Inspection Reports for
The Ivy at Ellington Assisted Living and Memory Care
CT, 06029
Back to Facility ProfileDeficiencies (last 5 years)
Deficiencies (over 5 years)
1.2 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
79% 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.
Occupancy 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: 3
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 was substantiated based on findings of noncompliance with regulations regarding client care and safety.
Findings
The investigation found that the facility failed to maintain a complete client record, did not ensure consistent hourly safety checks by aides, and failed to perform timely nursing reassessments and update service plans based on client condition changes. Specifically, Client #1's care was deficient in nursing assessments and safety monitoring, resulting in a fall with injury.
Deficiencies (3)
Failure to maintain a complete client record reflecting care provided and to ensure timely nursing reassessments based on client condition.
Failure to ensure ALSA aides consistently performed hourly safety checks on each shift and on the morning of 01/28/2024.
Failure to perform a follow-up RN assessment and update the service plan based on a change in Client #1's condition.
Report Facts
Date of visit: Feb 16, 2024
Client #1 admission date: Jul 3, 2023
Client #1 120-day assessment date: Nov 30, 2023
Client #1 service plan date: Jan 21, 2023
Hospital discharge date: Jan 29, 2024
Time of hospital evaluation: 1240
Time of client ambulation: 946
Time of LPN assessment call: 1150
Safety check log review months: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Elizabeth Heiney | Supervising Nurse Consultant | Signed letter and contact for plan of correction |
| Lindsey Redin | Administrator | Facility administrator addressed in letter |
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 inadequate investigation and failure to suspend the implicated staff member.
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, including failure to report bruises and conduct a thorough investigation.
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 threshold: 85
Audit duration: 3
Audit frequency after compliance: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Karen Donato | Supervising Nurse Consultant/Interim | Named as contact and responsible for oversight in the investigation and plan of correction |
| Lindsay Redin | Executive Director | Mentioned in relation to interviews and agency oversight |
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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