Inspection Reports for The Ivy at Ellington Assisted Living and Memory Care
CT, 06029
Back to Facility ProfileInspection Report Summary
The most recent inspection on February 16, 2024, identified deficiencies related to client recordkeeping, client safety, and timely nursing reassessments. Earlier inspections showed a pattern of issues involving oversight of nursing care, fall investigations, and failure to follow agency policies, with substantiated complaints regarding client safety and abuse investigations. Inspectors cited concerns primarily around nursing oversight, client safety, and documentation practices. Complaint investigations included substantiated findings related to inadequate responses to client falls and abuse allegations, while most other complaints were unsubstantiated. The facility’s inspection history indicates ongoing challenges with clinical oversight and documentation, with no clear trend of improvement or worsening over time; enforcement actions or fines were not listed in the available reports.
Deficiencies (last 5 years)
Deficiencies (over 5 years)
0.8 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
86% better than Connecticut average
Connecticut average: 5.6 deficiencies/yearDeficiencies per year
4
3
2
1
0
Census
Latest occupancy rate
85 residents
Based on a October 2023 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Census over time
Inspection Report
Renewal
Deficiencies: 0
Date: Feb 16, 2024
Visit Reason
The inspection was conducted as a renewal licensing inspection and included review of a complaint investigation #37724.
Complaint Details
Complaint investigation #37724 was reviewed during this inspection.
Findings
Violations of the General Statutes of Connecticut and/or regulations of Connecticut State Agencies were identified at the time of this inspection.
Report Facts
Complaint Investigation Number: 37724
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Megan Edson-Sawyer | Survey Team Leader | Reported submitted by |
| Elizabeth Heiney | Supervisor | Supervisor of the survey team |
| Lindsay Redin | Personnel contacted during inspection |
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: Feb 16, 2024
Visit Reason
An unannounced visit was made to Ellington Assisted Living Services, LLC on February 16, 2024, for the purpose of conducting a complaint investigation.
Complaint Details
Complaint #37724 triggered the investigation. The complaint involved concerns about client safety and nursing assessments related to Client #1. Substantiation status is not explicitly stated.
Findings
The investigation identified violations related to failure to maintain a complete client record, failure to ensure client safety, and failure to conduct timely nursing reassessments. Specifically, Client #1 was found to have suffered injuries from a fall without adequate supervision or follow-up nursing assessment.
Deficiencies (1)
Failure to maintain a complete client record reflecting care provided and to ensure client safety and timely nursing reassessments.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Elizabeth Heiney | Supervising Nurse Consultant | Named as contact for plan of correction and correspondence. |
Inspection Report
Complaint Investigation
Census: 85
Deficiencies: 0
Date: Oct 26, 2023
Visit Reason
The inspection visit was conducted in response to complaint #35490 and included verification of Alzheimer's special care units or programs and compliance with infection prevention and control requirements.
Complaint Details
Complaint #35490 was investigated and found to have no violations.
Findings
No violations of the General Statutes of Connecticut and/or regulations were identified at the time of this inspection.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Michael J. Smith | RN Nurse Consultant | Report submitted by |
| Jason Reiger | Executive Director | Personnel contacted during inspection |
| Kelly Solomon | SALSA | Personnel contacted during inspection |
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Jul 24, 2023
Visit Reason
The inspection visit was conducted as a complaint investigation related to Complaint #35003 regarding violations of the General Statutes of Connecticut and/or regulations of Connecticut State Agencies.
Complaint Details
Complaint #35003 was investigated and violations were substantiated as indicated by the attached violation letter dated 2023-09-30.
Findings
Violations were identified at the time of the inspection as noted in the attached violation letter dated 2023-09-30.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jason Rieger | Ex Director | Personnel contacted during the inspection |
| Kelly Solomon | SALSA | Personnel contacted during the inspection |
| Michael J. Smith | Nurse Consultant | Named on the report header |
Inspection Report
Plan of Correction
Deficiencies: 1
Date: May 1, 2023
Visit Reason
An unannounced visit was made to Ellington Assisted Living Services LLC on May 1, 2023, 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 through May 1, 2023.
Complaint Details
The visit was complaint-related, triggered by concerns about the care of a client who fell and sustained injuries including two cervical fractures. The complaint was substantiated based on the findings of failure to follow fall policy and conduct proper investigations.
Findings
The facility failed to ensure oversight of nursing and ALSA aide care rendered to a client, failed to follow the agency's fall policy, failed to conduct a comprehensive investigation subsequent to a client's fall, and failed to review the client service plan as often as the client's condition required. The investigation revealed multiple failures in clinical record reviews, staff interviews, and agency documentation.
Deficiencies (1)
Failure to ensure oversight of nursing and ALSA aide care rendered to a client, failure to follow the agency's fall policy, failure to conduct a comprehensive investigation subsequent to a client's fall, and failure to review the client service plan as often as the client's condition required.
Report Facts
Date of visit: May 1, 2023
Plan of correction submission deadline: May 28, 2023
Fall policy training date: Jun 1, 2023
Review frequency: 120
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Elizabeth T. Heiney | Supervising Nurse Consultant | Contact person for plan of correction and oversight |
| Lindsay Redin | Executive Director | Facility Executive Director named in the report |
Inspection Report
Renewal
Census: 69
Capacity: 79
Deficiencies: 0
Date: May 9, 2022
Visit Reason
The inspection was a licensing inspection for renewal purposes at The Ivy Ellington facility.
Findings
Violations of the General Statutes of Connecticut and/or regulations of Connecticut State Agencies were identified at the time of this inspection. A violation letter dated 6/13/22 was attached. The facility has a full-time Infection Prevention and Control Specialist.
Report Facts
Licensed Bed Capacity: 79
Census: 69
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Lindsay Redlin | Executive Director | Personnel contacted during inspection |
| Lauren Muccino | SALSA | Personnel contacted during inspection |
| Laura Boggio | Survey Team Leader | Signature of FLIS Staff and report submitter |
| Elizabeth Heiney | Supervisor | Supervisor of survey team |
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: Apr 14, 2021
Visit Reason
An unannounced review was conducted at Ellington Assisted Living Services LLC on April 14, 2021, by the Department of Public Health to investigate allegations of physical abuse and compliance with state regulations.
Complaint Details
Complaint #29788 involved allegations of physical abuse to Client #1, including bruising and yelling incidents. The complaint was substantiated by findings of failure to report and investigate properly.
Findings
The investigation found that the agency failed to promptly investigate allegations of physical abuse involving Client #1, including failure to report bruises and conduct a thorough investigation. Documentation and staff interviews revealed lapses in following agency policy, including failure to suspend the alleged staff member and incomplete investigation procedures.
Deficiencies (1)
Failure to promptly investigate allegations of physical abuse and follow agency policy for investigation regarding Client #1.
Report Facts
Date of visit: Apr 14, 2021
Plan of correction submission deadline: May 6, 2021
Training dates: Mar 11, 2021
Training dates: Apr 8, 2021
Training dates: May 6, 2021
Plan of correction implementation date: May 14, 2021
Audit start date: May 17, 2021
Audit compliance target: 85
Audit duration: 3
Audit quarterly duration: 12
Client move-in date: Feb 22, 2019
Service plan date range: Dec 14, 2020
Service plan date range: Mar 16, 2021
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Karen Donato | Supervising Nurse Consultant/Interim | Named as contact and responsible official in the investigation and plan of correction |
| Lindsay Redin | Executive Director | Named in relation to findings and investigation |
Inspection Report
Plan of Correction
Deficiencies: 1
Date: Jun 29, 2020
Visit Reason
An unannounced visit was made to Ellington Assisted Living Services LLC on June 29, 2020 by a representative of the Facility Licensing and Investigations Section of the Department of Public Health for the purpose of conducting an inspection.
Findings
The Assisted Living Services Agency (ALSA) registered nurse failed to document a risk assessment for two of three clients in the survey sample, leading to a clinical decision that the clients did not require isolation or quarantine after returning from the hospital or physician's office. The Supervisor of ALSA did not place either client under quarantine or complete a risk assessment including escort risk, transportation risk, and waiting room risk prior to determining quarantine was unnecessary.
Deficiencies (1)
Failure to document a risk assessment for clients returning from hospital or physician's office visits, leading to improper clinical decisions regarding isolation or quarantine.
Report Facts
Clients in survey sample: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Loan Nguyen | Supervising Nurse Consultant | Signed violation letter and addressed in plan of correction correspondence |
| Lindsay Redin | Executive Director | Interviewed regarding findings on June 29, 2020 |
| Cynthia A. Redin | Esq. | Signed revised Plan of Correction letter |
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