Inspection Reports for
The Village at East Farms

Complaint #41746 was investigated. The complaint involved discrepancies in morphine medication bottles and medication errors. The investigation included interviews, review of clinical records, and agency policies. The morphine medication was released to local police for analysis. The complaint was substantiated by findings of medication errors and failure to follow policy.

The investigation found that the agency failed to ensure the security, safety, and integrity of clients' controlled substance medications, including a morphine medication discrepancy and medication errors related to morphine oral solution bottles. The agency staff failed to identify safe handling of the client's property and adherence to agency policy.

Complaint #41746 triggered the investigation. The complaint was substantiated by findings including medication discrepancies, improper handling of morphine bottles by staff, and failure to follow agency policy and procedures.

The agency failed to ensure the security, safety, and integrity of clients' controlled substance medications, specifically morphine oral solution bottles, as documented through interviews, record reviews, and investigation findings. Multiple medication errors related to morphine oral solution bottles were self-reported by the agency during the investigation.

Complaint CT #s 38478 and 38479 were investigated as part of the visit. The findings included failure to ensure client safety during incidents involving client interactions and injuries.

The Assisted Living Services Agency (ALSA) failed to ensure client safety, with incidents involving client interactions resulting in injury and the need for higher levels of care. Specific client cases showed failures in supervision and safety measures, including falls and physical altercations between clients.

Complaint CT #41355 was investigated. The report does not explicitly state substantiation status.

The investigation found that Licensed Practical Nurses failed to follow the agency's Controlled Substance Narcotic policy regarding medication administration and documentation for one client receiving Assisted Living Service Agency services. Specifically, there were discrepancies in the administration and documentation of Xanax 0.25 mg doses, and failure to follow controlled substance inventory procedures.

Complaint investigation CT #38379. The investigation substantiated that the agency failed to prevent abuse and ensure compliance with the Code of Conduct by an ALSA aide who made unauthorized charges on a client's credit card.

The agency failed to ensure client safety by not preventing abuse and failing to ensure an ALSA aide followed the agency's Code of Conduct, including unauthorized charges on a client's credit card by an aide. The aide was terminated and the agency's policies on abuse, neglect, and exploitation were cited.

The visit was complaint-related under Complaint CT #37705.

Violations of the Regulations of Connecticut State Agencies and/or General Statutes were noted during the visit, including failure of an Assisted Living Services Agency aide to follow agency policies and failure of the Supervisor of Assisted Living Services Agency to update client service plans every 120 days 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 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 #31705. The investigation substantiated that ALSA failed to protect Client #1 from physical injury and failed to follow the Client’s service plan.

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.

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 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.

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.

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 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.