Inspection Reports for The Village at Mariner‘s Point

The inspection was conducted as a complaint investigation related to Complaint CT #38330 (Client #2) and to verify violations of the General Statutes of Connecticut and/or regulations of Connecticut State Agencies.

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 investigation CT #38330 (Client #2) was the reason for the visit. Violations were identified during the inspection.

The inspection was conducted as a complaint investigation related to Complaint Investigation CT #38618 (Client #1).

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 and control requirements were also conducted.

Complaint Investigation CT #38618 (Client #1) was the basis for the visit. Violations were identified.

The inspection visit was conducted as a complaint investigation related to complaint CT# 37083.

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 CT# 37083 was conducted and found no violations; the complaint was not substantiated.

The inspection visit was conducted as a complaint investigation related to complaint number 32008.

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 the attached violation letter dated 6/11/22.

Complaint investigation number 32008 was the basis for this visit.

The inspection visit was conducted as a complaint investigation related to complaint number 32008.

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 dated 6/11/22.

Complaint investigation number 32008 was conducted; violations were found and documented in an attached violation letter.

The inspection 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 East Haven on May 17, 2021 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 #30062.

The investigation identified a violation where the Supervisor of Assisted Living Services Agency (SALSA) failed to assess and document Client #1's change in condition pre and post hospitalizations for the period of 4/12/21 through 4/23/21 and failed to review and update Client #1's Service Program accordingly. Multiple clinical record reviews and staff interviews confirmed these failures, including lack of RN assessments prior to and after emergency department transfers.

Complaint CT #30062 triggered the investigation. The report does not explicitly state substantiation status.

An unannounced visit was made to Bal East Haven on April 27, 2021 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 April 28, 2021.

Violations were identified related to failure to ensure clients were free from neglect and failure to conduct complete investigations after unwitnessed falls, including inadequate continence care and failure to identify and investigate internal incident reports with witness statements and timelines.

An unannounced visit was made to BAL East Haven on July 5, 2018 by a representative of the Facility Licensing and Investigations Section of the Department of Public Health for the purpose of conducting a complaint investigation (#23648).

The agency failed to ensure accurate reconciliation of narcotics for one client requiring nursing management of narcotics. Specifically, discrepancies were found in the narcotic counts and documentation processes, including failure to identify accuracy and safety of narcotic reconciliation.

Complaint investigation #23648 was conducted. The findings were initially cited but later rescinded after review and discussion with legal counsel and corporate nurse. The Department of Public Health agreed to rescind the violations cited and no plan of correction was required.

The inspection was conducted as a renewal visit with a complaint investigation (#20378) to assess compliance with Connecticut State regulations.

Violations of Connecticut State regulations were identified during the inspection, including failures in clinical service records related to mechanical lift transfers, communication with home health agencies, notification of responsible parties, and documentation of client mobility status and skin integrity.

Complaint investigation #20378 was conducted. Violations were substantiated as noted in the attached violation letter dated November 2, 2017.

Unannounced visits were made on July 1, 6, and 7, 2016 to BAL East Haven by the Department of Public Health for the purpose of conducting multiple investigations related to complaints #20196 and #19848.

The Assisted Living Services Agency (ALSA) failed to provide necessary services for two clients requiring medication management and assistance with activities of daily living. Deficiencies included failure to document medication administration properly, failure to reorder prescribed medications timely, and inadequate nursing accountability. Additional findings involved improper handling of a client with bleeding and failure to follow proper invasive procedure protocols.

Complaint investigations #20196 and #19848 were the basis for the inspection. Violations of the Public Health Code were identified and a violation letter dated 10/28/16 was issued. The complaints involved medication management failures and inadequate care for clients with complex medical needs.