Inspection Reports for Waterbury Center for Nursing and Rehabilitation

CT

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Deficiencies per Year

4 3 2 1 0
2021
2024
2025

Census Over Time

102 108 114 120 126 Jun '24 Jun '24 Aug '24 Dec '24 Mar '25 Nov '25
Census Capacity
Inspection Report Monitoring Census: 108 Capacity: 120 Deficiencies: 0 Nov 10, 2025
Visit Reason
The inspection visit was conducted as a strike monitoring visit related to a complaint investigation #2663729.
Findings
Violations of the General Statutes of Connecticut and/or regulations were identified at the time of this inspection, and a citation was issued to the facility. Additional narrative and violation letters are attached but not included in this report.
Complaint Details
Complaint investigation #2663729 was referenced in relation to this visit.
Report Facts
Licensed Bed Capacity: 120 Census: 108
Employees Mentioned
NameTitleContext
Maria SerranoAdministratorPersonnel contacted during the inspection
Marlene SchaffnerDirector of NursingPersonnel contacted during the inspection
Inspection Report Renewal Census: 110 Capacity: 120 Deficiencies: 0 Mar 21, 2025
Visit Reason
The inspection was conducted as a licensing renewal inspection for the facility.
Findings
No violations of the General Statutes of Connecticut and/or regulations were identified at the time of this inspection. A desk audit was completed on 3/25/2025.
Report Facts
Licensed Bed Capacity: 120 Census: 110
Employees Mentioned
NameTitleContext
Maria SerranoAdministrator notified of violation correction
Jennifer GreenRNReport submitted by
Inspection Report Renewal Census: 109 Capacity: 120 Deficiencies: 0 Dec 20, 2024
Visit Reason
The inspection was conducted as a licensing renewal inspection and included review of complaint investigations numbered 34413, 39996, 40652, and 41620.
Findings
The report indicates that violations of the General Statutes of Connecticut and/or regulations were identified during the inspection, with attached violation letters referenced but not included in the provided pages.
Complaint Details
Complaint investigations #34413, #39996, #40652, and #41620 were reviewed during this inspection.
Report Facts
Licensed Bed Capacity: 120 Census: 109
Employees Mentioned
NameTitleContext
Maria SerranoAdministratorPersonnel contacted during the inspection.
Marlene SchaffnerDWSPersonnel contacted during the inspection.
Inspection Report Follow-Up Census: 112 Capacity: 120 Deficiencies: 0 Aug 21, 2024
Visit Reason
A desk audit was conducted to review the plan of correction related to previous deficiencies cited on 6/17/24 associated with complaints CT00034667 and CT00039263, to determine compliance with 42 CFR Part 483 requirements for Long Term Care Facilities.
Findings
The deficiencies previously cited have been corrected and no new non-compliance was found during the desk audit.
Report Facts
Licensed Bed Capacity: 120 Census: 112
Employees Mentioned
NameTitleContext
Marlene SchaffnerDirector of NursingPersonnel contacted during the inspection
Inspection Report Follow-Up Census: 118 Capacity: 120 Deficiencies: 0 Jun 21, 2024
Visit Reason
A desk audit was conducted to review the implementation of the Plan of Correction for a prior violation letter dated 2024-05-30.
Findings
Violations #1 and #2 were identified as corrected as of 2024-06-05. The Administrator was notified via telephone that all violations were corrected.
Report Facts
Licensed Bed/Bassinet Capacity: 120 Census: 118
Employees Mentioned
NameTitleContext
Maria SerranoAdministratorNotified of correction of violations during desk audit
Inspection Report Complaint Investigation Census: 116 Capacity: 120 Deficiencies: 0 Jun 7, 2024
Visit Reason
The inspection was conducted as a complaint investigation related to Complaint #39417.
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 #39417 was conducted and found no violations.
Employees Mentioned
NameTitleContext
Maria SerranoAdministratorPersonnel contacted during the inspection.
Marlene SchaffnerDirector of NursingPersonnel contacted during the inspection.
Inspection Report Original Licensing Deficiencies: 0 Oct 29, 2021
Visit Reason
This document is a Pre-Licensure Consent Order for Waterbury Center for Nursing & Rehabilitation LLC seeking an initial license to operate a Chronic and Convalescent Nursing Home in Connecticut.
Findings
The order outlines extensive requirements and conditions for the facility's initial licensing, including contracting with an Independent Nurse Consultant (INC), staffing ratios, infection preventionist designation, quality assurance programs, environmental consulting firm engagement, and compliance monitoring. It sets forth detailed operational, staffing, and compliance obligations to ensure patient safety and regulatory adherence.
Report Facts
INC consulting hours: 16 INC consulting duration: 6 Nurse aide staffing ratio 1st shift: 10 Nurse aide staffing ratio 2nd shift: 12 Nurse aide staffing ratio 3rd shift: 20 Licensed nurse staffing ratio all shifts: 30 Medical record audits: 5 Quality Assurance Committee meeting frequency: 30 Water management program development timeframe: 28 Emergency preparedness plan development timeframe: 56 In-service Coordinator training hours: 8 Environmental Consulting Firm contract timeframe: 14 Initial onsite review scheduling timeframe: 30 ECF report development timeframe: 30 ECF re-evaluation frequency: 90 ECF re-evaluation report development timeframe: 14 Vendor payment timeframe: 90 Record retention period for nurse supervisor reports: 1825 Record retention period for quality assurance meeting minutes: 1095 Record retention period for daily rounds documentation: 1825
Employees Mentioned
NameTitleContext
Menajem SalamonMemberMember of Waterbury Center for Nursing & Rehabilitation LLC and signatory of the Pre-Licensure Consent Order
Donna OrtelleSection Chief, Healthcare Quality and Safety BranchRepresentative of the Connecticut Department of Public Health and signatory of the Pre-Licensure Consent Order

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