Inspection Report
Renewal
Deficiencies: 0
Mar 27, 2025
Visit Reason
The visit was conducted as a licensing inspection and renewal visit at MRC Monarch at Southbury on 03/27/2025.
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 |
|---|---|---|
| Michael J. Smith | Survey Team Leader | Named as Survey Team Leader for the inspection. |
| Elizabeth Heiney | Supervisor | Named as Supervisor for the inspection. |
| Samantha Gambarella | Executive Director | Personnel contacted during the inspection. |
| John Byrne | SALSA | Personnel contacted during the inspection. |
| Tatina Bernal | ED | Personnel contacted during the inspection. |
Inspection Report
Complaint Investigation
Deficiencies: 0
Mar 18, 2024
Visit Reason
The inspection visit was conducted as a complaint investigation related to Complaint CT #38127.
Findings
Violations of the General Statutes of Connecticut and/or regulations of Connecticut State Agencies were identified at the time of this inspection. Verification of Alzheimer's special care units or programs and full-time Infection Prevention and Control Specialist requirements were confirmed.
Complaint Details
Complaint investigation CT #38127 was conducted with violations identified.
Report Facts
Complaint number: 38127
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Karen Donato | RNC | Report submitted by Karen Donato RNC |
| Samantha Gambardella | ED | Personnel contacted during inspection |
| Amber Anderson | SALSA | Personnel contacted during inspection |
Inspection Report
Complaint Investigation
Census: 99
Capacity: 99
Deficiencies: 0
Nov 2, 2022
Visit Reason
The inspection was conducted as a complaint investigation related to Complaint #33176.
Findings
No violations of the General Statutes of Connecticut and/or regulations of Connecticut State Agencies were identified at the time of this inspection.
Complaint Details
Complaint #33176 - no violations identified
Report Facts
Census: 99
Licensed Bed Capacity: 99
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Deb Coniglio | ED | Personnel contacted during inspection |
| Laura Boggio | Nurse Consultant | Survey team leader and report submitter |
Inspection Report
Renewal
Census: 148
Deficiencies: 0
Sep 30, 2022
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.
Report Facts
Census: 148
ALSA residents: 30
Memory care residents: 9
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Melissa Araujo | Ex. Director, RN, SALSA | Personnel contacted during the inspection |
| Michael J. Smith | Nurse Consultant, RN | Report submitted by |
Inspection Report
Monitoring
Deficiencies: 0
Sep 19, 2022
Visit Reason
Monitoring visit due to change in ownership and related complaint investigation CT#32952.
Findings
Violations of the General Statutes of Connecticut and/or regulations of Connecticut State Agencies were identified at the time of this inspection. Verification of Alzheimer's special care units or programs was completed.
Complaint Details
Complaint investigation CT#32952 was referenced in the visit.
Report Facts
Complaint Investigation Number: 32952
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Megan Edson-Sawyer | Nurse Consultant | Signature of FLIS Staff and report submitter. |
| Mary Napomiceno | SALSA | Personnel contacted during inspection. |
Inspection Report
Plan of Correction
Deficiencies: 2
Sep 19, 2022
Visit Reason
An unannounced visit was made to Motif by Monarch on September 19, 2022, by a representative of the Facility Licensing and Investigations Section of the Department of Public Health for the purpose of conducting an investigation with additional information received on September 20, 2022.
Findings
Violations of the Regulations of Connecticut State Agencies were noted, including failure to ensure client safety from physical harm during mechanical lift transfers and failure to document administration of medications and narcotics according to policies and procedures.
Deficiencies (2)
| Description |
|---|
| Failure to ensure Client #1's safety and right to be free from physical harm during mechanical lift transfers. |
| Failure of Assisted Living Service Agency nurses to document administration of medications and narcotics and failure to provide oversight of medication administration. |
Report Facts
Date of inspection visit: Sep 19, 2022
Plan of correction submission deadline: Oct 15, 2022
Medication administration record dates: 2
Narcotic count sign off missing dates: 12
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Elizabeth T. Heiney | Supervising Nurse Consultant | Contact person for plan of correction response |
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