Inspection Report Summary
The most recent inspection on February 4, 2025, identified deficiencies related to failure to identify and evaluate an injury of unknown origin and to ensure client safety in the locked Memory Care unit. Earlier inspections showed a mixed pattern, with prior deficiencies involving safety checks for high-risk clients, documentation issues, and administrative matters such as agreements and disclosures. The main themes across reports included client safety monitoring, injury evaluation, and regulatory compliance in documentation and care procedures. A complaint investigation in 2025 was substantiated regarding these safety concerns, while earlier complaints were not noted. The facility’s inspection history shows recurring issues with safety oversight, although some renewal inspections in recent years found no deficiencies.
Deficiencies (last 6 years)
Deficiencies (over 6 years)
1 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
82% better than Connecticut average
Connecticut average: 5.6 deficiencies/yearDeficiencies per year
4
3
2
1
0
Census
Latest occupancy rate
132% occupied
Based on a June 2022 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Census over time
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Feb 4, 2025
Visit Reason
The inspection visit was conducted as a complaint investigation identified as #42974.
Complaint Details
Complaint investigation #42974 was conducted and violations were substantiated as indicated by the attached violation letter dated 3/19/25.
Findings
Violations of the General Statutes of Connecticut and/or regulations of Connecticut State Agencies were identified at the time of this inspection, as referenced in an attached violation letter dated 2025-03-19.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Elizabeth T Heiney | SNC | Report submitted by Elizabeth T Heiney SNC. |
| Ellen Casey | ED | Personnel contacted during the inspection. |
| Roseline Lynch | SALSA | Personnel contacted during the inspection. |
Inspection Report
Plan of Correction
Deficiencies: 1
Date: Feb 4, 2025
Visit Reason
An unannounced visit was made to The Greens at Cannondale on February 4, 2025, by a representative of the Facility Licensing and Investigations Section of the Department of Public Health to conduct an investigation based on additional information received through March 10, 2025.
Complaint Details
Complaint #42974 triggered the investigation. The complaint involved a client in the Memory Care unit who sustained injuries of unknown origin. The investigation included interviews and review of surveillance and policies. Substantiation status is not explicitly stated.
Findings
The agency failed to identify and evaluate an injury of unknown origin and failed to ensure the safety of a client in the locked Memory Care unit, resulting in bruising and possible injury from a fall. The investigation included review of clinical records, staff interviews, video surveillance, and agency policies, revealing lapses in monitoring and notification procedures.
Deficiencies (1)
Failure to identify and evaluate an injury of unknown origin and ensure client safety in the locked Memory Care unit.
Report Facts
Date of injury move-in: Jan 23, 2023
Date of injury observation: Jan 31, 2025
Date of inspection visit: Feb 4, 2025
Date of report completion: Mar 19, 2025
Plan of correction submission deadline: Mar 29, 2025
Corrective measure completion date: Apr 3, 2025
Safety check frequency: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Elizabeth Heiney | Supervising Nurse Consultant | Author of the initial letter and contact for plan of correction |
| Rosaline Lynch | Director of Wellness and Supervisor of Assisted Living Services Agency | Submitted the plan of correction response |
| LPN #4 | Manager of the Memory Care Unit, interviewed regarding client injury | |
| LPN #1 | Provided statements about client observations and injury | |
| Aide #1 | Provided statements about client safety checks | |
| LPN #2 | Provided statements about client observations | |
| Aide #3 | Provided statements about client observations and bruising |
Inspection Report
Renewal
Deficiencies: 0
Date: Mar 28, 2024
Visit Reason
The inspection was conducted as a renewal licensing inspection of 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. Verification of Alzheimer's special care units and part-time Infection Prevention and Control Specialist requirements were completed.
Report Facts
Memory Care Census: 49
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Ellen Casey | Executive | Personnel contacted during inspection |
Inspection Report
Renewal
Census: 137
Deficiencies: 0
Date: Jun 2, 2022
Visit Reason
The inspection visit was conducted as a licensing inspection and renewal of the facility license.
Findings
No 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.
Report Facts
Memory Clients: 24
ALSA Clients: 80
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Michael J. Smith | RN Nurse Consultant | Report submitted by |
| Ron Bucci | Ex Director | Personnel contacted during inspection |
| Michelle DelValle | SALSA | Personnel contacted during inspection |
Inspection Report
Renewal
Census: 137
Capacity: 104
Deficiencies: 0
Date: Jun 2, 2022
Visit Reason
The inspection was a renewal licensing inspection for The Greens at Cannondale ALSA facility.
Findings
No violations of the General Statutes of Connecticut or regulations were identified at the time of this inspection. Verification of Alzheimer's special care units and infection prevention requirements were completed.
Report Facts
Staff count: 145
Memory clients: 24
ALSA clients: 80
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Michael J. Smith | Nurse Consultant | Report submitted by |
| Ron Bucci | Ex Director | Personnel contacted during inspection |
| Michelle DelValle | SALSA | Personnel contacted during inspection |
Inspection Report
Plan of Correction
Deficiencies: 1
Date: Jan 2, 2020
Visit Reason
An unannounced visit was made to The Greens At Cannondale on January 2, 2020 by a representative of the Facility Licensing and Investigations Section of the Department of Public Health for the purpose of conducting an investigation.
Findings
A violation was identified related to failure of Assisted Living Services Agency (ALSA) staff to provide necessary safety checks every two hours for a client at high risk for falls, resulting in a fall with injury. Documentation failed to indicate completion of required safety checks and safe care provision.
Deficiencies (1)
Failure of ALSA staff to provide necessary safety checks every two hours for a client at high risk for falls, resulting in a fall with injury and inadequate documentation of safety checks.
Report Facts
Fall risk score: 26
Date of fall incident: Oct 18, 2019
Date of admission: Oct 7, 2019
Date range of documentation review: Review of ALSA documentation from 10/07/19 to 10/18/19.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Loan Nguyen | Supervising Nurse Consultant | Signed the violation notice and correspondence from the Facility Licensing and Investigations Section. |
| Michelle DelValle | Director of Wellness and Supervisor of Assisted Living Services Agency | Signed the Plan of Correction response letter. |
Inspection Report
Renewal
Census: 122
Deficiencies: 0
Date: Apr 9, 2018
Visit Reason
The inspection visit was conducted as a renewal licensing inspection for an assisted living facility.
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.
Report Facts
Census: 122
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jane Wilson | RN | Personnel contacted during inspection |
Inspection Report
Plan of Correction
Deficiencies: 2
Date: Apr 9, 2018
Visit Reason
An unannounced visit was made to The Greens At Cannondale on April 9, 2018 by a representative of the Facility Licensing and Investigations Section of the Department of Public Health for the purpose of conducting a licensing inspection.
Findings
Violations of Connecticut State Agencies regulations and General Statutes were identified related to failure to develop a written agreement between the assisted living services agency (ALSA) and the home care agency, and failure to ensure ALSA special care unit disclosures were signed by responsible parties. The facility submitted a Plan of Correction addressing these issues.
Deficiencies (2)
Failure to develop a written agreement between the ALSA and the home care agency to delineate responsibilities and ensure continuity of care.
Failure to ensure ALSA special care unit disclosures were signed by the clients' responsible parties.
Report Facts
Date of visit: Apr 9, 2018
Plan of correction submission deadline: Nov 13, 2020
Corrective measure effective date: Dec 3, 2020
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Loan Nguyen | Supervising Nurse Consultant | Signed the notice of violations and correspondence related to the inspection |
| Michelle DelValle | Director of Wellness and Supervisor of Assisted Living Services Agency | Signed the Plan of Correction response letter |
Inspection Report
Renewal
Census: 128
Deficiencies: 0
Date: Jun 23, 2016
Visit Reason
The inspection was conducted as a licensing renewal inspection for the assisted living services agency.
Findings
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.
Report Facts
Inspection dates: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Ron Bucci | ED | Personnel contacted during inspection |
| Rosalina Riccagni | RN | Personnel contacted during inspection |
| Sosa | Personnel contacted during inspection |
Inspection Report
Renewal
Census: 128
Deficiencies: 2
Date: Jun 23, 2016
Visit Reason
The inspection was a renewal licensing inspection conducted by the Connecticut Department of Public Health to assess compliance with state regulations and statutes for The Greens at Cannondale assisted living services agency.
Findings
Violations of Connecticut state statutes and regulations were identified during the inspection, including deficiencies in personnel file documentation, medication administration, and clinical competency evaluations. A plan of correction was submitted to address these deficiencies.
Deficiencies (2)
Failed to ensure personnel files met requirements including documentation of medical physical exams, TB testing, orientation, and clinical competency evaluations.
Medication administration errors including failure to timely administer medications and notify appropriate parties of missed doses.
Report Facts
Census: 128
Number of onsite inspection dates: 3
Number of personnel files reviewed: 8
Number of home visits: 2
Number of records reviewed: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Rosaline Banguela | Supervisor of Assisted Living Services Agency | Named in relation to personnel file deficiencies and plan of correction |
| Loan Nguyen | Supervising Nurse Consultant | Report submitted by and approval of license granted |
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