Inspection Reports for Whitney Center
200 Leeder Hill Dr, Hamden, CT 06517, CT, 06517
Back to Facility ProfileInspection Report Summary
The most recent inspection on February 21, 2025, found no new deficiencies and verified that prior corrections had been implemented. Earlier inspections showed a mixed history with several citations related to resident care, documentation, and safety, including substantiated complaints about failure to support resident council meetings, medication errors, and incident reporting. Inspectors cited issues such as inadequate notification of injuries, incomplete investigations, failure to follow physician orders, and lapses in infection control practices during the COVID-19 pandemic. Complaint investigations were substantiated in multiple cases, including a resident elopement and medication transcription errors, but no fines or enforcement actions were listed in the available reports. The trend suggests improvement in compliance, especially with the most recent follow-up confirming that corrective actions were sustained.
Deficiencies (last 8 years)
Deficiencies (over 8 years)
4.1 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
27% better than Connecticut average
Connecticut average: 5.6 deficiencies/yearDeficiencies per year
16
12
8
4
0
Census
Latest occupancy rate
67% occupied
Based on a February 2025 inspection.
This facility has shown a decline in demand based on occupancy rates.
Census over time
Inspection Report
Follow-Up
Census: 20
Capacity: 30
Deficiencies: 0
Date: Feb 21, 2025
Visit Reason
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.
Findings
As of 1/15/25, corrections, education, and audits have been verified and no new noncompliance was found.
Report Facts
Licensed Beds: 30
Census: 20
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Michele Ackerman | DNS | Personnel contacted during the inspection |
Inspection Report
Renewal
Census: 23
Capacity: 30
Deficiencies: 0
Date: Dec 4, 2024
Visit Reason
The inspection was conducted as a renewal licensing inspection and included a complaint investigation related to multiple complaint numbers.
Complaint Details
Complaint investigation was conducted for complaint numbers CT 287165, CT 33929 (apt at this facility), CT 35422, CT 36055, CT 29260, and CT 31651.
Findings
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.
Report Facts
Licensed Bed Capacity: 30
Census: 23
Inspection Report
Complaint Investigation
Deficiencies: 12
Date: Dec 2, 2024
Visit Reason
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.
Complaint Details
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.
Findings
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.
Deficiencies (12)
Facility failed to provide staff support to ensure residents' right to organize and participate in resident council meetings.
Facility failed to ensure code status was reviewed with residents or representatives upon admission and as needed.
Facility failed to immediately notify hospice provider and resident representative when resident complained of new severe wrist pain.
Facility failed to notify the state agency of injuries of unknown origin and failed to investigate such injuries properly.
Facility failed to assess and manage residents' conditions in accordance with professional standards and physician orders.
Facility failed to ensure neurological checks and post-fall assessments were completed after residents sustained falls with head strikes.
Facility failed to ensure residents received treatment in accordance with professional standards and MD orders.
Facility failed to ensure resident transfers were performed according to physician's orders.
Facility failed to ensure residents were free from accident hazards and received adequate supervision and assistive devices to prevent accidents.
Facility failed to ensure hot and cold food temperatures for meals were obtained and documented appropriately.
Facility failed to maintain clear discharge instructions and complete discharge paperwork for residents.
Facility failed to adhere to minimum staffing requirements for a social worker over a 6-month period.
Report Facts
Residents reviewed for code status: 5
Residents reviewed for unnecessary medications: 5
Residents reviewed for accidents: 5
Residents reviewed for Preadmission Screening and Resident Review (PASARR): 1
Residents reviewed for discharge: 1
Residents reviewed for transfers: 1
Residents reviewed for falls: 1
Residents reviewed for pain management: 1
Residents reviewed for injury of unknown origin: 1
Residents reviewed for food temperature logs: Facility-wide food service logs reviewed
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Margaret Joyce | Administrator | Named in relation to oversight and plan of correction responsibilities |
| RN #4 | RN Supervisor | Identified in findings related to injury assessments and nursing supervision |
| LPN #2 | Identified in findings related to injury assessments and documentation | |
| MD #1 | Physician | Referenced in multiple findings related to orders and assessments |
| MD #2 | Physician | Referenced in findings related to code status and orders |
| Dietary Director #1 | Referenced in findings related to food temperature logs | |
| Dietary Director #2 | Chef Manager | Referenced in findings related to food temperature logs |
| SW #1 | Social Worker | Referenced in findings related to PASARR and social worker staffing |
| RN #5 | Referenced in findings related to resident discharge | |
| NA #3 | Nursing Assistant | Referenced in findings related to resident transfers and falls |
Inspection Report
Complaint Investigation
Census: 137
Capacity: 150
Deficiencies: 2
Date: Nov 22, 2023
Visit Reason
An unannounced visit was made to Whitney Rehabilitation Care Center on November 22, 2023, for the purpose of conducting a complaint investigation (#36433).
Complaint Details
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.
Findings
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.
Deficiencies (2)
Failure to thoroughly investigate and report a resident elopement incident to the state agency at the time it occurred.
Failure to document notification to the physician or APRN when the resident eloped.
Report Facts
Licensed Bed Capacity: 150
Census: 137
Compliance Date: Jan 3, 2024
Exit Doors: 7
Distance Resident Found: 3
Random Audits Frequency: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Lauren Kuzma | Director of Nursing (DON) | Named as personnel contacted and involved in the investigation. |
| Michael Fiore | Administrator | Named as personnel contacted and involved in the investigation. |
| Karen Gworek | Supervising Nurse Consultant | Author of the notice letter regarding violations and plan of correction. |
Inspection Report
Complaint Investigation
Census: 31
Capacity: 59
Deficiencies: 1
Date: Nov 17, 2022
Visit Reason
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.
Complaint Details
Complaint investigation #33276 was substantiated with violations identified during the visit. The complaint involved failure to transcribe medication orders leading to resident harm.
Findings
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.
Deficiencies (1)
Failure to transcribe a medication order from the hospital discharge summary into the EMAR, resulting in missed doses of Enoxaparin and subsequent pulmonary embolism for Resident #1.
Report Facts
Licensed Bed Capacity: 59
Census: 31
Missed doses: 5
Citation Number: 2022
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Michele Ackerman | Director of Nursing (DNS) | Personnel contacted during inspection |
| Nicholas Tomczyk | Nurse Consultant | Conducted the complaint investigation and authored the narrative report |
| Karen Gworek | Supervising Nurse Consultant | Issued the notice letter regarding violations and plan of correction |
Inspection Report
Renewal
Census: 28
Capacity: 59
Deficiencies: 0
Date: Sep 7, 2022
Visit Reason
The inspection visit was conducted for the purpose of license renewal at the Whitney Center facility.
Findings
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.
Report Facts
Licensed Bed/Bassinet Capacity: 59
Census: 28
Inspection Dates: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Marie Mathew | FLIS Staff | Signature on inspection report and report submitter |
| Debra O'Neill | BFSI | Signature on inspection report |
| Evelyn Blanco | RN | Signature on inspection report |
| James Kuo | Signature on inspection report | |
| Donna Schuba | Supervisor | Approval for issuance of license granted |
Inspection Report
Abbreviated Survey
Census: 46
Capacity: 59
Deficiencies: 1
Date: Sep 8, 2020
Visit Reason
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.
Findings
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.
Deficiencies (1)
Failure to ensure proper Personal Protective Equipment (PPE) was donned and doffed in accordance with infection control standards for Resident #1 on droplet and contact precautions.
Report Facts
Total Capacity: 59
Census: 46
Audit Date: Nov 26, 2020
Audit Census: 45
Audit Capacity: 59
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Sandra Vermont-Hollis | Supervising Nurse Consultant | Author of the letter regarding the plan of correction |
| Janet A. Rosato | Registered Nurse | Surveyor who signed the follow-up survey on 11/27/2020 |
Inspection Report
Plan of Correction
Census: 46
Capacity: 59
Deficiencies: 2
Date: Sep 8, 2020
Visit Reason
An unannounced visit was conducted at Whitney Center on September 8, 2020, for the purpose of conducting a COVID-19 focused infection control survey.
Findings
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.
Deficiencies (2)
Failure to ensure droplet and contact precautions were maintained for Resident #1.
Staff did not perform proper hand hygiene or use PPE correctly when providing care to Resident #1.
Report Facts
Total Capacity: 59
Census: 46
Census: 45
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Sandra Vermont-Hollis | Supervising Nurse Consultant | Author of the notice letter regarding the inspection |
| Janet A. Rosato | Registered Nurse | State surveyor who signed the survey report on 11/27/2020 |
Inspection Report
Abbreviated Survey
Census: 46
Capacity: 59
Deficiencies: 1
Date: Sep 8, 2020
Visit Reason
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.
Findings
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.
Deficiencies (1)
Failure to ensure proper Personal Protective Equipment (PPE) was donned and doffed in accordance with infection control standards for Resident #1 on droplet and modified contact precautions.
Report Facts
Total Capacity: 59
Census: 46
Completion date for plan of correction: Oct 13, 2020
Inspection Report
Follow-Up
Census: 46
Capacity: 59
Deficiencies: 0
Date: Nov 6, 2019
Visit Reason
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.
Findings
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.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| LaShaun Price | DON | Personnel contacted during the inspection |
| Siobhan O’Neill | Nurse Consultant | Report submitted by and signed as Nurse Consultant |
Inspection Report
Follow-Up
Census: 48
Capacity: 59
Deficiencies: 0
Date: Aug 23, 2018
Visit Reason
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.
Findings
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.
Report Facts
Licensed Bed Capacity: 59
Census: 48
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Margaret Joyce | Administrator | Personnel contacted during the inspection. |
| LaShawn Price | RN, DNS | Personnel contacted during the inspection. |
| P. Henrietta Simmons | NC | Report submitted by. |
Inspection Report
Complaint Investigation
Census: 134
Capacity: 150
Deficiencies: 14
Date: Aug 21, 2017
Visit Reason
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.
Complaint Details
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.
Findings
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.
Deficiencies (14)
Failed to document notification of change to resident's responsible party regarding significant weight loss.
Failed to ensure prompt and satisfactory resolution of grievances.
Failed to provide dignified dining experience and treat residents with dignity and respect.
Failed to develop comprehensive care plan to address wandering.
Failed to revise plan of care to accurately reflect resident's bed mobility.
Staff failed to perform within scope of practice related to CPAP mask removal.
Failed to ensure residents' nails were kept clean and trimmed.
Failed to maintain carpet in a safe and hazard free manner.
Failed to ensure medical supplies were stored in a clean and sanitary manner.
Failed to assess and document resident following a fall with injury.
Failed to ensure medication storage room was locked and secured.
Failed to handle dishware in a sanitary manner in the kitchen.
Failed to ensure fire alarm system was installed, tested, and maintained in accordance with NFPA codes.
Failed to ensure automatic sprinkler system was installed to provide complete coverage.
Report Facts
Licensed Bed Capacity: 150
Census: 134
Citation Number: 2017
Inspection Dates: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Albert Mislow | Administrator | Personnel contacted during inspection |
| Rosella A. Crowley | Supervising Nurse Consultant | Signed complaint investigation letter |
| Richard Howe | RNC | Report submitted by |
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