Deficiencies per Year
8
6
4
2
0
Unclassified
Census Over Time
Census
Capacity
Inspection Report
Renewal
Census: 20
Capacity: 34
Deficiencies: 0
Nov 15, 2022
Visit Reason
The inspection was conducted as a licensing renewal inspection for Southmayd Home Inc to assess compliance with Connecticut state regulations.
Findings
Violations of the General Statutes of Connecticut and/or regulations of Connecticut State Agencies were identified at the time of this inspection. Approval for issuance of license was granted.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kara Cunningham | Executive Director | Personnel contacted during the inspection |
| Aneta Predka | RN | Signature of FLIS Staff and report submitted by |
| Daniel Tomascak | BFSI | Signature of FLIS Staff |
| Karen Gworek | RN | Supervisor who granted approval for issuance of license |
Inspection Report
Original Licensing
Deficiencies: 4
Nov 15, 2022
Visit Reason
An unannounced visit was made to Southmayd Home Inc on November 15, 2022 by representatives of the Facility Licensing and Investigations Section of the Department of Public Health for the purpose of conducting a licensure inspection.
Findings
The facility was found to have multiple violations including failure to monitor refrigerator and freezer temperatures daily, failure to provide monthly statements and receipts of disbursement of resident funds, failure to maintain a clean and homelike environment, and failure to comply with fire safety codes including improper wiring and missing panic bar end cap.
Deficiencies (4)
| Description |
|---|
| Facility failed to monitor refrigerator and freezer temperatures daily to ensure proper function. |
| Facility failed to ensure monthly statements and/or receipt of disbursement of funds and monies were provided to each resident. |
| Facility failed to ensure the environment was maintained in a clean, comfortable, and homelike manner, including missing ceiling fan cover, missing tiles, broken dresser drawers, and missing toilet paper holder. |
| Facility failed to ensure compliance with applicable fire safety codes, including use of extension cords as substitute for permanent wiring and missing end cap on panic bar on kitchen egress door. |
Report Facts
Number of refrigerators: 3
Number of freezers: 2
Date of inspection visit: Nov 15, 2022
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kara Cunningham | Executive Director | Interviewed during inspection and signed plan of correction |
| Karen Gworek | Supervising Nurse Consultant | Author of the state violations letter |
| Kitchen Manager | Interviewed regarding refrigerator and freezer temperature monitoring | |
| Office Manager | Interviewed regarding resident funds statements and receipts |
Inspection Report
Plan of Correction
Deficiencies: 8
Jul 16, 2019
Visit Reason
The document is a corrective action plan submitted in response to findings from an unannounced licensure inspection visit conducted on July 16 and 22, 2019 at Southmayd Home, Inc.
Findings
The facility failed to provide adequate housekeeping and maintenance, failed to post room numbers on doors, failed to conduct reference and background checks prior to hiring, failed to conduct annual in-services, failed to ensure fire safety equipment was tested and serviced semiannually, failed to ensure the generator was tested monthly and serviced semiannually, failed to maintain a three-day supply of food in dry storage, and failed to ensure thermometers were located in refrigerators.
Deficiencies (8)
| Description |
|---|
| Facility failed to provide housekeeping and maintenance repairs to ensure a clean, comfortable, and homelike environment. |
| Facility failed to post room numbers on each door. |
| Facility failed to conduct reference and background checks prior to hiring an individual. |
| Facility failed to conduct annual in-services on general safety, fire safety, emergency procedures, and resident rights. |
| Facility failed to ensure fire alarm system, smoke detectors, and fire extinguishers were tested and serviced semiannually. |
| Facility failed to ensure the generator was tested monthly and serviced semiannually according to State Fire Safety Code requirements. |
| Facility failed to ensure there was a three-day supply of food in dry storage. |
| Facility failed to ensure thermometers were located in refrigerators. |
Report Facts
Number of plug power strips: 6
Number of fire extinguishers without service tags: 2
Number of food items not labeled or dated: 8
Number of days supply of food missing: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kara Vendetti | Executive Director | Named as the executive director responsible for corrective actions and communication |
| Karen Gworek | Supervising Nurse Consultant | Signed the inspection report letter |
Inspection Report
Complaint Investigation
Census: 28
Capacity: 32
Deficiencies: 0
Apr 8, 2019
Visit Reason
The inspection visit was conducted as a complaint investigation related to Complaint Investigation #024962.
Findings
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 dated 7/30/19.
Complaint Details
Complaint Investigation #024962 was the reason for the visit; violations were identified and documented in an attached violation letter dated 7/30/19.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kara Cunningham | Executive Director | Personnel contacted during the inspection. |
| Linda M. Gagnon | FLIS Staff | Signature on the inspection report and report submitter. |
Inspection Report
Complaint Investigation
Deficiencies: 3
Apr 8, 2019
Visit Reason
An unannounced visit was made to Southmayd Home, Inc. on April 8, 2019 by a representative of the Facility Licensing and Investigations Section of the Department of Public Health for the purpose of conducting an investigation.
Findings
Violations were identified related to misappropriation and mishandling of controlled medications, expired medication administration certifications among staff, and failure to properly document medication administration and control counts. The facility developed a corrective action plan to address these issues.
Complaint Details
The visit was complaint-related, investigating allegations of misappropriation of resident medication and improper medication administration practices. The Department of Consumer Protection investigation identified multiple discrepancies and forged signatures on controlled drug records from 2017 to 2019.
Deficiencies (3)
| Description |
|---|
| Failure to ensure the resident's controlled medications were accounted for and available for administration, including misappropriation of Tramadol over approximately two years. |
| Failure to ensure staff who administer medications held an active medication certification, with expired certificates found among medication administration technicians. |
| Failure to document on the control count sheet when a controlled medication was administered, including discrepancies in Xanax tablet counts and failure to sign off the control count sheet. |
Report Facts
Number of staff members involved in mishandling controlled medications: 3
Number of sampled residents reviewed: 3
Number of medication administration technicians reviewed: 8
Expired medication certificates: 4
Discrepancy in Xanax tablets: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Karen Gworek | Supervising Nurse Consultant | Signed the notice of violations letter. |
| Kara Cunningham | Executive Director | Interviewed regarding medication mishandling; signed corrective action plan. |
| Head Aide #1 | Named as involved in mishandling controlled medications. | |
| Head Aide #2 | Admitted to repeatedly putting aside Tramadol on delivery and hiding medication. | |
| Med Certified Aide #2 | Named as involved in mishandling controlled medications. |
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