Inspection Reports for The Atrium at Rocky Hill

The inspection visit was conducted as a complaint investigation related to Complaint Investigation #43324 and #43476.

Violations of the General Statutes of Connecticut and/or regulations of Connecticut State Agencies were identified at the time of this inspection, as detailed in an attached violation letter dated 2025-04-11.

Complaint Investigation #43324 and #43476 were the basis for this inspection. Violations were substantiated as indicated by the attached violation letter.

Unannounced visits were made to Apple Rehab Rocky Hill on March 17, 26, and 27, 2025 by representatives of the Department of Public Health for the purpose of conducting multiple investigations related to complaints #43324 and #43476.

The report identified violations including medication omissions for Resident #11 involving pregabalin doses missed on multiple occasions, and admission process failures for Resident #1 resulting in the resident not being admitted as expected. The facility failed to notify providers timely and document medication omissions properly.

The visit was complaint-related involving complaints #43324 and #43476. The complaints triggered investigations into medication administration and admission procedures.

The inspection was conducted as a complaint investigation related to Complaint Investigation #42427 and #42511.

Violations of the General Statutes of Connecticut and/or regulations of Connecticut State Agencies were identified at the time of this inspection, as noted in an attached violation letter dated 2025-02-05.

Complaint Investigation #42427 and #42511 were the basis for the visit. Violations were substantiated as violations were identified during the inspection.

Unannounced visits were made to Apple Rehab Rocky Hill on January 14 and 17, 2025 by representatives of the Facility Licensing and Investigations Section of the Department of Public Health for the purpose of conducting multiple investigations related to complaints #42427 and #42511.

The report details multiple violations related to inadequate follow-up care for residents with fractures, failure to inspect skin under splints leading to pressure ulcers, failure to ensure residents were not left unattended while ambulating, and failure to report falls with injuries to the State Agency. The facility submitted plans of correction addressing these issues with timelines and monitoring responsibilities.

The visit was complaint-related involving complaints #42427 and #42511. The complaints involved issues with follow-up care, skin integrity, resident supervision, and reporting of incidents. Substantiation status is not explicitly stated.

The inspection visit was conducted to review complaint investigations #42089 and #42138.

No violations of the General Statutes of Connecticut and/or regulations of Connecticut State Agencies were identified at the time of this inspection.

Complaint investigations #42089 and #42138 were reviewed and found to have no violations.

The inspection was conducted as a licensing renewal inspection for the facility.

Violations of the General Statutes of Connecticut and/or regulations of Connecticut State Agencies were identified at the time of this inspection. See attached violation letter for details.

The inspection visit was conducted as a complaint investigation referenced by complaint #38244.

No violations of the General Statutes of Connecticut and/or regulations of Connecticut State Agencies were identified at the time of this inspection.

Complaint investigation #38244 was conducted and found no violations; the complaint was not substantiated.

The visit was conducted for the purpose of reviewing the plan of corrections for the letter dated 1/9/24.

No violations of the General Statutes of Connecticut and/or regulations of Connecticut State Agencies were identified at the time of this inspection.

The inspection was conducted as a complaint investigation triggered by Complaint Investigation #34441 and #36643, with violations identified and a citation issued as a result of the inspection.

The inspection found violations related to resident-to-resident abuse, failure to complete Minimum Data Set (MDS) assessments timely, and inadequate nursing documentation and observation practices. The resident abuse was substantiated, and multiple deficiencies were cited with plans of correction required.

The complaint investigation involved allegations of resident-to-resident physical abuse which was substantiated. The investigation included clinical record reviews, interviews, and facility documentation. Resident #1 was found to have physically abused Residents #2, #3, and #4. The facility was cited for failure to prevent abuse and for deficiencies in care planning and documentation.

Unannounced visits were made to Apple Rehab Rocky Hill on December 7 and 8, 2023, to conduct multiple investigations related to complaints #34441 and #36643.

Violations of the General Statutes of Connecticut and regulations were identified, including substantiated resident-to-resident abuse, failure to complete Minimum Data Set (MDS) assessments timely, failure to prevent resident injury from accidents, and inadequate nursing documentation and observation. A citation (#2024-04) was issued as a result.

Complaint investigation numbers #34441 and #36643 were substantiated, including resident-to-resident abuse and other regulatory violations.

A desk audit was completed to review the plan of correction for a prior violation letter dated 2/8/23, and a follow-up phone notification was made to confirm all violations were corrected.

The inspection found that all previously identified violations were corrected as confirmed by the administrator during a telephone notification on the date of the desk audit.

A desk audit was completed on 4/6/23 to renew the plan of correction for the violation letter dated 1/1/23.

The administrator was notified via telephone that all violations were corrected as of 4/6/23 at 2:09 PM.

An unannounced visit was made to Apple Rehab Rocky Hill on January 23, 2023, for the purpose of conducting a complaint investigation (#33686).

The investigation found that the facility failed to revise the care plan for a resident with accusatory behavior and failed to ensure yearly performance evaluations for nurse aides were completed. Plans of correction were submitted to address these issues.

Complaint Investigation #33686. The allegation of mistreatment was not substantiated, but deficiencies were found related to care plan revision and employee evaluations.

A desk audit review was conducted to review the plan of correction for the violation letter dated 5/11/22 and to verify correction of previously identified violations 1a and 2a.

No violations of the General Statutes of Connecticut and/or regulations were identified at the time of this desk audit inspection, indicating that the previously cited violations have been corrected.

Unannounced visits were conducted to Apple Rehab Rocky Hill to perform a Recertification Survey to determine compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities, with additional information received through April 29, 2022.

Two violations were identified: 1) Failure to ensure CPAP masks were stored according to facility policy and infection control, and 2) Inadequate policies and procedures to address continuity of care during an internet service outage/disruption affecting medication administration for 16 of 61 residents.

An unannounced visit was made to the facility on 04/26, 04/27, 04/28, and 04/29/2022 by representatives of the Facility Licensing & Investigations Section for the purpose of conducting a certification survey and a licensure inspection.

Staffing was reviewed from 04/10/22 to 05/04/22 and found to meet the requirements of the Public Health Code. Deficiencies were identified during this certification survey.

An unannounced visit was made to Apple Rehab Rocky Hill on 3/3/22 for the purpose of conducting a complaint investigation and a Covid-19 vaccination survey.

The facility was found to have violations related to failure to ensure family members assisting Resident #1 with feeding were provided with feeding strategies/recommendations and ongoing evaluation of feeding techniques. Resident #1 experienced a fatal choking incident due to lack of supervision and failure to follow feeding protocols.

Complaint Investigation CT# 31761 was conducted. The complaint was substantiated as violations were identified related to feeding supervision and care for Resident #1, who subsequently died after a choking incident.

A Covid-19 Vaccination survey and Complaint Investigation was conducted to determine compliance with 42 CFR Part 483 requirements for Long Term Care Facilities.

The facility failed to ensure that all family members assisting Resident #1 with meals were provided feeding strategies and ongoing evaluation as per Speech Pathologist and Resident Care Plan interventions. Resident #1, who had severe dysphagia and required supervision during meals, was not properly supervised or assisted by trained family members, resulting in a fatal choking incident.

The complaint investigation focused on Resident #1 who required supervision during meals due to severe dysphagia. The facility failed to provide feeding strategy education and supervision to family members assisting Resident #1, leading to a choking incident and Resident #1's death. The complaint was substantiated by clinical record review, interviews, and facility documentation.

The inspection was conducted as a desk audit review for a complaint investigation identified by complaint numbers CT 30106, 29940, and 30623.

The desk audit review found that all violations cited in the previous violation letter dated 12-3-2021 have been corrected.

Complaint investigation referenced by complaint numbers CT 30106, 29940, and 30623. The review concluded that all violations were corrected.

The inspection was conducted as a renewal licensing inspection and included review of complaint investigations numbered CT#29940, CT#30207, CT#30623, and CT#30106.

The report indicates that violations of the General Statutes of Connecticut and/or regulations were not identified at the time of this inspection. Certification files were reviewed and approval for issuance of license was granted.

Complaint investigations referenced by numbers CT#29940, CT#30207, CT#30623, and CT#30106 were reviewed as part of the inspection.

The inspection was conducted as a complaint investigation triggered by multiple complaints regarding alleged mistreatment, neglect, and inadequate care of residents at Apple Rehab Rocky Hill.

The investigation substantiated several allegations of resident abuse, neglect, and failure to provide adequate care, including improper handling of incontinent residents, failure to prevent falls, inadequate supervision, and medication administration issues. Multiple violations of Connecticut State Agencies regulations were identified.

The complaint investigation was substantiated with findings of mistreatment, neglect, and failure to provide adequate care to residents. Multiple complaints were reviewed, including allegations of physical abuse, neglect in incontinent care, failure to prevent falls, and inadequate supervision. The facility was found responsible for these violations.

Unannounced visits were made to Apple Rehab Rocky Hill on May 17 and 20, 2021 by representatives of the Facility Licensing and Investigations Section of the Department of Public Health for the purpose of conducting multiple investigations related to complaints.

The investigation identified multiple violations including failure to prevent physical abuse and neglect of residents, failure to report allegations of neglect timely, failure to review and revise care plans after witnessed incidents, and failure to provide psychosocial support after incidents. Staff abuse was substantiated in one case and inadequate care and documentation were noted in others.

Complaints #26648, #27242, #27344, and #30117 were investigated. Staff to resident abuse was substantiated in the case of Resident #3. Neglect allegations related to Resident #5 were also substantiated. Psychosocial support failures and care plan deficiencies were identified.

Unannounced visits were made to Apple Rehab Rocky Hill on April 15, 2021, by representatives of the Facility Licensing and Investigations Section of the Department of Public Health for the purpose of conducting multiple investigations, a licensure and certification inspection.

The report details multiple violations of the Regulations of Connecticut State Agencies related to clinical records, facility policy, resident care, medication administration, abuse investigations, environmental conditions, infection control, and staff certifications. The facility failed to ensure compliance in areas such as advanced directives, maintaining a clean environment, abuse policy implementation, medication management, fall prevention, immunizations, and water management to mitigate Legionella risk.

The inspection was conducted as a COVID-19 Infection Control Survey to assess compliance with infection control protocols during the pandemic.

Violations of Connecticut State regulations were identified during the COVID-19 Infection Control Survey, with deficiencies related to infection prevention and control practices. A plan of correction was required to address these issues.

A COVID-19 Focused Infection Control Survey was conducted to determine compliance with 42 CFR §483.80 Infection Control regulations for Long Term Care Facilities.

The facility had implemented CMS and CDC recommended practices related to COVID-19; however, deficiencies were cited due to failure to ensure appropriate infection control practices, specifically visitor screening procedures were not consistently followed upon entry.

A COVID-19 Focused Infection Control Survey was conducted to determine compliance with 42 CFR §483.80 Infection Control regulations for Long Term Care Facilities, focusing on CMS and CDC recommended practices related to COVID-19.

The facility was found to be in compliance with infection prevention and control practices related to COVID-19. No deficiencies were cited as a result of this survey.

An unannounced visit was conducted on May 13, 2020 by the Department of Public Health for the purpose of conducting an investigation and a COVID-19 Infection Control Monitoring Survey.

The report identified violations of Connecticut State regulations related to medical record requests, notification of changes in resident condition, and inconsistent implementation of COVID-19 infection prevention protocols, including improper handling of disposable PPE by therapy staff.

Complaint #27430 triggered the investigation.

A COVID-19 Focused Survey was conducted to determine compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities, including proper infection prevention and control practices to prevent the development and transmission of COVID-19.

The facility implemented CMS and CDC recommended practices related to COVID-19. No deficiencies were cited as a result of this survey.

A COVID-19 Focused Survey was conducted to determine compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities, including proper infection prevention and control practices to prevent the development and transmission of COVID-19.

No deficiencies were cited as a result of this COVID-19 focused survey.

A COVID-19 Focused Survey was conducted to determine compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities, including infection prevention and control practices to prevent COVID-19 transmission.

No deficiencies were cited as a result of this COVID-19 focused survey.

An unannounced visit was conducted on April 27, 2020, by the Department of Public Health for the purpose of conducting an investigation and a COVID-19 Focused Survey at Apple Rehab Rocky Hill.

The inspection identified multiple infection control deficiencies related to COVID-19 precautions, including failure to keep isolation room doors closed, improper placement and disposal of PPE, lack of staff knowledge on PPE protocols, and inadequate cleaning and cohorting practices. The facility was found noncompliant with state regulations and CDC guidelines.

The visit was triggered by a complaint or investigation related to COVID-19 infection control practices. The report does not explicitly state substantiation status.

A COVID-19 Monitoring Survey was conducted to determine compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities, including infection prevention and control practices to prevent COVID-19 transmission.

The facility failed to consistently implement COVID-19 infection prevention protocols, including keeping COVID-positive resident room doors closed, proper placement and use of PPE disposal bins, reuse of isolation suits without proper policy, incorrect signage on resident rooms, improper laundry handling practices, and failure to timely cohort COVID-positive and negative residents.

A COVID-19 Focused Survey was conducted to determine compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities, including proper infection prevention and control practices to prevent the development and transmission of COVID-19.

No deficiencies were cited as a result of this COVID-19 focused survey.

An unannounced visit was made to Apple Rehab Rocky Hill on March 16, 2020, as part of a complaint investigation (Complaint #27098) by the Facility Licensing and Investigations Section of the Department of Public Health.

Violations of the General Statutes of Connecticut and/or regulations were identified at the time of inspection. The findings included failure to ensure psychosocial support for a resident after receiving a new roommate, inadequate monitoring and management of resident behaviors, and failure to ensure proper care and safety measures for residents exhibiting behavioral disturbances and elopement risks.

Complaint #27098 triggered the investigation. The complaint involved concerns about resident safety, psychosocial support, and elopement risks. The complaint was substantiated as violations were identified during the inspection.

Unannounced visits were made to Apple Rehab Rocky Hill which concluded on February 6, 2020 by representatives of the Facility Licensing and Investigations Section of the Department of Public Health for the purpose of conducting an investigation, and a certification inspection.

The report details multiple violations of Connecticut State Agencies regulations including failure to provide care in a dignified manner, failure to ensure resident preferences, inadequate water pressure and temperature, environmental deficiencies, failure to report allegations of abuse, medication administration errors, insufficient staffing, infection control issues, and failure to ensure resident safety and quality care.

Unannounced visits were made to Apple Rehab Rocky Hill on November 19, 2019 by a representative of the Facility Licensing and Investigations Section of the Department of Public Health for the purpose of conducting multiple investigations.

The report details violations related to failure to ensure proper 15-minute checks for residents at risk for elopement, inadequate monitoring of wander guard devices, failure to conduct daily door checks, and insufficient interventions to prevent resident elopements. The facility submitted a plan of correction addressing these issues.

Complaint numbers #26467 and #26297 are referenced, indicating the visit was related to complaint investigations.

Unannounced visits were made to Apple Rehab Rocky Hill on July 19, 2019 and August 12, 2019 by representatives of the Facility Licensing and Investigations Section of the Department of Public Health for the purpose of conducting an investigation related to violations of Connecticut General Statutes and/or Regulations of Connecticut State Agencies.

The facility was found noncompliant with regulations related to respiratory assessments and medication administration for residents reviewed. Specific deficiencies included failure to conduct respiratory assessments when residents showed changes in condition and failure to document medication administration as ordered by physicians.

Complaint #25892 was the basis for the investigation.

Unannounced visits were made to Apple Rehab Rocky Hill on May 9, 10, and 20, 2019 by the Department of Public Health for the purpose of conducting an investigation of noncompliance with Connecticut General Statutes and/or Regulations.

The facility was found to have violations related to failure to establish a protocol for follow-up on culture reports and communication with consulting physicians regarding antibiotic therapy for a sampled resident. The findings detailed issues with documentation, monitoring, and communication concerning antibiotic treatment and infection control.

The inspection was conducted as a complaint investigation involving multiple complaint numbers related to alleged violations of Connecticut State Agencies regulations at Apple Rehab of Rocky Hill.

The investigation identified multiple violations including failure to follow advance directives, inadequate investigation of injury allegations, failure to notify the Long-Term Care Ombudsman of hospital transfers, inaccurate coding of PASRR, failure to conduct neurological assessments after falls, failure to protect residents from injury, failure to administer vaccines properly, and failure to ensure residents wore identification bracelets.

The visit was complaint-related involving multiple complaint numbers including 24302, 24443, 24148, 23835, 23725, 23353, 23028, and 22726. The complaints were substantiated with findings of noncompliance in multiple areas.

The document is a Plan of Correction (POC) submitted in response to violations identified during an unannounced visit and survey conducted by the Department of Public Health at Apple Rehab of Rocky Hill, concluding on December 18, 2018.

The report details multiple violations related to resident care, documentation, notification procedures, medication administration, infection control, and staff education. The facility submitted corrective actions including staff re-education, audits, policy reviews, and monitoring to achieve substantial compliance.