The most recent inspection on September 17, 2025, noted two deficiencies related to previously cited violations, which were identified as corrected by August 3, 2025. Earlier inspections showed multiple deficiencies primarily involving clinical documentation, communication regarding dialysis treatments, and staffing levels. Complaint investigations triggered some of these reviews, but the reports did not specify whether complaints were substantiated. No fines, immediate jeopardy findings, or enforcement actions were listed in the available reports. The facility appears to have addressed prior issues over time, with follow-up audits confirming correction of earlier violations.
Deficiencies (last 2 years)
Deficiencies (over 2 years)3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
46% better than Connecticut average
Connecticut average: 5.6 deficiencies/year
Deficiencies per year
43210
2024
2025
Census
Latest occupancy rate95% occupied
Based on a September 2025 inspection.
Census over time
Inspection Report Plan of CorrectionCensus: 121Capacity: 128Deficiencies: 2Sep 17, 2025
Visit Reason
A desk audit was conducted to review the implementation of the Plan of Correction for the Violation letter dated July 24, 2025.
Findings
Violations #1 and #2 were identified as corrected as of August 3, 2025, and the Administrator was notified of the corrections on September 17, 2025.
A desk audit was conducted to review the implementation of the Plan of Correction for a prior violation letter dated 2025-08-11.
Findings
Violations numbered 1 through 13 were identified as corrected during the desk audit. The facility administrator was notified of the corrections on the same day.
Report Facts
Violations corrected: 13
Employees Mentioned
Name
Title
Context
Elza Augustin
Administrator
Notified via telephone that the violations were corrected.
A desk audit was conducted to review the implementation of the plan of correction for violations cited in a previous letter dated 7/30/24.
Findings
The desk audit found that all violations (#1, #2, #3, and #4) were corrected as of 10/16/24, confirmed by notification to the Administrator Elza Augustin.
Report Facts
Violations reviewed: 4
Employees Mentioned
Name
Title
Context
Diane Azeez
Director Of Nursing
Personnel contacted during the inspection
Elza Augustin
Administrator
Notified via telephone that all violations were corrected
Inspection Report Plan of CorrectionCensus: 117Deficiencies: 4Jun 17, 2024
Visit Reason
An unannounced visit was conducted at Shady Knoll on June 17, 2024, by the Department of Public Health for the purpose of conducting multiple investigations related to regulatory compliance.
Findings
The report identifies multiple violations including failure to notify physicians/APRN of missed dialysis treatments, failure to maintain a dialysis communication book, incomplete and inaccurate clinical records especially related to oral care, and failure to meet staffing levels according to Connecticut Public Health Code. Corrective measures and plans to monitor compliance are outlined for each violation.
Complaint Details
The visit was triggered by complaints #33780 and #39237. The report does not explicitly state substantiation status.
Deficiencies (4)
Description
Failure to notify physician/APRN timely of missed dialysis treatments for Resident #2.
Failure to ensure timely transportation and maintain dialysis communication book for Resident #2.
Failure to ensure clinical records were complete and accurate including documentation of oral care and refusals for Residents #1 and #2.
Failure to meet staffing levels in accordance with Connecticut Public Health Code on sampled days.
Author of the notice letter regarding the inspection and plan of correction
Inspection Report Original LicensingCapacity: 64Deficiencies: 0Jun 3, 2024
Visit Reason
The document is a Change of Ownership Pre-Licensure Consent Order for Shady Knoll Center for Health & Rehabilitation seeking an initial license to operate a Nursing Home. It outlines the terms and conditions for licensing and regulatory compliance prior to the issuance of the license.
Findings
The document details the requirements for compliance including contracting an Infection Control Nurse (INC), quality assurance programs, emergency preparedness, staffing requirements, and facility maintenance. It incorporates a Plan of Correction approved on August 7, 2024, with penalties for noncompliance. The document also includes a detailed plan of correction addressing structural, electrical, fire safety, and other regulatory compliance issues to be completed within specified timeframes.
Report Facts
Plan of Correction submission date: Aug 7, 2024Penalty amount: 1000Days to cure noncompliance: 14INC consulting hours per week: 16INC contract execution timeframe: 14Initial onsite review timeframe: 30Re-evaluation frequency: 3Retention period for records: 5Retention period for QA meeting minutes: 3Days for emergency preparedness plan revision: 28Escrow amount: 772315.74Inspection date: Jun 3, 2024Plan of Correction approval date: Aug 5, 2024Facility capacity: 64Inspection completion timeframe for electrical systems: 60Inspection completion timeframe for life safety repairs: 90Inspection completion timeframe for HVAC inspection: 180Inspection completion timeframe for fire alarm system: 60Inspection completion timeframe for nurse-call system: 180Inspection completion timeframe for kitchen suppression system: 60Inspection completion timeframe for dietary grease trap system: 120Inspection completion timeframe for exterior building surfaces: 90Inspection completion timeframe for exterior lighting: 120Inspection completion timeframe for interior finishes: 180Inspection completion timeframe for doors: 180Inspection completion timeframe for windows and screens: 180Inspection completion timeframe for plumbing lines: 180Inspection completion timeframe for fire safety system: 60Inspection completion timeframe for fire alarm system repairs: 120Inspection completion timeframe for fire stopping repairs: 90Inspection completion timeframe for nurse-call system repairs: 365Inspection completion timeframe for elevator system: 120Inspection completion timeframe for gas and vacuum systems: 120Inspection completion timeframe for water management plan: 30Inspection completion timeframe for laundry department evaluation: 180Inspection completion timeframe for dietary department evaluation: 180Inspection completion timeframe for housekeeping department evaluation: 180Inspection completion timeframe for cabinetry and countertops evaluation: 180Inspection completion timeframe for kitchen suppression system: 60
Employees Mentioned
Name
Title
Context
Marvin Ostreicher
Member of the LLC
Member of the LLC executing the Pre-Licensure Consent Order
Lorraine Cullen
Branch Chief, Healthcare Quality and Safety Branch, Department of Public Health
Signed the Pre-Licensure Consent Order on behalf of the Department of Public Health
Keith Edwards
Director of Engineering & Planning
Approved the Plan of Correction on August 5, 2024
Inspection Report RenewalCensus: 119Capacity: 120Deficiencies: 0Inspection Report Shady Knoll Center for Health Rehab LIR 7 1 25
Visit Reason
The inspection was conducted as a licensing inspection for renewal purposes and included review of a complaint investigation #44619.
Findings
The report indicates that violations of the General Statutes of Connecticut and/or regulations were not identified at the time of this inspection.
Report
Jul 21, 2025
File
complaint-inspection_2025-07-21.pdf
Report
Jun 30, 2025
File
health-inspection_2025-06-30.pdf
Report
Jun 17, 2024
File
complaint-inspection_2024-06-17.pdf
Report
Apr 16, 2024
File
complaint-inspection_2024-04-16.pdf
Report
Oct 18, 2023
File
complaint-inspection_2023-10-18.pdf
Report
Oct 18, 2023
File
health-inspection_2023-10-18.pdf
Report
Jul 28, 2021
File
health-inspection_2021-07-28.pdf
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