Inspection Reports for
The Greens At Greenwich

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.

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.

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.

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

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 visit. Substantiation status is not explicitly stated.

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.

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.

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.

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.

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.