Inspection Reports for
Regency House Of Wallingford I

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.

The complaint involved allegations of resident-to-resident abuse and failure to respond appropriately to alleged violations. The abuse incident was substantiated with minimal harm. The facility was found to have delayed notification to social work and failed to follow proper medication administration and documentation protocols.

The facility failed to protect a resident from physical abuse by another resident, failed to notify social work timely of a resident-to-resident altercation, failed to ensure licensed staff administered medications according to physician orders, and failed to document administration of as-needed medications properly. Additionally, the facility inaccurately reported weekend staffing data to the Payroll Based Journal for quarters 3 and 4 of 2024.

The complaint investigation focused on Resident #1, who had a left tibial fracture of unknown origin. The facility was not aware of a recent fall and failed to timely notify the provider of the resident's change in condition. The investigation was incomplete with only 42% of staff statements obtained. The resident was found unattended on the toilet despite requiring assistance.

The facility failed to notify the provider timely of a change in condition for Resident #1, failed to obtain a STAT venous doppler ultrasound as ordered, and failed to supervise the resident while on the toilet. The resident was found to have a left tibial fracture of unknown origin, and the facility's investigation was incomplete with only partial staff statements obtained.

The facility was found deficient in ensuring a physician's order for cardiopulmonary code status was in place, developing and implementing comprehensive care plans reflecting boundary restrictions between residents, and properly dating opened food items in the dietary department.

The facility failed to ensure a physician's order was in place for a resident's cardiopulmonary code status, did not develop and implement comprehensive care plans reflecting boundary restrictions between residents, and failed to properly date opened food items in the dietary department.

The facility was found deficient in multiple areas including failure to timely address physician recommendations for a resident with exit-seeking behavior, inadequate RN assessment after a resident fall before moving the resident, failure to date oxygen tubing and medication supplies properly, improper storage of cleaning and personal supplies in medication rooms, and failure to properly disinfect the glucometer according to facility policy.

The facility was found deficient in timely addressing physician recommendations for a resident with exit-seeking behavior, ensuring RN assessment after a resident fall before transfer, proper dating and removal of expired oxygen tubing and medications, appropriate storage of medications and supplies, and proper disinfection of glucometers according to facility policy.

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.

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.

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.

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.

Complaint investigation #27385 was conducted as part of the visit. The complaint was related to infection control practices concerning COVID-19.

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.

The visit was complaint-related, investigating complaints #23992, #23782, #24018, and #24140. Violations were substantiated as indicated by the issuance of citation #19-23.

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.

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.