Inspection Reports for The Greens At Greenwich

The inspection was conducted as a licensing inspection including renewal and complaint investigation (Complaint Investigation # CT# 39267).

Violations of the General Statutes of Connecticut and/or regulations of Connecticut State Agencies were identified at the time of this inspection. Additional narrative or violation letter is attached but not included in this report.

Complaint Investigation # CT# 39267 was referenced in the inspection report.

The inspection was a licensing renewal inspection conducted as a desk audit for survey EID 12/19/24 to review the facility's plan of correction documentation.

The desk audit found that the facility had completed corrections as of 2025-01-27 with no new non-compliance identified.

An on-site follow-up visit was conducted to review the implementation of the Plan of Correction for the violation letter dated 2024-12-06.

Violation #1a was identified as corrected as of 2024-12-20. The administrator was notified in-person on 2024-12-26 that all violations were corrected.

A COVID-19 Focused Infection Control Survey was conducted to determine compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities, including infection prevention and control practices. Additionally, an investigation (ACTS reference number CT27909) was reviewed.

The facility failed to ensure interventions required to facilitate desired communication between Resident #1 and his/her family were implemented. Despite the family's request for daily contact, Resident #1 received only six documented electronic visits and one outdoor visit over 22 days. Staff did not adequately accommodate or communicate the visitation needs, resulting in deficient practice.

The visit was complaint-related, triggered by concerns about the facility's failure to provide assistance to Resident #1 for daily communication with family. The complaint was substantiated as deficiencies were identified.

An unannounced visit was made to Greenwich Woods Rehabilitation to conduct a Covid-19 focused infection control survey and to review the letter of violation dated 06/29/2020.

The survey found that Resident #1 had limited assistance with phone communication and visitation, with only partial accommodation of family contact requests. The facility had implemented corrective actions including staff education and visitation audits. No new violations were identified at the time of this follow-up inspection.

Complaint CT #27909 was the basis for the initial investigation and subsequent follow-up.

An unannounced visit was conducted at Greenwich Woods Rehabilitation on August 17, 2020, by the Department of Public Health for a Covid-19 focused infection control survey.

The facility failed to ensure interventions to facilitate communication between Resident #1 and their family were implemented, despite the resident's cognitive impairment and family requests for daily contact. Documentation and interviews revealed insufficient assistance was provided for phone communication, and visitation accommodations were inadequate.

Complaint CT #27909 was the basis for the visit. Substantiation status is not explicitly stated.

An unannounced visit was made to Greenwich Woods Rehabilitation on June 24, 2020, by a representative of the Facility Licensing and Investigations Section of the Department of Public Health for the purpose of conducting an investigation and a COVID-19 monitoring focused survey.

The facility failed to ensure health care providers wore PPE that offered adequate source control in a setting with known COVID-19 persons under investigation. Specifically, two licensed practical nurses were observed wearing cloth masks improperly and were reeducated and released from duty as a last warning. The facility was cited for failure to ensure adequate source control PPE use.

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

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

An unannounced visit was made to Greenwich Woods Rehabilitation on May 6, 2020, by a representative of the Facility Licensing and Investigations Section of the Department of Public Health for the purpose of conducting a COVID-19 infection control survey.

The facility failed to ensure COVID-19 infected residents were cohorted appropriately and failed to ensure proper cleaning, storage, and disposal of Personal Protective Equipment (PPE). Staff were found to be reusing PPE gowns improperly and taking single-use gowns home to launder. Multiple staff wore KN-95 masks providing care to infected residents without fit testing capability at the time of the 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.

Unannounced visits were made to Greenwich Woods Rehabilitation on October 2, 3 and 4, 2018 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 facility was found to have multiple violations including misappropriation of resident property, failure to maintain documentation of narcotic medication destruction, failure to conduct comprehensive assessments after resident falls, and failure to ensure adequate supervision and safe transport of residents. Several staff members were involved in these deficiencies and corrective actions were required.

Complaints #23079, 23162, 22803, 22695, 22684 were investigated. The facility was found noncompliant with multiple regulations related to resident safety, medication management, and infection control.