Inspection Reports for Shady Knoll Center for Health and Rehabilitation
41 Skokorat St, Seymour, CT 06483, CT, 06483
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Inspection Report
Plan of Correction
Census: 121
Capacity: 128
Deficiencies: 2
Sep 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.
Deficiencies (2)
| Description |
|---|
| Violation #1 |
| Violation #2 |
Report Facts
Licensed Bed Capacity: 128
Census: 121
Inspection Report
Monitoring
Capacity: 128
Deficiencies: 0
Sep 4, 2025
Visit Reason
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. |
Inspection Report
Follow-Up
Census: 107
Capacity: 128
Deficiencies: 0
Oct 16, 2024
Visit Reason
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 Correction
Census: 117
Deficiencies: 4
Jun 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. |
Report Facts
Census: 117
Staffing hours required: 253.89
Staffing hours provided: 222.25
Staffing hours deficit: 31.64
Census: 110
Staffing hours required: 238.7
Staffing hours provided: 229
Staffing hours deficit: 9.7
Staffing hours provided: 237.75
Staffing hours deficit: 13.97
Missed dialysis treatments: 2
Dialysis frequency: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Maureen Golas Markure | Supervising Nurse Consultant | Author of the notice letter regarding the inspection and plan of correction |
Inspection Report
Original Licensing
Capacity: 64
Deficiencies: 0
Jun 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, 2024
Penalty amount: 1000
Days to cure noncompliance: 14
INC consulting hours per week: 16
INC contract execution timeframe: 14
Initial onsite review timeframe: 30
Re-evaluation frequency: 3
Retention period for records: 5
Retention period for QA meeting minutes: 3
Days for emergency preparedness plan revision: 28
Escrow amount: 772315.74
Inspection date: Jun 3, 2024
Plan of Correction approval date: Aug 5, 2024
Facility capacity: 64
Inspection completion timeframe for electrical systems: 60
Inspection completion timeframe for life safety repairs: 90
Inspection completion timeframe for HVAC inspection: 180
Inspection completion timeframe for fire alarm system: 60
Inspection completion timeframe for nurse-call system: 180
Inspection completion timeframe for kitchen suppression system: 60
Inspection completion timeframe for dietary grease trap system: 120
Inspection completion timeframe for exterior building surfaces: 90
Inspection completion timeframe for exterior lighting: 120
Inspection completion timeframe for interior finishes: 180
Inspection completion timeframe for doors: 180
Inspection completion timeframe for windows and screens: 180
Inspection completion timeframe for plumbing lines: 180
Inspection completion timeframe for fire safety system: 60
Inspection completion timeframe for fire alarm system repairs: 120
Inspection completion timeframe for fire stopping repairs: 90
Inspection completion timeframe for nurse-call system repairs: 365
Inspection completion timeframe for elevator system: 120
Inspection completion timeframe for gas and vacuum systems: 120
Inspection completion timeframe for water management plan: 30
Inspection completion timeframe for laundry department evaluation: 180
Inspection completion timeframe for dietary department evaluation: 180
Inspection completion timeframe for housekeeping department evaluation: 180
Inspection completion timeframe for cabinetry and countertops evaluation: 180
Inspection 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
Renewal
Census: 119
Capacity: 120
Deficiencies: 0
Inspection 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.
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