Inspection Reports for
The Village at East Farms

Complaint #41746 was investigated. The findings included medication discrepancies and errors related to morphine oral solution bottles. The complaint was substantiated by the investigation.

The agency failed to ensure the security, safety, and integrity of clients' controlled substance medications. Specifically, a morphine solution bottle contained a liquid color inconsistent with the manufacturer's label, and medication errors were self-reported related to morphine oral solution bottles. The agency staff failed to ensure safe handling and adherence to policy regarding controlled substances.

Complaint CT #41355 triggered the investigation. The complaint was related to medication management and controlled substance policy adherence for one client. Substantiation status is not explicitly stated.

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

This visit was complaint-related, investigating allegations of abuse and failure to follow the agency's Code of Conduct. The complaint number is CT #38379. The findings substantiated that abuse occurred via unauthorized charges by an ALSA aide.

The agency failed to ensure client safety, including failure to prevent abuse and failure to ensure an ALSA aide followed the agency's Code of Conduct. Specifically, unauthorized charges were made on a client's credit card by an ALSA aide, who was subsequently terminated.

Complaint CT #37705 triggered the investigation. The violations were substantiated based on clinical record reviews and staff interviews.

The investigation identified violations of Connecticut State Agencies regulations related to assisted living services, including failure of an aide to follow agency policies and failure of the supervisor 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.