Inspection Reports for The Pines at Bristol Center for Health and Rehabilitation

Desk audit conducted to review the implementation of the plan of correction for violations previously cited in the facility.

All violations numbered 1 through 12 were found to be corrected as of the desk audit conducted on 6/5/2025.

The inspection visit was conducted as a complaint investigation related to Complaint Investigation #44070.

No violations of the General Statutes of Connecticut and/or regulations of Connecticut State Agencies were identified at the time of this inspection.

Complaint Investigation #44070 was the basis for the visit. No violations were found, indicating the complaint was not substantiated.

The inspection was conducted as a licensing inspection for renewal and included complaint investigations #27449 and #42771.

Violations of the General Statutes of Connecticut and/or regulations of Connecticut State Agencies were identified during the inspection. The report references attached violation letters and narrative reports for details.

Complaint investigations #27449 and #42771 were part of the inspection process.

The inspection visit was conducted as a complaint investigation related to Complaint Investigation #40833 and #43307.

No violations of the General Statutes of Connecticut and/or regulations of Connecticut State Agencies were identified at the time of this inspection.

Complaint Investigation #40833 and #43307 were reviewed, and no violations were substantiated.

A desk audit was completed on 4/20/23 to review the Plan of Correction for the Violation letter dated 3/16/23.

All violations identified in the previous inspection were corrected as of 4/20/23, confirmed by telephone notification to the Administrator.

The inspection visit was conducted as a licensing renewal inspection and included review of a complaint investigation (Complaint Investigation #CT33506).

Violations of the General Statutes of Connecticut and/or regulations were identified at the time of this inspection. The report includes approval for issuance of license.

Complaint Investigation #CT33506 was reviewed during this inspection.

The inspection visit was conducted as a complaint investigation related to complaint investigation numbers 33605 and 33607.

No violations of the General Statutes of Connecticut and/or regulations of Connecticut State Agencies were identified at the time of this inspection.

Complaint investigation numbers 33605 and 33607 were the basis for the visit. No violations were found.

A desk audit was conducted to review the implementation of the plan of correction from the violation letter dated 1/11/2022.

Violations #1 through #2 have been corrected, and the DNS was notified of the corrections. No new violations were identified during this inspection.

An unannounced visit was conducted on January 3, 2022, by a representative of the Facility Licensing and Investigations Section of the Department of Public Health to investigate violations of Connecticut State regulations and statutes at The Pines At Bristol For Nursing & Rehabilitation.

The report identifies deficiencies related to incomplete and inconsistent documentation of weekly skin assessments and pressure ulcer risk evaluations for Resident #1, including failure to ensure the resident had the ordered Low Air Loss mattress in place. The facility was found noncompliant with state regulations regarding skin care and pressure ulcer management.

An unannounced visit was made to The Pines at Bristol for Nursing & Rehabilitation on December 2, 2021, for the purpose of conducting a complaint investigation with additional information received through December 6, 2021.

Violations of Connecticut State regulations were identified related to misappropriation of controlled narcotic medications, failure to ensure discontinued narcotics were removed or securely stored, and failure to report allegations of misappropriation of resident property. The facility was found noncompliant and required to submit a plan of correction.

Complaint Investigation # CT 31204 was conducted following allegations of misappropriation of controlled medications by Administrator #2. The complaint was substantiated with findings of noncompliance.

An unannounced visit was made to The Pines at Bristol for Nursing & Rehabilitation on December 2, 2021, for the purpose of conducting a complaint investigation with additional information received through December 6, 2021.

Violations of Connecticut State Agencies regulations were identified related to misappropriation of medications, failure to ensure discontinued controlled narcotic medications were removed, failure to report misappropriation of resident property, and failure to maintain confidentiality of residents' medical information. The facility failed to ensure proper handling and storage of controlled substances and failed to report incidents timely to the state agency.

Complaint Investigation #CT 31204. The complaint involved misappropriation of medications and failure to report incidents. The complaint was substantiated with multiple findings including medication misappropriation by Administrator #2 and failure to report to the state agency.

An unannounced visit was made to The Pines At Bristol For Nursing & Rehabilitation on August 6, 2021 by a representative of the Facility Licensing and Investigations Section of the Department of Public Health for the purpose of conducting a monitoring survey.

The facility was found to have violations related to abuse/neglect, insufficient staffing to meet resident needs, and failure to ensure staff wore required personal protective equipment during infection control precautions. Deficiencies were documented with specific resident cases and staffing observations.

The inspection was complaint-related as indicated by the complaint survey conducted on 8/06/21 resulting in deficiencies F-600 (Free From Abuse/Neglect), F-725 (Sufficient Nursing Staff), and F-880 (Infection Control). The facility disputed the neglect finding and staffing adequacy in their informal dispute resolution request.

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.

The COVID-19 Focused Infection Control Survey found the facility compliant with no deficiencies cited related to infection prevention and control practices.

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.

The survey found the facility compliant with no deficiencies cited related to infection prevention and control practices for COVID-19.

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.

The survey found no deficiencies related to infection prevention and control practices for COVID-19 at the facility.

The inspection visit was conducted for the purpose of an Infection Control (IC) Survey related to COVID-19.

The report does not provide detailed findings or deficiencies but indicates the visit was focused on infection control measures related to COVID-19.

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.

The survey found no deficiencies related to infection prevention and control practices for COVID-19 at Pines at Bristol.

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.

The facility failed to ensure appropriate infection control practices were implemented to prevent and control the spread of infection, including failure to separate a COVID-19 positive resident from a COVID-19 negative resident sharing a semi-private room, and failure to maintain proper isolation precautions such as pulling curtains between residents on droplet precautions.

This document is a plan of correction submitted by The Pines at Bristol Center for Health and Rehabilitation in response to a focused infection control survey conducted on May 3, 2020.

Resident #2 had a room change into a private room and was retested for COVID-19 with a negative result. The facility conducted a point prevalence survey on 05/08/2020, and no residents suffered ill effects from the alleged deficient practice related to infection control and cohorting.

Desk audit review was conducted on 3/8/19 by a representative of the FLIS Department for the purpose of reviewing the Plan of Correction for the violation letter dated 2/14/19.

The review of information identified violations 1.a, 2.a, and 3.a have been corrected.

The inspection was conducted as a complaint investigation triggered by complaint #24163, involving allegations of noncompliance with Connecticut State regulations.

The facility was found noncompliant due to failure to ensure the alarm system for a resident at risk of elopement was activated, allowing the resident to leave unattended. Additional deficiencies related to resident care plans, staff response, and infection control were identified.

Complaint #24163 was substantiated, involving a resident who left the facility unattended due to an inactive wander guard alarm system. The investigation included interviews, record reviews, and video footage analysis.