Inspection Reports for Whitney Center

A Desk Audit was completed for Whitney Center to verify the implementation of the Plan of Correction from the re-certification survey conducted on 12/4/24.

As of 1/15/25, corrections, education, and audits have been verified and no new noncompliance was found.

The inspection was conducted as a renewal licensing inspection and included a complaint investigation related to multiple complaint numbers.

The report indicates that violations of the General Statutes of Connecticut and/or regulations were not identified at the time of this inspection. The certification file was reviewed.

Complaint investigation was conducted for complaint numbers CT 287165, CT 33929 (apt at this facility), CT 35422, CT 36055, CT 29260, and CT 31651.

The inspection was conducted based on complaints and allegations regarding failure to provide staff support for resident council meetings, failure to review and honor residents' code status and advance directives, failure to notify hospice providers and resident representatives about new severe pain complaints, failure to investigate injuries of unknown origin, failure to assess and manage residents' conditions properly, and failure to maintain proper food temperature logs.

The facility was found deficient in multiple areas including lack of resident council meetings, inadequate review and documentation of residents' code status and advance directives, failure to notify appropriate parties about resident pain and injuries, incomplete investigations of injuries, failure to follow physician orders, inadequate neurological assessments after falls, and failure to maintain proper food temperature records. Several residents' rights and care standards were not met, and multiple violations of Connecticut State Agencies regulations were identified.

The visit was complaint-related, investigating allegations of failure to support resident council meetings, failure to review and honor code status and advance directives, failure to notify hospice and representatives about pain complaints, failure to investigate injuries of unknown origin, failure to follow physician orders, and failure to maintain food safety standards. Substantiation status is not explicitly stated.

An unannounced visit was made to Whitney Rehabilitation Care Center on November 22, 2023, for the purpose of conducting a complaint investigation (#36433).

Violations of the General Statutes of Connecticut and/or regulations were identified related to a resident who eloped from the facility without staff awareness and failure to thoroughly investigate the incident or notify the state agency timely. The facility failed to document notification to the physician or APRN when the resident eloped.

Complaint investigation #36433 was substantiated with violations identified regarding a resident who wandered off the facility property unattended on 8/5/23, failure to report the incident timely, and failure to notify the physician or APRN. The resident was found safe and returned by a family member. Interviews and record reviews confirmed these findings.

An unannounced visit was made to the facility on 11/17/2022 for the purpose of conducting a complaint investigation. The visit was triggered by Complaint #33276.

Violations of the General Statutes of Connecticut and/or regulations of Connecticut State Agencies were identified during the inspection. The facility failed to transcribe a medication order from the hospital discharge summary into the Electronic Medication Administration Record (EMAR) for a new admission, resulting in missed doses and a change in condition for the resident.

Complaint investigation #33276 was substantiated with violations identified during the visit. The complaint involved failure to transcribe medication orders leading to resident harm.

The inspection visit was conducted for the purpose of license renewal at the Whitney Center facility.

No violations or citations were identified during the inspection. Certification files and required verifications including CMP fund, CRF grant, Shift Coach, and Full Time Infection Prevention and Control Specialist were reviewed and confirmed.

An unannounced visit was made to Whitney Center on September 8, 2020, by a representative of the Facility Licensing and Investigations Section of the Department of Public Health to conduct a COVID-19 focused infection control survey.

The facility failed to ensure proper use of Personal Protective Equipment (PPE) and maintenance of droplet and contact precautions for Resident #1, including failures in hand hygiene and donning/doffing of gowns, gloves, and face shields as required by infection control standards.

An unannounced visit was conducted at Whitney Center on September 8, 2020, for the purpose of conducting a COVID-19 focused infection control survey.

The facility failed to ensure that droplet and contact precautions were maintained for a resident on modified precautions, and staff did not consistently perform proper hand hygiene or use of PPE according to infection control standards. Deficiencies were identified related to infection prevention and control practices.

A COVID-19 Focused Infection Control 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 transmission of COVID-19.

The facility failed to ensure proper use of Personal Protective Equipment (PPE) in accordance with infection control standards for a resident on droplet and modified contact precautions. Observations and staff interviews revealed multiple instances of staff not performing hand hygiene or donning required PPE when providing care, leading to a failure to maintain droplet and contact precautions.

The visit was conducted for the purpose of reviewing the implementation of the Plan of Correction (POC) for the violation letter dated 10/3/19.

Staffing was reviewed for the period 10/23/19 through 11/8/19 and met the minimum requirements of the regulations of Connecticut State Agencies. No violations were issued as a result of this visit.

The visit was a follow-up to review the Plan of Correction and Violation Letter dated July 9, 2018, to verify correction of previous deficiencies.

No violations of the General Statutes of Connecticut and/or regulations of Connecticut State Agencies were identified at the time of this inspection. A narrative report and additional information were attached.

Unannounced visits were made to Whitney Rehabilitation Care Center on August 21, 22, 23 and 24, 2017 for the purpose of conducting multiple complaint investigations related to complaints #CT21254, CT21852, CT21857, and CT21950.

Multiple violations of the Regulations of Connecticut State Agencies and General Statutes were identified during the visits, including failures in documentation, resident care, grievance resolution, dining dignity, accident prevention, medication storage, and life safety compliance. A citation #2017-54 was issued as a result of this inspection.

Complaints #21254, #21852, and #21950 were investigated. Violations were identified and substantiated as noted in the report and attached violation letter dated 9-19-17.