising Nurse ConsultantSigned the complaint investigation letter.
LPN #1Licensed Practical NurseInterviewed about gown usage when caring for COVID-19 positive residents.
LPN #2Licensed Practical NurseInterviewed about gown usage and safety concerns during COVID-19 care.
Inspection Report Routine Census: 109 Capacity: 130 Deficiencies: 0 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 proper infection prevention and control practices to prevent the development and transmission of COVID-19.
Findings
No deficiencies were cited as a result of this COVID-19 focused survey.
Inspection Report Complaint Investigation Census: 120 Capacity: 130 Deficiencies: 1 Apr 11, 2019
Visit Reason
The inspection was conducted as a complaint investigation related to multiple complaint numbers (CT00023992, CT0023782, CT00024018, CT00024140) and to assess violations of Connecticut State regulations.
Findings
Violations of Connecticut General Statutes and regulations were identified during the inspection, resulting in a citation (19-23). A desk audit conducted later found that violations 1-4 were corrected. The facility was required to submit a plan of correction by May 6, 2019.
Complaint Details
The visit was complaint-related, investigating complaints #23992, #23782, #24018, and #24140. Violations were substantiated as indicated by the issuance of citation #19-23.
Deficiencies (1)
Description
Violations of the General Statutes of Connecticut and/or regulations were identified during the complaint investigation.
Report Facts
Licensed Bed Capacity: 130 Census: 120 Citation Number: 19 Citation Number: 23
Employees Mentioned
NameTitleContext
David BondAdministratorNamed as personnel contacted during the inspection and in relation to findings.
Donna DwyerRNNamed as personnel contacted during the inspection.
Siobhan O'NeillNurse ConsultantConducted desk audit and provided findings on correction of violations.
Inspection Report Plan of Correction Deficiencies: 5 Apr 11, 2019
Visit Reason
Unannounced visits were made to Regency House Nursing And Rehabilitation Center to conduct multiple investigations and a certification survey.
Findings
The report details violations related to resident care, including issues with advanced directives, medication administration, skin integrity, hospice notification, and documentation. Plans of correction were submitted addressing these deficiencies with education, audits, and monitoring.
Deficiencies (5)
Description
Failure to ensure resident code status was correctly identified and honored.
Failure to notify responsible party of medication changes or changes in condition.
Failure to ensure skin integrity impairment was addressed and documented.
Failure to notify hospice service of changes in resident condition.
Medication error involving methotrexate administration and failure to follow physician orders.
Report Facts
Complaints referenced: 4 Dates of plan of correction completion: Completed 5/2/19, 5/21/19, and 8/8/18
Employees Mentioned
NameTitleContext
Cher MichaelSupervising Nurse ConsultantSigned the amended violation letter
RN #1Registered NurseWitnessed consent form, involved in medication error and skin integrity findings
Person #2Responsible party for Resident #128, involved in notification findings
Physician (MD) #3PhysicianInterviewed regarding medication sensitivities
Director of NursesInterviewed regarding skin integrity audit and findings
Licensed Practical Nurse (LPN) #1Licensed Practical NursePerformed weekly skin integrity checks
RN #3Registered NurseInterviewed regarding hospice notification
Hospice nurseInterviewed regarding hospice assessments
Corporate nurseInterviewed regarding hospice service notification
RN #1Registered NurseInvolved in medication administration error and disciplinary action
Licensed Practical Nurse (LPN) #4Licensed Practical NurseInterviewed regarding medication order verification
Licensed Practical Nurse (LPN) #5Licensed Practical NurseInterviewed regarding medication pass and error notification
APRN #2Advanced Practice Registered NurseConsulted on medication error and treatment
Physician (MD) #1PhysicianInterviewed regarding methotrexate administration and toxicity
Pharmacist #1PharmacistInterviewed regarding methotrexate dosing and medication alerts
Inspection Report Renewal Census: 125 Capacity: 130 Deficiencies: 0 Feb 26, 2018
Visit Reason
The inspection was conducted as a renewal licensing inspection and included review of complaint investigations CT# 21847 and CT# 22556.
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 2018-03-19.
Complaint Details
The inspection included review of complaint investigations CT# 21847 and CT# 22556.
Employees Mentioned
NameTitleContext
David BindAdministratorPersonnel contacted during the inspection
Donna DwyerDNSPersonnel contacted during the inspection

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