Inspection Reports for Wilton Meadows Health Care Center

A desk audit was completed for the facility's renewal inspection on 2025-04-02 to review compliance with regulation F 600.

No new non-compliance issues were identified during the desk audit, and the facility was found to be back into compliance as of 2025-05-10.

The inspection was conducted as a licensing inspection for renewal and included review of complaint investigations CT34275 and CT34256.

Violations of the General Statutes of Connecticut and/or regulations of Connecticut State Agencies were identified at the time of this inspection, with attached violation letter and narrative report referenced.

Complaint investigations CT34275 and CT34256 were reviewed as part of this inspection.

The visit was conducted for the purpose of reviewing the implementation of the plan of correction for the violation letter dated 6/18/24.

The inspection found that violations #1 and #2 were corrected as of 7/12/24, and the DNS and Administrator were notified in person on 7/16/24 that all violations were corrected.

The visit was conducted to review the implementation of the Plan of Correction for the violation letter dated 6/3/24.

The violation identified in the previous inspection was corrected as of 6/21/24. On 7/16/24, the DNS and Administrator were notified in person that all violations were corrected.

An unannounced visit was completed on 7/16/24 for the purpose of reviewing the implementation of the Plan of Correction for the Violation letter dated 6/3/24.

Violation #1 was identified as corrected as of 6/21/24. On 7/16/24, the DNS and Administrator were notified in person that all violations were corrected.

A desk audit was conducted to review the implementation of the Plan of Correction for a prior violation dated 3/26/2024.

Violation #1 was identified as corrected as of 3/28/2024. The Administrator was notified via telephone that all violations were corrected.

The inspection was conducted as a complaint investigation related to Complaint #36746 at Wilton Meadows Health Care Center.

The facility was found to have violations of Connecticut State regulations, including a medication administration error involving a resident and issues with medication storage and cleanliness of medication carts. The facility submitted plans of correction addressing these deficiencies.

Complaint #36746 was substantiated with findings of medication administration errors and improper medication storage and labeling.

The inspection was conducted as a licensing inspection for renewal purposes at Wilton Meadows HCC.

The report indicates that this was a licensing inspection for renewal with no violations or citations noted in the document. The certification file was reviewed as part of the process.

A desk audit review was conducted on 6/24/22 by a representative of the FLIS for the purpose of reviewing the plan of correction for the violation letter dated 3/22/22.

Violations of the General Statutes of Connecticut and/or regulations of Connecticut State Agencies were not identified at the time of this inspection. Review of information identified for violations 1a. have been corrected.

A COVID-19 Vaccination Verification and a Complaint Investigation Survey were conducted at Wilton Meadows Health Care Center on March 7 and 9, 2022 to determine compliance with 42 CFR Part 483 requirements for Long Term Care Facilities.

The facility failed to conduct neurological assessments in accordance with its policy and procedure for one resident who had an unwitnessed fall. The resident was assessed by nursing staff and evaluated at the hospital with no significant injuries noted, but the facility did not fully comply with required neurological checks post-fall.

The survey was complaint-driven, referenced as ACTS Reference Number CT00031776, and included a COVID-19 Vaccination Verification and Complaint Investigation.

The inspection was conducted as a complaint investigation related to Complaint Investigation #31776, including a COVID-19 Vaccination Verification and Complaint Investigation Survey.

The facility was found to have violations related to failure to conduct neurological assessments for a resident who had an unwitnessed fall, inconsistent neurological checks, and inadequate documentation and follow-up according to facility policy and procedures.

Complaint Investigation #31776 was substantiated with violations identified during the inspection.

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 perform a comprehensive risk assessment for new/readmissions and appropriately cohort residents based on that risk assessment. Signage was not visible on doors of residents on transmission-based precautions, and PPE was not available outside those rooms. The facility's risk assessment lacked necessary components according to established recommendations to prevent COVID-19 transmission.

An unannounced visit was conducted to Wilton Meadows Health Care Center on September 24, 2020, by the Department of Public Health for the purpose of conducting a Covid-19 focused infection control survey.

The facility failed to perform a comprehensive risk assessment for new/readmissions and appropriately cohort residents based on transmission-based precautions. Signage was not visible on doors of residents' rooms on transmission-based precautions, and PPE was not available outside the doors. The facility's risk assessment lacked necessary components to prevent transmission of Covid-19 to non-infected residents.

A COVID-19 Focused Survey was conducted on May 8, 2020 at Wilton Meadows 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 COVID-19 focused survey.

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.

The visit was conducted as a desk audit to review the implementation of the plan of correction for a violation letter dated November 29, 2018.

Based on a review of the facility's documentation and an interview with the Director of Nurses, all violations cited in the previous letter were corrected.

Unannounced visits were made to Wilton Meadows Health Care Center by representatives of the Facility Licensing and Investigations Section of the Department of Public Health for the purpose of conducting an investigation following complaints and regulatory oversight.

The facility was found to have multiple violations including failure to ensure resident dignity with catheter privacy covers, expired and improperly labeled medications, failure to maintain catheter infection control standards, and failure to report and investigate alleged abuse. Plans of correction were requested and submitted.

The investigation was complaint-driven with multiple complaint numbers referenced (#23437, #24376, #23902, #22842, #23045). The abuse allegation involving Resident #1 was investigated and found not substantiated. Other complaints involved medication management, catheter care, wound care, and fall prevention.

Unannounced visits were made to the facility and concluded on 11/8/18 by a representative of the Facility Licensing & Investigations Section for the purpose of conducting multiple investigations including allegations of abuse and care plan compliance.

The facility failed to ensure timely reporting of an abuse allegation involving Resident #1, failed to implement care plan interventions for Resident #2 who experienced falls, and failed to promptly notify the physician of abnormal X-ray results for Resident #3. Investigations found the abuse allegation unsubstantiated but identified deficiencies in abuse reporting, care plan implementation, and communication of diagnostic results.

The complaint investigation involved an allegation that Nurse #1 hit Resident #1 in the face after the resident spit medication at her. The allegation was reported late by CNA #1 and was investigated but not substantiated. The facility re-educated staff on abuse reporting policies and implemented monitoring and audits to ensure compliance.

The document is a Plan of Correction submitted in response to findings noted during a complaint survey concluded on November 8, 2018, at Wilton Meadows.

The Plan of Correction addresses violations related to reporting abnormal diagnostic test results promptly, abuse reporting and education, and fall care plan revisions. The facility outlines steps for audits, staff education, and compliance monitoring with specified compliance dates.

The Plan of Correction responds to complaints #23437, #24376, and #23902. The complaint survey was concluded on November 8, 2018. The facility denies admission of deficiencies but files the plan as evidence of intent to comply.

The inspection was conducted as a licensure renewal and certification survey with unannounced visits concluding on December 15, 2016, to assess compliance with Connecticut State regulations.

The facility was found to have multiple violations including failure to ensure a homelike environment, hazard-free environment, effective infection control practices, and proper dietary staff hygiene. Specific issues included unsafe wheelchair backrest pins, inadequate housekeeping for infection control, and improper handling of clean dishes by dietary staff.

This document is a Plan of Correction responding to violations of the Regulations of Connecticut State Agencies related to resident care, nursing staff, and facility practices.

The plan addresses multiple violations including failure to ensure proper resident assessments, medication transcription, notification to ombudsman, and maintenance of specialty equipment. Systemic changes and quality assurance monitoring plans are outlined to ensure compliance.

The document is a plan of correction addressing an event involving Resident #1, focusing on abuse and neglect prevention and reporting.

Resident #1 was free from abuse and neglect with no injury sustained. Staff followed facility policy during the event, and a timely investigation was completed. The LPN involved was terminated. Staff education on abuse prevention was completed, and ongoing audits will be conducted until compliance is met.