Deficiencies per Year
8
6
4
2
0
Unclassified
Census Over Time
Census
Capacity
Inspection Report
Renewal
Census: 40
Capacity: 40
Deficiencies: 0
Jul 3, 2025
Visit Reason
The inspection was conducted as a licensing renewal inspection for the ALSA facility Shady Oaks ALSA.
Findings
No violations of the General Statutes of Connecticut and/or regulations of Connecticut State Agencies were identified at the time of this inspection.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Tyson Belanger | Administrator | Personnel contacted during the inspection |
| Nicole Guerrette | RN, SALSA | Personnel contacted during the inspection |
| Michael J. Smith | Nurse Consultant | Signature of FLIS Staff and report submitted by |
Inspection Report
Renewal
Census: 42
Deficiencies: 0
Aug 28, 2023
Visit Reason
The inspection was conducted as a renewal licensing inspection for the facility.
Findings
No violations of the General Statutes of Connecticut and/or regulations of Connecticut State Agencies were identified at the time of this inspection.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Tyson Belanger | Ex Director | Personnel contacted during the inspection |
| Nicole Guerrette | SALSA | Personnel contacted during the inspection |
| Michael J. Smith | RN Nurse Consultant | Report submitted by and involved in inspection |
Inspection Report
Renewal
Census: 40
Deficiencies: 0
Mar 23, 2022
Visit Reason
The inspection was conducted as a renewal licensing inspection for Shady Oaks Assisted Living, LLC.
Findings
No violations of the General Statutes of Connecticut and/or regulations of Connecticut State Agencies were identified at the time of this inspection.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Tyson Belanger | ED | Personnel contacted during the inspection |
| Nicole Guerrette | SALSA | Personnel contacted during the inspection |
Inspection Report
Plan of Correction
Deficiencies: 0
Jan 16, 2019
Visit Reason
This document is a Directed Plan of Correction (DPOC) developed to address violations identified in a letter issued by the Connecticut Department of Public Health dated December 12, 2018, related to an inspection and investigation of Shady Oaks Assisted Living LLC.
Findings
The plan outlines corrective actions including hiring an Independent Nurse Consultant to assess policies and practices related to medication administration, narcotic tracking, client complaints, and staff training. It also requires submission of assessment reports, development of policies, and ongoing monitoring to ensure compliance with state regulations.
Report Facts
Days for execution of DPOC: 21
Hours for Independent Nurse Consultant onsite assessment: 20
Weeks for remediation plan submission: 3
Weeks for policy review and development: 2
Years for record retention: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Tyson Francis Belanger | Owner and Executive Director | Signed the Directed Plan of Correction |
Inspection Report
Plan of Correction
Deficiencies: 5
Nov 26, 2018
Visit Reason
Unannounced visits were made to Shady Oaks Assisted Living LLC on January 26, November 15, 19 and 20, 2018 for the purpose of conducting multiple investigations and a licensing inspection with additional information received through December 11, 2018.
Findings
The report identified multiple violations of the Regulations of Connecticut State Agencies and/or General Statutes related to medication management, narcotics storage and administration, investigation of missing drugs, and complaint log maintenance. The facility failed to ensure safe storage and administration of narcotics, proper tracking and reconciliation of controlled substances, and adequate investigation of missing narcotics.
Deficiencies (5)
| Description |
|---|
| Failed to ensure safe storage and administration of client narcotics, including missing tablets and lack of proper tracking and reconciliation. |
| Failed to identify policies and procedures to direct investigation of missing drugs and protect clients during internal investigations. |
| Failed to maintain an acceptable practice for tracking, monitoring, and reconciliation of controlled substances throughout the facility. |
| Failed to identify proper determination of client’s degree of independence with medication administration and failed to assure safety and appropriateness of medication assistance process. |
| Failed to maintain a complaint log and document complaints with client name, date, nature, and resolution. |
Report Facts
Dates of visits: 4
Missing tablets: 20
Clients reviewed: 13
Plan of correction submission deadline: 2018
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Loan Nguyen | Supervising Nurse Consultant | Named as contact and signatory for the violation letter and plan of correction. |
| Tyson Francis Belanger | Owner & Executive Director | Signed the Plan of Correction letter dated January 14, 2019. |
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