Inspection Reports for The Village at East Farms

An unannounced visit was made to Bal Waterbury on November 18, 2024, by a representative of the Facility Licensing and Investigations Section of the Department of Public Health for the purpose of conducting a complaint investigation.

The investigation found that the agency failed to ensure the security, safety, and integrity of clients' controlled substance medications, including a discrepancy in a morphine bottle's contents and improper handling of medication by staff. The agency staff failed to identify safe handling of the client's property and adherence to agency policy.

Complaint #41746 was investigated. The complaint involved discrepancies in controlled substance medication management, including a morphine bottle with a color discrepancy and medication spill. The investigation included interviews, medication profile review, and notification of police and other agencies. The complaint was substantiated by findings of medication errors and policy noncompliance.

An unannounced visit was made to Bal Waterbury on November 18, 2024, by a representative of the Facility Licensing and Investigations Section of the Department of Public Health for the purpose of conducting a complaint investigation.

The agency failed to ensure the security, safety, and integrity of clients' controlled substance medications, specifically morphine oral solution bottles, resulting in medication discrepancies and errors. The investigation involved multiple staff interviews and review of documentation, revealing failures in medication handling and adherence to agency policy.

Complaint #41746 was investigated. The complaint was substantiated with findings of medication discrepancies and errors related to morphine oral solution bottles, involving failure to secure controlled substances and adherence to agency policy.

The inspection was conducted as a licensing renewal inspection and included review of a complaint investigation #38379.

Violations of the General Statutes of Connecticut and/or regulations of Connecticut State Agencies were identified at the time of this inspection. Approval for issuance of license was granted.

Complaint investigation #38379 was reviewed as part of this inspection.

An unannounced visit was made on October 17, 2024, by the Department of Public Health for multiple investigations and a licensure renewal inspection.

The Assisted Living Services Agency failed to ensure client safety, with incidents involving client falls and injuries documented. Specific client cases showed inadequate safety measures and supervision, leading to injuries and hospital admission.

Complaint CT #s 38478 and 38479 were investigated during the visit.

The document is a Plan of Correction submitted in response to an unannounced complaint investigation visit conducted on October 17, 2024, by the Connecticut Department of Public Health at The Village at East Farms.

The investigation found that the agency failed to ensure a client was free from abuse and failed to ensure an Assisted Living Service Agency (ALSA) aide followed the agency's Code of Conduct, including unauthorized charges on a client's credit card by an ALSA aide.

The visit was complaint-related, triggered by Complaint CT #38379. The complaint involved allegations of abuse and failure to follow the agency's Code of Conduct by an ALSA aide. The complaint was substantiated as violations were found.

An unannounced visit was made to Bal Waterbury on October 17, 2024 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 complaint CT #41355.

The investigation found that Licensed Practical Nurses (LPNs) failed to follow the agency's Controlled Substance Narcotic policy in medication management for one client receiving Assisted Living Service Agency (ALSA) services. Specifically, there were documentation omissions and failure to follow controlled substance inventory procedures.

Complaint CT #41355 was investigated. The findings included failure of LPNs to follow controlled substance narcotic policy in medication administration and documentation for Client #6. Specific issues included undocumented medication administration times and failure to notify supervisors of documentation omissions.

An unannounced visit was made to Bal Waterbury on February 28, 2024, 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 February 29, 2024.

Two violations of the Regulations of Connecticut State Agencies were identified related to failure of an Assisted Living Services Agency aide to follow agency policies on Code of Conduct and failure of the Supervisor of Assisted Living Services Agency to update the client service plan every 120 days as required by State Regulations.

The visit was complaint-related as indicated by Complaint CT #37705.

The inspection was conducted as a strike monitoring supplement to the licensing inspection report for The Village at East Farms facility.

No violations of the General Statutes of Connecticut and/or regulations of Connecticut State Agencies were identified at the time of this inspection, as indicated on page 1 of the report.

Complaint Investigation #35771 was referenced but no details or substantiation status were provided.

The inspection visit was conducted for licensing inspection and renewal purposes, including verification of Alzheimer's special care units and infection prevention requirements.

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

The inspection visit was conducted for the purpose of a renewal licensing inspection of the facility.

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 full-time infection prevention and control specialist requirements were confirmed.

The inspection visit was conducted as a complaint investigation related to complaint CT #31935 and violations of the General Statutes of Connecticut and/or regulations of Connecticut State Agencies were identified.

Violations of the General Statutes of Connecticut and/or regulations of Connecticut State Agencies were identified at the time of the inspection. Verification of Alzheimer's special care units and full-time infection prevention and control specialist requirements were also conducted.

Complaint investigation related to CT #31935 with violations identified.

An unannounced visit was made to Bal Waterbury on April 4, 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 with additional information received through April 4, 2022.

The investigation found that a Registered Nurse failed to assess a client after a fall and/or review/revise the client service plan after the fall and failed to follow the facility fall policy. Multiple incidents were reviewed where fall evaluations and RN assessments were not completed as required.

Complaint #31935 was investigated. The complaint involved failure to assess a client after a fall and failure to follow the facility fall policy.

The inspection visit was conducted as a complaint investigation related to Complaint Investigation 30705.

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 3/18/22.

Complaint Investigation 30705 was the basis for the visit. Violations were substantiated as indicated by the attached violation letter.

The visit was conducted as a complaint investigation related to Complaint Investigation 30705.

Violations of the General Statutes of Connecticut and/or regulations of Connecticut State Agencies were identified at the time of this inspection.

Complaint Investigation 30705 was the reason for the visit; violations were found but no further details on substantiation are provided.

Unannounced visits were made to Bal Waterbury on February 28, 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.

The Assisted Living Service Agency (ALSA) failed to protect Client #1 from physical injury and failed to follow the Client’s service plan, resulting in an injury caused by improper use of a Hoyer lift. The agency's investigation confirmed failures by ALSA aides to ensure proper repositioning and safety measures.

Complaint #31705. The investigation substantiated that ALSA failed to protect Client #1 from physical injury and failed to follow the Client’s service plan.

An unannounced visit was made to Bal Waterbury on October 18, 2021 by a representative of the Facility Licensing and Investigations Section of the Department of Public Health for the purpose of conducting an investigation.

The investigation found that the Assisted Living Service Agency (ALSA) failed to protect Client #1 from physical injury by not performing a comprehensive assessment after an injury, failing to update the Client's Service Program, and failing to implement infection control measures in the Client's living environment. The incident involved a laceration to the Client's forehead caused by a malfunctioning hospital bed. ALSA aides and the RN Designee failed to properly assess and respond to the injury and bed malfunction. ALSA aides #1 and #2 were terminated and the RN Designee was suspended.

The inspection visit was conducted as a renewal licensing inspection for the facility.

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

An unannounced visit was made to BAL Waterbury on October 30, 2020 by a representative of the Facility Licensing and Investigations Section of the Department of Public Health for the purpose of conducting an investigation.

The Assisted Living Services Agency (ALSA) nurses and aides failed to follow ALSA policies and/or failed to ensure the safety of Client #1, who was at high risk for falls. Specific failures included incomplete fall evaluations and lack of implementation of interventions following a fall incident.

An unannounced visit was made to Bal Waterbury on May 21, 2020 by a representative of the Facility Licensing and Investigations Section of the Department of Public Health for the purpose of conducting an investigation and a licensure inspection.

The Assisted Living Services Agency (ALSA) failed to follow federal guidelines from the CDC and proper infection control practices to prevent community spread and protect residents and staff. Specific deficiencies included improper handling and disposal of disposable gowns and Tyvek jumpsuits, failure to identify appropriate infection control measures, and inadequate hand sanitation practices.

The inspection was an unannounced complaint investigation conducted on April 19, 2018, to investigate allegations of mental, psychological, and emotional abuse at the assisted living services agency.

The investigation found that the facility failed to ensure the client was free from mental, psychological, and emotional abuse. Multiple ALSA aides were involved in abusive behavior including ridiculing a client with vulgar language and videotaping the client without consent. Several aides were terminated following the investigation. The facility also failed to identify and report client abuse appropriately and timely.

Complaint investigation #23257 was substantiated with findings of mental, psychological, and emotional abuse by ALSA aides towards a client. The investigation included interviews, review of agency documentation, and video evidence. Several aides were terminated as a result. The facility failed to provide oversight and timely reporting of abuse and failed to conduct nursing assessments as required.

The inspection was conducted as a renewal licensing inspection for the assisted living facility.

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