Inspection Reports for The Village at Buckland Court

CT

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Deficiencies per Year

8 6 4 2 0
2018
2019
2021
2022
2024
2025
Unclassified

Census Over Time

0 30 60 90 120 Aug '22 Dec '22 Mar '24 May '24
Census Capacity
Inspection Report Complaint Investigation Deficiencies: 0 Jul 22, 2025
Visit Reason
The inspection was conducted as a complaint investigation related to complaint numbers CT #41680 and #42785.
Findings
Violations of the General Statutes of Connecticut and/or regulations of Connecticut State Agencies were identified at the time of this inspection. Verification of Alzheimer's special care units and full-time infection prevention and control specialist requirements were also confirmed.
Complaint Details
Complaint investigation related to CT #41680 and #42785 with violations identified.
Employees Mentioned
NameTitleContext
Allyson SweeneyEDPersonnel contacted during inspection
Kelly SwitzerSALSAPersonnel contacted during inspection
Karen DonatoRNCReport submitted by
Inspection Report Plan of Correction Deficiencies: 1 Jul 22, 2025
Visit Reason
An unannounced visit was made on July 22, 2025 by a representative of the Facility Licensing and Investigations Section of the Department of Public Health for the purpose of conducting an investigation related to a complaint.
Findings
The investigation found a violation of Connecticut State Regulations regarding assisted living services, specifically that an assisted living aide failed to follow agency policies on Code of Conduct related to medication management and safety monitoring for one client. The aide did not sign off medications at the correct time and had received a prior written warning for policy violations.
Complaint Details
Complaint #40874 triggered the investigation. The violation was substantiated as the aide failed to follow agency policies and had prior disciplinary action.
Deficiencies (1)
Description
Failure of assisted living aide to follow agency policies on Code of Conduct, including not signing off medications at the time they were handed to the client and medication errors that put clients at risk.
Report Facts
Medication dosage: 10 Dates: Aug 29, 2024 Dates: Aug 27, 2024 Dates: Sep 17, 2024 Plan of correction compliance dates: Sep 1, 2025 Plan of correction compliance dates: Sep 1, 2025 Plan of correction compliance dates: Oct 1, 2025
Employees Mentioned
NameTitleContext
Elizabeth T. HeineySupervising Nurse ConsultantNamed as contact for questions and recipient of plan of correction response
Allyson SweeneyExecutive DirectorNamed in relation to plan of correction submission and response letter
Inspection Report Complaint Investigation Census: 103 Capacity: 77 Deficiencies: 0 May 22, 2024
Visit Reason
The inspection visit was conducted as a complaint investigation related to CT#38827 & 38292.
Findings
Violations of the General Statutes of Connecticut and/or regulations of Connecticut State Agencies were identified at the time of this inspection. Verification of Alzheimer's special care units and part-time Infection Prevention and Control Specialist requirements were also conducted.
Complaint Details
The visit was complaint-related with violations identified; specific substantiation status is not stated.
Report Facts
Census: 103 Total Capacity: 77
Employees Mentioned
NameTitleContext
Allyson SweeneyExecutivePersonnel contacted during inspection
Michael J. SmithNurse ConsultantSignature of FLIS Staff and report submitter
Inspection Report Complaint Investigation Deficiencies: 0 May 22, 2024
Visit Reason
The inspection was conducted as a complaint investigation related to complaint number 38378.
Findings
No violations of the General Statutes of Connecticut and/or regulations of Connecticut State Agencies were identified at the time of this inspection.
Complaint Details
Complaint investigation #38378 was conducted and found no violations; the complaint was not substantiated.
Employees Mentioned
NameTitleContext
Elizabeth T. HeineySNC Nurse ConsultantSignature of FLIS Staff and report submitter
Allyson SweeneyE.D.Personnel contacted during inspection
Kelly SwitzerRN - SALSAPersonnel contacted during inspection and Part Time Infection Prevention and Control Specialist
Inspection Report Renewal Census: 7 Capacity: 26 Deficiencies: 0 Mar 14, 2024
Visit Reason
The inspection was conducted as a licensing inspection for renewal purposes and included review of complaint investigations numbered 37437, 37951, and 38149.
Findings
Violations of the General Statutes of Connecticut and/or regulations of Connecticut State Agencies were identified at the time of this inspection, as referenced in an attached violation letter dated 3/19/24.
Complaint Details
Complaint investigations #37437, #37951, and #38149 were reviewed during this inspection.
Employees Mentioned
NameTitleContext
Allyson SweeneyExecutive DirectorPersonnel contacted during the inspection.
Kelly SwitzerSALSAPersonnel contacted during the inspection.
Megan Edson-SawyerSurvey Team LeaderReport submitted by.
Elizabeth HeineySupervisorSupervisor of the survey team.
Inspection Report Renewal Census: 72 Deficiencies: 0 Mar 14, 2024
Visit Reason
The inspection was conducted as a renewal licensing inspection, including review of complaint investigations numbered 37437, 37951, and 38149.
Findings
Violations of the General Statutes of Connecticut and/or regulations of Connecticut State Agencies were identified at the time of this inspection, as noted in an attached violation letter.
Report Facts
Complaint investigations referenced: 3
Employees Mentioned
NameTitleContext
Allyson SweeneyExecutive DirectorPersonnel contacted during the inspection.
Kelly SwitzerSALSAPersonnel contacted during the inspection.
Megan Edson-SawyerSurvey Team LeaderReport submitted by.
Elizabeth HeineySupervisorSupervisor listed on the report.
Inspection Report Complaint Investigation Deficiencies: 0 Jan 2, 2024
Visit Reason
The inspection was conducted as a complaint investigation related to Complaint CT #36922 and to verify violations of the General Statutes of Connecticut and/or regulations of Connecticut State Agencies.
Findings
Violations of the General Statutes of Connecticut and/or regulations of Connecticut State Agencies were identified at the time of this inspection. Verification of Alzheimer's special care units or programs and full-time Infection Prevention and Control Specialist requirements were also confirmed.
Complaint Details
Complaint investigation CT #36922 was conducted and violations were substantiated as violations were identified during the inspection.
Employees Mentioned
NameTitleContext
Karen DonatoRNCReport submitted by Karen Donato RNC
Allyson SweeneyEDPersonnel contacted during inspection
Kelly SwitzerSALSAPersonnel contacted during inspection
Inspection Report Complaint Investigation Deficiencies: 0 Jan 2, 2024
Visit Reason
The inspection visit was conducted as a complaint investigation related to Complaint CT #36922 and to verify compliance with Alzheimer's special care unit requirements and infection prevention and control specialist mandates.
Findings
Violations of the General Statutes of Connecticut and/or regulations were identified during the inspection. The report references an attached violation letter and notes verification of Alzheimer's special care units and infection prevention requirements.
Complaint Details
Complaint Investigation CT #36922 was the basis for the visit. Violations were found and documented in an attached violation letter.
Employees Mentioned
NameTitleContext
Allyson SweeneyExecutive DirectorPersonnel contacted during the inspection
Kelly SwitzerSALSAPersonnel contacted during the inspection
Karen DonatoNurse ConsultantReport submitted by
Inspection Report Complaint Investigation Census: 96 Deficiencies: 0 Dec 20, 2022
Visit Reason
The inspection was conducted as a complaint investigation, specifically referenced as Complaint Investigation #33501.
Findings
No violations of the General Statutes of Connecticut and/or regulations of Connecticut State Agencies were identified at the time of this inspection.
Complaint Details
Complaint Investigation #33501 was conducted and found no violations.
Report Facts
Census: 96
Employees Mentioned
NameTitleContext
Allyson SweeneyExecutive DirectorPersonnel contacted during the inspection.
Kelly SwitzerRN SALSAPersonnel contacted during the inspection.
Inspection Report Complaint Investigation Census: 96 Deficiencies: 0 Dec 20, 2022
Visit Reason
The inspection visit was conducted as a complaint investigation related to Complaint Investigation #33501.
Findings
No violations of the General Statutes of Connecticut and/or regulations of Connecticut State Agencies were identified at the time of this inspection.
Complaint Details
Complaint Investigation #33501 was the reason for the visit; no violations were found.
Report Facts
Census: 96
Employees Mentioned
NameTitleContext
Allyson SweeneyExecutive DirectorPersonnel contacted during the inspection
Kelly SwitzerRN SALSAPersonnel contacted during the inspection
Inspection Report Complaint Investigation Census: 96 Deficiencies: 0 Dec 20, 2022
Visit Reason
The inspection visit was conducted as a complaint investigation identified by Complaint Investigation #33501.
Findings
No violations of the General Statutes of Connecticut and/or regulations of Connecticut State Agencies were identified at the time of this inspection.
Complaint Details
Complaint Investigation #33501 was conducted and found no violations.
Report Facts
Census: 96
Employees Mentioned
NameTitleContext
Allyson SweeneyExecutive DirectorPersonnel contacted during the inspection
Kelly SwitzerRN SALSAPersonnel contacted during the inspection
Inspection Report Renewal Census: 81 Deficiencies: 0 Aug 8, 2022
Visit Reason
The inspection was conducted as a renewal licensing inspection for The Village at Buckland Court (BAL Windsor).
Findings
No violations of the General Statutes of Connecticut and/or regulations of Connecticut State Agencies were identified at the time of this inspection. Verification of Alzheimer's special care units and infection prevention requirements were confirmed.
Report Facts
Memory Care/Traditional census: 18
Employees Mentioned
NameTitleContext
Peg SullivanExecutive DirectorPersonnel contacted during inspection
Megan Edson-SawyerNurse ConsultantSignature of FLIS Staff and report submitter
Inspection Report Complaint Investigation Deficiencies: 1 Mar 3, 2022
Visit Reason
An unannounced visit was made to Bal Windsor on March 3, 2022 by a representative of the Facility Licensing and Investigations Section of the Department of Public Health for the purpose of conducting a Complaint Investigation Survey.
Findings
The investigation identified a violation of the Regulations of Connecticut State Agencies Section 19-13-D105 (k) related to client service records. Specific deficiencies included failure to ensure the client's initial service plan was comprehensive and accurate, failure to identify plans for medication administration assistance, and failure to document aide care logs for November 2021.
Complaint Details
Complaint #31734 was investigated. The complaint involved issues with client service records, including incomplete service plans and missing documentation of aide care logs. Substantiation status is not explicitly stated.
Deficiencies (1)
Description
Failure to ensure client’s initial Service plan was comprehensive and reflected evaluation of all client’s needs and/or client’s charts were complete and accurate.
Report Facts
Complaint number: 31734 Effective date for plan of correction: May 8, 2022 Audit percentage: 50 Audit frequency: 4 Audit frequency: 2 Audit duration: 1 Audit percentage: 25 Audit duration: 3 Audit duration: 2
Employees Mentioned
NameTitleContext
Elizabeth T HeineySupervising Nurse ConsultantSigned the letter regarding the complaint investigation and plan of correction
Inspection Report Renewal Capacity: 13 Deficiencies: 0 Sep 27, 2021
Visit Reason
The inspection was conducted as a renewal licensing inspection for the facility.
Findings
No violations of the General Statutes of Connecticut and/or regulations of Connecticut State Agencies were identified at the time of this inspection.
Report Facts
Licensed Bed Capacity: 13
Employees Mentioned
NameTitleContext
Peg SullivanExecutive DirectorPersonnel contacted during the inspection
Inspection Report Complaint Investigation Deficiencies: 1 Sep 12, 2019
Visit Reason
An unannounced visit was made to BAL Windsor on September 12, 2019 by a representative of the Facility Licensing and Investigations Section of the Department of Public Health for the purpose of conducting multiple investigations.
Findings
The Assisted Living Services Agency (ALSA) failed to ensure the safety of one client with a history of falls, failed to perform required safety checks, and failed to maintain authentic records. An ALSA aide did not perform safety checks during a night shift, resulting in the client falling and being hospitalized. The aide was terminated following the investigation.
Complaint Details
The investigation was complaint-related, focusing on one client (Client #1) who fell due to failure of ALSA aide to perform required safety checks from 11:00 pm on 04/13/19 to 7:00 am on 04/14/19. The aide documented completing checks but did not do so and was terminated. The client was hospitalized with acute kidney injury secondary to rhabdomyolysis, mechanical fall, and pneumonia, then discharged to skilled nursing for rehabilitation.
Deficiencies (1)
Description
Failure to ensure client safety and authenticity of records related to safety checks for a client with a history of falls.
Report Facts
Date of visit: Sep 12, 2019 Date of client admission: Feb 21, 2018 Date of fall incident: Apr 14, 2019 Date of hospital discharge: Apr 20, 2019 Date client returned to ALSA: May 14, 2019 Plan of correction submission deadline: Jan 9, 2021 Date measures will be effective: Feb 15, 2021
Employees Mentioned
NameTitleContext
Loan NguyenSupervising Nurse ConsultantSigned letter regarding violation and investigation
Inspection Report Complaint Investigation Deficiencies: 0 Oct 4, 2018
Visit Reason
The inspection visit was conducted as a complaint investigation related to Complaint Investigation #24165.
Findings
No violations of the General Statutes of Connecticut and/or regulations of Connecticut State Agencies were identified at the time of this inspection.
Complaint Details
Complaint Investigation #24165 was the reason for the visit. The complaint was not substantiated as no violations were found.
Employees Mentioned
NameTitleContext
Joel GarciaRNPersonnel contacted during the inspection.
Douglas MurphyEDPersonnel contacted during the inspection.
Inspection Report Complaint Investigation Deficiencies: 5 Oct 4, 2018
Visit Reason
An unannounced visit was made to BAL Windsor on October 4, 2018 by a representative of the Facility Licensing and Investigations Section of the Department of Public Health for the purpose of conducting an investigation.
Findings
The Assisted Living Services Agency (ALSA) failed to ensure the service plan reflected the client's problems and needs, failed to develop a comprehensive Memorandum of Understanding (MOU) with the home care agency, and failed to develop nursing policies on wound care. Specific deficiencies included lack of instructions for wheelchair use, inadequate wound care policies, failure to ensure reinforcement or replacement of dressings, and incomplete MOUs with home care agencies.
Complaint Details
The visit was complaint-related as it was an unannounced investigation by the Department of Public Health. The report notes violations found during the investigation and requires submission of a plan of correction by January 8, 2021.
Deficiencies (5)
Description
Service plan did not reflect client's problems and needs, lacked comprehensive MOU with home care agency, and lacked nursing policies on wound care.
Failure to identify instructions for wheelchair use with or without leg rests to prevent injury.
Failure to identify instructions on the use of pillow boots and/or leg elevation for wound care.
Failure to identify wound care provided by ALSA nurse and provisions for reinforcement or replacement of dressings in absence of home care nurse.
Failure to develop a policy on wound care for ALSA nurses.
Report Facts
Dates of visit: Oct 4, 2018 Plan of correction submission deadline: Jan 8, 2021 Client sample size: 6 Client admission date: May 6, 2017 Plan of care date: May 17, 2018 Nurse note date: Jun 24, 2018 Nursing note date: Jul 24, 2018 Home care nurse documentation date: Aug 1, 2018 Home care nurse documentation date: Aug 17, 2018 Nurse note date: Aug 18, 2018
Employees Mentioned
NameTitleContext
Loan NguyenSupervising Nurse ConsultantSigned the inspection report and communicated about violations

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