Inspection Reports for West Hartford Health and Rehabilitation

The inspection was conducted as a licensing renewal inspection and included review of complaint investigations #1200044, CT#2584350, and CT#2595375.

The report indicates that the inspection was a renewal licensing inspection with complaint investigations reviewed. No explicit findings or violations are detailed in the provided page.

Complaint investigations #1200044, CT#2584350, and CT#2595375 were reviewed during the inspection. No substantiation status is provided.

Unannounced visits were made to West Hartford Health & Rehabilitation Center on August 29, 2025, by representatives of the Facility Licensing and Investigations Section of the Department of Public Health for the purpose of conducting multiple investigations.

The report identifies multiple violations of Connecticut State Agencies regulations related to environmental concerns, abuse allegations, discharge procedures, pressure ulcer care, fall investigations, respiratory care, medication storage, dietary services, and infection control. The facility failed to maintain a safe, clean environment, notify law enforcement of abuse allegations, provide proper discharge notices, update care plans, conduct thorough fall investigations, ensure respiratory equipment orders were current, properly manage medication storage, maintain sanitary ice machines, and document monthly water flushes.

The report includes complaint investigations related to abuse allegations involving Resident #124, which were determined to be unsubstantiated. The facility failed to notify local law enforcement due to the resident's history of accusatory behaviors and multiple phone calls made by the resident to police on their own.

The visit was a desk audit conducted on 1/17/24 to review compliance with regulations and verify the implementation of the plan of correction.

The administrator was notified that the implementation of the plan of correction was approved. As a result of this desk audit, no deficiencies and/or violations were identified.

The inspection was conducted as a licensing renewal inspection and included review of complaint investigations numbered 34571, 33411, 33129, and 32884.

The report indicates that this was a licensing renewal inspection with referenced complaint investigations. No violations or citations were explicitly noted in this document.

A Complaint Investigation Survey was conducted at West Hartford Health and Rehabilitation Center on 7/20/22 and 7/28/22 to determine compliance with 42 CFR Part 483 requirements for Long Term Care Facilities.

No deficiencies were cited as a result of this survey, but Violation #1 was cited.

Complaint Investigation Survey, ACTS Reference Number CT #32539.

Unannounced visits were made to West Hartford Health & Rehabilitation Center to conduct a Complaint Investigation Survey to determine compliance with 42 CFR Part 483 requirements for Long Term Care Facilities, based on Complaint Investigation CT# 32539.

Violations of the General Statutes of Connecticut and/or regulations were identified, including a failure to ensure a fall that required hospital transfer was properly managed, resulting in Resident #3 requiring sutures. The facility failed to report the fall as a reportable event to the State Agency and had deficiencies in monitoring and documentation.

Complaint Investigation CT# 32539 was substantiated with findings including failure to report a fall with injury as a reportable event and inadequate monitoring and documentation related to Resident #3's fall and injury.

A desk audit review was conducted on 7/23/2021 to review the plan of correction for the violation letter dated 6/2/2021.

The review of information identified that all violations cited in the previous inspection have been corrected.

Unannounced visits were made to West Hartford Health & Rehabilitation Center by representatives of the Facility Licensing and Investigations Section of the Department of Public Health for the purpose of conducting an inspection.

The facility was found noncompliant with several regulations including failure to ensure comprehensive care plans for residents with suicidal intent, failure to review and revise care plans timely after unauthorized leaves, failure to secure medications on medication carts, and failure to ensure clinical records were complete and accurate regarding frequent checks monitoring and psychosocial support documentation.

Complaint #29576 and #29617 were referenced in the report.

An unannounced visit was made to West Hartford Health & Rehabilitation Center which concluded on September 2, 2020 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 COVID-19 infection control and complaint investigation.

The facility was found noncompliant with regulations regarding the use of face masks on residents in the dementia unit, failure to conduct specific risk assessments for mask use, and inadequate COVID-19 infection control practices including cohorting and PPE use. Several residents were observed without masks and staff reported challenges with mask tolerance among residents with dementia.

The visit included a complaint investigation identified by complaint number CT27426. The complaint was related to COVID-19 infection control practices and mask use on the dementia unit. The complaint was substantiated as the facility was found noncompliant with mask use and infection control requirements.

An unannounced visit was conducted at West Hartford Health & Rehabilitation Center by the Department of Public Health for the purpose of conducting an investigation.

The facility failed to conduct risk assessments for safe and appropriate use of masks and failed to encourage or reapply the use of facemasks on a dementia unit, resulting in noncompliance with infection control regulations.

An unannounced visit was made to West Hartford Health & Rehabilitation Center on July 1, 2020, by the Department of Public Health for the purpose of conducting a Covid-19 focused infection control survey.

The survey identified violations of Connecticut state regulations related to infection control and cohorting of residents exposed to COVID-19. Specific findings included improper cohorting of residents who required transmission-based precautions, residents sharing rooms with others who had recovered from COVID-19, and failure to ensure residents wore facemasks or had privacy curtains closed to provide protective barriers.

An unannounced visit was conducted on June 2, 2020, by the Facility Licensing and Investigations Section of the Connecticut Department of Public Health to perform a COVID-19 focused infection control survey at West Hartford Health & Rehabilitation Center.

The facility failed to ensure appropriate infection control practices during the COVID-19 pandemic, specifically involving improper doffing of personal protective equipment by a staff member leaving a COVID-19 positive unit, contrary to CDC guidelines and facility policy.

A COVID-19 Focused Survey was conducted to determine compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities, including proper infection prevention and control practices to prevent the development and transmission of COVID-19.

The facility failed to ensure appropriate infection control practices were implemented to prevent and control the spread of infection during the COVID-19 pandemic. Specifically, a nurse aide was observed leaving a COVID-19 positive unit without properly doffing personal protective equipment (PPE) before disinfecting equipment outside the unit.

A COVID-19 Focused Survey was conducted to determine compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities, including proper infection prevention and control practices to prevent the development and transmission of COVID-19.

No deficiencies were cited as a result of this COVID-19 focused survey.

A COVID-19 Focused Survey was conducted on May 6, 2020 at West Hartford Health and Rehabilitation to determine compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities, including proper infection prevention and control practices to prevent the development and transmission of COVID-19.

Deficiencies were not cited as a result of this survey, indicating compliance with infection prevention and control requirements related to COVID-19.

A COVID-19 Focused Survey was conducted to determine compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities, including proper infection prevention and control practices to prevent the development and transmission of COVID-19.

The survey found no deficiencies related to infection prevention and control practices for COVID-19 at West Hartford Health and Rehabilitation Center.

An unannounced visit was conducted to investigate compliance with infection control regulations at West Hartford Health & Rehabilitation Center.

The facility failed to ensure that a COVID-19 negative resident did not share a room with a COVID-19 positive resident. The Director of Nursing stated that both residents remained in the same room because the facility treated all residents as if they were COVID positive, despite several empty rooms being available.

The investigation was triggered by concerns regarding infection control practices related to COVID-19. The complaint was substantiated by observations and record reviews confirming room sharing of COVID-19 positive and negative residents.

A COVID-19 Focused Survey and complaint investigation was conducted to determine compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities, including proper infection prevention and control practices to prevent the development and transmission of COVID-19.

The facility failed to ensure that a COVID-19 negative resident (Resident #3) did not share a room with a COVID-19 positive resident, despite having several empty rooms available. The facility treated all residents as if COVID positive and did not place isolation signs on doors. Resident #3 required assistance and the privacy curtain between roommates was open during observation.

The visit was complaint-related and included a substantiated deficiency regarding infection prevention and control related to COVID-19 cohorting and room sharing.

An unannounced visit was made to West Hartford Health & Rehabilitation Center on April 29, 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 facility failed to ensure that a resident who was COVID-19 negative did not share a room with a resident who tested positive for COVID-19. The Director of Nursing indicated that both residents remained in the same room due to mobility limitations and the facility treated all residents as if they were COVID positive without posting signs for droplet and contact precautions.

A COVID-19 Focused Survey and complaint investigation was conducted to determine compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities, including proper infection prevention and control practices to prevent the development and transmission of COVID-19.

The facility failed to ensure that a COVID-19 negative resident (Resident #3) did not share a room with a COVID-19 positive resident, despite having several empty rooms available. The facility treated all residents as if COVID positive and did not place isolation signs on doors. Education and corrective actions were planned to address cohorting and response to lab results.

The visit was complaint-related and included a COVID-19 focused survey. The complaint involved infection control practices related to COVID-19 cohorting and isolation procedures.

A COVID-19 Focused Survey was conducted to determine compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities, including proper infection prevention and control practices to prevent the development and transmission of COVID-19.

The survey found the facility compliant with no deficiencies cited related to infection prevention and control practices for COVID-19.

A desk audit was conducted on 8/14/19 to review the implementation of the plan of correction dated 6/14/19, to ensure implementation and compliance.

The desk audit found that the facility was implementing the plan of correction related to previous deficiencies. The audit focused on compliance with wound assessment protocols and other corrective measures.

Unannounced visits were made to West Hartford Health & Rehabilitation Center which concluded on June 14, 2019 by a representative of the Facility Licensing and Investigations Section of the Department of Public Health for the purpose of conducting an investigation of noncompliance.

The facility failed to ensure that weekly wound assessments were conducted and/or documented in the clinical record for one resident, resulting in a partial amputation due to wet gangrene. The facility identified the responsible staff and implemented corrective measures including education, audits, and assigning responsibility to the Director of Nursing.

The visit was a desk audit and onsite inspection to review the institution's plan of correction for a violation letter dated 3/27/19 and to verify correction of previous violations.

Based on observations and interview with the Director of Nurses, all violations 1a, 2a, 3a & b, 4a & b, 5a, 6a, and 7a were corrected. The desk audit was conducted on 5/23/19 with narrative report attached.

An unannounced visit was made to West Hartford Health & Rehabilitation Center on December 21, 2018 by a representative of the Facility Licensing and Investigations Section of the Department of Public Health for the purpose of conducting an investigation.

The facility failed to ensure a policy was in place to direct staff on procedures to follow once Cardio-Pulmonary Resuscitation (CPR) is required. Resident #1 had a choking episode requiring CPR and transfer to hospital. The Director of Nurses confirmed no CPR policy was in place, though the facility follows American Heart Association guidelines and requires CPR certification for licensed staff.

The inspection was conducted as a complaint investigation related to complaint investigation #CT 24472 and violations of Connecticut General Statutes and regulations were identified.

The facility was found to have deficiencies including failure to have a policy in place for CPR and medical emergencies, requiring all licensed staff to have CPR certification. A plan of correction was developed and education provided to nursing staff.

Complaint investigation #CT 24472 was substantiated with violations identified and a violation letter dated 2019-01-09.

The inspection was conducted as a renewal licensure inspection combined with complaint investigations #20065, #20221, and #19506, and a certification survey.

Violations of the General Statutes of Connecticut and/or regulations were identified during the inspection. The facility failed to ensure complete and accurate medical records for a resident involved in a fall incident, among other deficiencies.

The inspection included complaint investigations #20065, #20221, and #19506. Specific substantiation status is not stated.