Inspection Reports for Apple Rehab Laurel Woods
451 N High St, East Haven, CT 06512, CT, 06512
Back to Facility ProfileInspection Report Summary
The most recent inspection on August 15, 2025, found no deficiencies during a complaint investigation. Earlier inspections showed a pattern of substantiated violations related to resident supervision, abuse prevention, and timely reporting of incidents, including verbal abuse and inadequate supervision of residents at risk for elopement or choking. Complaint investigations frequently identified issues with staff-to-resident interactions, failure to follow care plans, and documentation deficiencies. Enforcement actions such as staff termination occurred in response to substantiated abuse, but fines or license suspensions were not listed in the available reports. The facility’s record shows some improvement with recent inspections finding no deficiencies after prior issues were addressed through plans of correction.
Deficiencies (last 7 years)
Deficiencies (over 7 years)
7.9 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
41% worse than Connecticut average
Connecticut average: 5.6 deficiencies/yearDeficiencies per year
8
6
4
2
0
Census
Latest occupancy rate
95% occupied
Based on a August 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Census over time
Inspection Report
Complaint Investigation
Census: 114
Capacity: 120
Deficiencies: 0
Date: Aug 15, 2025
Visit Reason
The inspection was conducted as a complaint investigation for complaint numbers #2575482 and #2577887.
Complaint Details
Complaint investigation for complaint numbers #2575482 and #2577887 was conducted and found no violations.
Findings
No violations of the General Statutes of Connecticut and/or regulations of Connecticut State Agencies were identified at the time of this inspection.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Connie Vumback | RN | Report submitted by |
| Meghan Nonamaker | Administrator | Personnel contacted during inspection |
Inspection Report
Complaint Investigation
Census: 113
Capacity: 120
Deficiencies: 0
Date: Apr 30, 2025
Visit Reason
The inspection visit was conducted as a complaint investigation related to Complaint Investigation #41505 and #41568.
Complaint Details
Complaint Investigation #41505 and #41568 were the basis for this visit. Violations were substantiated as indicated by the checked box.
Findings
Violations of the General Statutes of Connecticut and/or regulations of Connecticut State Agencies were identified at the time of this inspection.
Report Facts
Licensed Bed Capacity: 120
Census: 113
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Meghan Palluzzi | Administrator | Personnel contacted during the inspection |
| Tetrienne Crawford | DNS | Personnel contacted during the inspection |
Inspection Report
Complaint Investigation
Census: 109
Capacity: 120
Deficiencies: 0
Date: Apr 11, 2025
Visit Reason
The inspection was conducted as a complaint investigation related to Complaint Investigation #43583 and #43861.
Complaint Details
Inspection was related to Complaint Investigation #43583 and #43861. Violations were identified.
Findings
Violations of the General Statutes of Connecticut and/or regulations of Connecticut State Agencies were identified at the time of this inspection, as noted in an attached violation letter.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Meghan Nonamaker | Administrator | Personnel contacted during inspection |
| Tetrienne Crawford | DNS | Personnel contacted during inspection |
| Allison Benson | Nurse Consultant | Report submitted by |
Inspection Report
Complaint Investigation
Census: 110
Capacity: 120
Deficiencies: 0
Date: Mar 26, 2025
Visit Reason
The inspection was conducted as a complaint investigation related to complaint numbers #43298 and #43312.
Complaint Details
Complaint investigation for complaints #43298 and #43312 with violations found and documented in an attached violation letter dated 2025-04-10.
Findings
Violations of the General Statutes of Connecticut and/or regulations of Connecticut State Agencies were identified at the time of this inspection, with a violation letter dated 2025-04-10 attached.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Brooke Pope | Administrator | Personnel contacted during the inspection. |
| Tetrienne Crawford | DNS | Personnel contacted during the inspection. |
| Deborah Smith | RN, NC | Report submitted by. |
Inspection Report
Plan of Correction
Deficiencies: 1
Date: Mar 26, 2025
Visit Reason
An unannounced visit was made to Apple Rehab Laurel Woods on March 26, 2025, by the Department of Public Health for the purpose of conducting multiple investigations related to violations of Connecticut State regulations.
Complaint Details
The visit was complaint-related involving Complaint #43298 and #43312. The allegations concerned staff to resident verbal abuse, which was investigated and substantiated by the findings.
Findings
The report details findings related to allegations of staff to resident verbal abuse involving Resident #1, including failure to report the abuse timely and inappropriate staff behavior. The facility implemented plans of correction including staff education, audits, and supervision to address these issues.
Deficiencies (1)
Failure to ensure Resident #1 was not verbally abused by staff and failure to report the allegation of verbal abuse to the Administrator or designee within two hours.
Report Facts
Complaints referenced: 2
Dates of key events: Mar 26, 2025
Dates of staff education completion: Mar 3, 2025
Dates audits continued until: Mar 7, 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Karen Gworek | Supervising Nurse Consultant | Author of the notice letter regarding violations and plan of correction |
| Assistant Director of Nursing | Assistant Director of Nursing | Interviewed regarding the incident and investigation |
| Director of Nurses | Director of Nurses | Supervising person for the plan of correction |
Inspection Report
Follow-Up
Census: 114
Capacity: 120
Deficiencies: 0
Date: Sep 4, 2024
Visit Reason
A follow-up visit was conducted to review the implementation of the Plan of Correction for violations previously identified in the violation letter dated 2024-06-10.
Findings
All previously identified violations (Violation #1a, 1b, 1c, 2a, 3a, and 4a) were found to be corrected as of the inspection date. The administrator was notified in person that all violations were corrected.
Report Facts
Violation numbers corrected: 6
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Brooke Pope | Administrator | Notified in person of correction of all violations on 9/4/24 |
| Tetrine Crawford | Director of Nursing Services (DNS) | Personnel contacted during inspection on 9/4/24 |
Inspection Report
Renewal
Census: 110
Capacity: 120
Deficiencies: 0
Date: Mar 14, 2024
Visit Reason
The inspection was conducted as a renewal licensing inspection and included review of complaint investigations numbered CT#35171 and CT#37173.
Complaint Details
The inspection included review of complaint investigations CT#35171 and CT#37173; no substantiation status is explicitly stated.
Findings
The report indicates that violations of the General Statutes of Connecticut and/or regulations were identified during the inspection. The certification file was reviewed as part of the process.
Report Facts
Licensed Bed Capacity: 120
Census: 110
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Cynthia Hayle | Survey Team Leader | Named as Survey Team Leader and report submitter |
| Norma Schubert | Supervisor | Named as Supervisor on the inspection report |
Inspection Report
Monitoring
Census: 112
Capacity: 120
Deficiencies: 0
Date: Dec 7, 2023
Visit Reason
A desk audit was completed to review the plan of correction for the violation letter dated 2023-12-05, and to verify correction of previous violations.
Findings
All violations cited in the previous inspection were corrected as of the monitoring visit on 2023-12-07.
Report Facts
Licensed Bed Capacity: 120
Census: 112
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Melissa Talamini | RN, BSN, NC | Surveyor who notified facility of correction of violations |
| Paul Meunier | Facility contact notified of correction of violations |
Inspection Report
Follow-Up
Census: 112
Capacity: 120
Deficiencies: 0
Date: Dec 7, 2023
Visit Reason
A desk audit was completed on 12/7/23 to review the plan of correction for the violation letter dated 12/5/23.
Findings
All violations identified in the previous inspection were corrected as confirmed by telephone notification to Paul Meunier on 12/7/23 at 3:43.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Paul Meunier | Administrator | Notified via telephone that all violations were corrected. |
| Melissa Talamini | RN, BSN, NC | Completed the desk audit and submitted the report. |
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: Sep 29, 2023
Visit Reason
An unannounced visit was conducted to Apple Rehab Laurel Woods to investigate a complaint regarding a resident elopement incident.
Complaint Details
Complaint CT #35828 involved a resident (Resident #1) who left the facility without staff knowledge, was found outside the building, and had a wander guard bracelet in place. The investigation found that the resident exited through a keypad-locked stairwell door with a delay that allowed exit and that staff did not hear the door alarm. The facility identified past non-compliance and implemented corrective actions.
Findings
The facility failed to ensure adequate supervision for a resident with severe cognitive impairment who left the facility unsupervised and was found outside. The investigation revealed issues with door security and staff supervision, and the facility implemented interventions to prevent recurrence.
Deficiencies (1)
Failure to ensure adequate supervision for a resident known to have severe cognitive impairment and a risk for elopement, resulting in the resident leaving the facility unsupervised.
Report Facts
Date of incident: Sep 12, 2023
Door keypad relock delay: 10
Door keypad relock delay after intervention: 3
Plan of correction compliance date: Nov 18, 2023
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Paula Meunier | Administrator | Administrator of Apple Rehab Laurel Woods, recipient of the report |
| Maureen Golas-Markure | Supervising Nurse Consultant | Author of the notice and overseeing the investigation |
| LPN #1 | Observed Resident #1 outside and assisted resident back into the facility | |
| LPN #2 | Charge Nurse | Familiar with Resident #1 and reported wheelchair found near exit door |
| RN #1 | Notified of Resident #1 outside and located wheelchair near exit door | |
| DON | Director of Nursing | Conducted facility investigation and reported findings on elopement incident |
Inspection Report
Complaint Investigation
Census: 106
Capacity: 120
Deficiencies: 1
Date: Aug 17, 2023
Visit Reason
An unannounced visit was conducted for the purpose of a Complaint Investigation Survey related to complaint #35310.
Complaint Details
Complaint #35310 was investigated and substantiated with findings of noncompliance related to supervision of a resident at risk for choking during meals.
Findings
The facility failed to ensure a resident identified at risk for choking was supervised during a meal according to the plan of care. Violations of Connecticut State regulations were identified and a violation letter dated 2023-09-01 was issued.
Deficiencies (1)
Failure to ensure Resident #1, identified at risk for choking, was supervised during meals as per plan of care.
Report Facts
Licensed Bed Capacity: 120
Census: 106
Complaint Number: 35310
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Bill Cahalan | Administrator | Personnel contacted during inspection. |
| Sara Johnson | DNS | Personnel contacted during inspection and involved in findings. |
| Maureen Golas Markure | Supervising Nurse Consultant | Author of the violation notice letter. |
Inspection Report
Complaint Investigation
Census: 115
Capacity: 120
Deficiencies: 3
Date: Apr 4, 2023
Visit Reason
The inspection was conducted as a complaint investigation related to allegations of abuse and deficient care at Apple Rehab Laurel Woods.
Complaint Details
The visit was triggered by complaints #34241 and #33216. The allegations included staff abuse of Resident #1 and delayed emergency response for Resident #2. The complaint was substantiated with findings of noncompliance.
Findings
The investigation found failures to report alleged abuse within the required timeframe, delayed emergency medical service calls for a resident experiencing seizures, and inadequate nurse aide staffing levels. Multiple violations of Connecticut State Agencies regulations were identified.
Deficiencies (3)
Failure to report an allegation of abuse to the State Agency within two days of identification.
Failure to ensure emergency medical services were called in a timely manner for a resident experiencing seizures.
Failure to ensure nurse aide staffing levels met minimum requirements for multiple shifts.
Report Facts
Licensed Bed Capacity: 120
Census: 115
Staffing hours shortfall: 23.9
Residents reviewed: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Shaurice Crenshaw | Director of Nursing | Contacted personnel and named in abuse investigation findings. |
| Brooke Johnson | Administrator | Contacted personnel and recipient of the notice letter. |
| Aneta Predka | RN | Inspection report submitted by this RN. |
| Karen Gworek | Supervising Nurse Consultant | Author of the notice letter regarding violations and plan of correction. |
Inspection Report
Complaint Investigation
Census: 105
Capacity: 120
Deficiencies: 3
Date: Mar 7, 2023
Visit Reason
The inspection was conducted as a complaint investigation survey triggered by complaint numbers 34055 and 34078.
Complaint Details
Complaint investigation was substantiated with violations found related to neglect and abuse involving Residents #1 and #2. Complaint numbers 34055 and 34078 were referenced.
Findings
Violations of Connecticut State regulations were identified related to neglect and abuse involving multiple residents. Deficiencies included failure to provide timely incontinent care, failure to educate staff on abuse policies, and failure to ensure timely RN assessments after allegations.
Deficiencies (3)
Resident #1 was left in soiled briefs for excessive time and did not receive timely incontinent care, resulting in neglect.
Facility failed to provide education to staff regarding resident abuse policy, specifically LPN #6.
Failure to ensure timely RN assessment after allegation of neglect for Resident #1.
Report Facts
Licensed Bed Capacity: 120
Census: 105
Complaint Numbers: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Brooke Johnson | Administrator | Named as facility administrator in relation to inspection and findings. |
| Sharice Crenshaw | Director of Nursing Services (DNS) | Named as DNS and responsible for compliance with plan of correction. |
| LPN #6 | Licensed Practical Nurse | Identified as staff who failed to receive abuse education and was terminated. |
| LPN #7 | Licensed Practical Nurse | Involved in providing care to Resident #1 and identified in findings. |
| Maureen Golas Markure | Supervising Nurse Consultant | Signed the notice letter related to complaint investigation. |
Inspection Report
Complaint Investigation
Census: 105
Capacity: 120
Deficiencies: 4
Date: Mar 7, 2023
Visit Reason
The inspection was conducted as a complaint investigation triggered by complaint numbers 34055 and 34078, focusing on allegations of neglect and abuse at Apple Rehab Laurel Woods.
Complaint Details
Complaint investigation was based on allegations of neglect and abuse involving Residents #1 and #2. The complaints included failure to provide timely care, physical abuse, and inadequate documentation. The complaints were substantiated with multiple violations found.
Findings
The facility was found to have multiple violations related to neglect and abuse of residents, including failure to provide timely incontinent care, failure to educate staff on abuse policies, failure to conduct timely RN assessments after allegations, and incomplete documentation of resident conditions. Plans of correction were submitted addressing these issues.
Deficiencies (4)
Failure to provide timely incontinent care to Resident #1, resulting in neglect.
Failure to educate staff regarding the facility resident abuse policy, related to Resident #2.
Failure to ensure a timely RN assessment after an allegation of neglect related to Resident #1.
Failure to ensure complete and accurate medical records including RN assessment of a new bruise for Resident #2.
Report Facts
Licensed Bed Capacity: 120
Census: 105
Complaint Numbers: 2
Plan of Correction Compliance Date: Apr 19, 2023
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Brooke Johnson | Administrator | Named as facility administrator in relation to the inspection and findings. |
| Sharice Crenshaw | DNS (Director of Nursing Services) | Named as DNS in relation to inspection and findings. |
| LPN #6 | Licensed Practical Nurse | Named in relation to failure to receive abuse education and termination from facility. |
| LPN #7 | Licensed Practical Nurse | Named in relation to care provided to Resident #1 and failure to notify timely. |
| RN #1 | Registered Nurse | Named in relation to failure to complete timely RN assessment after neglect allegation. |
Inspection Report
Complaint Investigation
Census: 105
Capacity: 120
Deficiencies: 0
Date: Oct 20, 2022
Visit Reason
An unannounced visit was made to the facility on 10/20/2022 for the purpose of conducting a complaint investigation.
Complaint Details
Complaint Investigation #33167 was conducted. Violations were not identified during the visit.
Findings
Staffing was reviewed from 10/06/22 to 10/27/22 and found to meet the requirements of the Public Health Code. Violations were not identified during this visit.
Report Facts
Licensed Bed: 120
Census: 105
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Brooke Johnson | Administrator | Personnel contacted during inspection |
| Melissa Cope | Corporate RN | Personnel contacted during inspection |
| Nicholas Tomczyk | Nurse Consultant | Report submitted by and signed narrative report |
Inspection Report
Complaint Investigation
Census: 103
Capacity: 120
Deficiencies: 0
Date: Jun 21, 2022
Visit Reason
The inspection was conducted as a complaint investigation related to Complaint Investigation #32466.
Complaint Details
Complaint Investigation #32466 was conducted and no violations were found.
Findings
No violations of the General Statutes of Connecticut and/or regulations of Connecticut State Agencies were identified at the time of this inspection.
Report Facts
Licensed Bed Capacity: 120
Census: 103
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Dorcia Strong | Director of Nursing | Personnel contacted during inspection |
| Aneta Predka | Survey Team Leader and report submitter |
Inspection Report
Plan of Correction
Census: 106
Deficiencies: 5
Date: May 31, 2022
Visit Reason
The visit was an unannounced Complaint Investigation Survey conducted to determine compliance with 42 CFR Part 483 requirements for Long Term Care Facilities following complaints.
Complaint Details
Complaint #32305, 32023. The complaint investigation was conducted to determine compliance with regulations following allegations of mistreatment and verbal abuse involving Resident #1.
Findings
The facility was found to have multiple violations including failure to notify the Resident Representative of an allegation of mistreatment, failure to ensure the resident was free from verbal abuse, failure to conduct annual performance evaluations for a Nurse Aide, failure to ensure yearly abuse prevention training for Nurse Aides, and failure to maintain nurse staffing according to the Public Health Code.
Deficiencies (5)
Failure to ensure the Resident Representative was notified of the allegation of mistreatment.
Failure to ensure the resident was free from verbal abuse.
Failure to ensure an annual performance evaluation for a Nurse Aide.
Failure to ensure yearly abuse prevention training for a Nurse Aide.
Failure to maintain nurse staffing according to the Public Health Code.
Report Facts
Facility census: 105
Facility census: 106
Licensed/certified staff hours required: 315
Licensed/certified staff hours actual: 200
Licensed/certified staff hours required: 318
Licensed/certified staff hours actual: 184
Licensed/certified staff hours actual: 210.4
New nursing assistants hired: 7
New licensed nursing positions added: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Amy Bentley | Administrator | Named in relation to plan of correction and facility administration. |
| Laura Trombley-Norton | Supervising Nurse Consultant | Facility Licensing and Investigations Section representative overseeing complaint investigation. |
Inspection Report
Complaint Investigation
Census: 37
Deficiencies: 5
Date: May 20, 2022
Visit Reason
A Complaints Investigation Survey and a Covid-19 Vaccination Verification Survey were conducted to determine compliance with 42 CFR Part 483 requirements for Long Term Care Facilities.
Complaint Details
The visit was complaint-related triggered by concerns including failure to provide treatments as ordered, failure to offer hospice agency choice, infection control deficiencies during COVID-19 outbreak, lack of infection preventionist, and failure to notify responsible parties of COVID-19 infections.
Findings
Deficiencies were cited related to failure to provide treatments per physician orders, failure to offer hospice agency choice to resident's family, inadequate infection prevention and control practices including improper PPE use during a COVID-19 outbreak, lack of a designated Infection Preventionist, and failure to timely notify resident's responsible party of COVID-19 positive status.
Deficiencies (5)
Failure to provide evidence treatments were completed in accordance with physician orders for Resident #1.
Failure to offer Resident #1's family a choice in Hospice agencies when requested.
Failure to ensure staff appropriately utilized PPE during COVID-19 outbreak on Rosewood unit.
Failure to designate a qualified Infection Preventionist to oversee the facility's Infection Prevention and Control Program.
Failure to timely inform Resident #2's responsible party of confirmed COVID-19 infection.
Report Facts
Residents positive for COVID-19: 5
Residents on Rosewood unit: 37
Dates of treatment documentation failures: 4
Days delayed notification: 6
Employees mentioned
| Name | Title | Context |
|---|---|---|
| LPN #3 | Failed to sign off treatment on 4/23/22 and 4/24/22. | |
| LPN #4 | Failed to sign off treatment on 4/30/22; interviewed about treatment documentation. | |
| RN #2 | Failed to sign off treatment on 4/29/22. | |
| Social Worker #1 | Did not offer hospice agency choice to Resident #1's family. | |
| Interim Administrator #1 | Assisted Resident #1's family with hospice services; provided information about hospice agencies. | |
| Regional Nurse #4 | Clarified responsibility for treatments and documentation. | |
| Nurse Aide #1 | Observed using double surgical masks without N95 or eye protection during COVID outbreak. | |
| RN #1/MDS Coordinator | Observed entering COVID unit without N95 initially. | |
| LPN #2 | Observed using surgical mask without N95 initially on COVID unit. | |
| APRN #1 | Observed using surgical mask without N95 or eye protection on COVID unit. | |
| Regional Nurse #3 | Interviewed about PPE use and notification policies. | |
| Administrator | Interviewed about infection preventionist vacancy and notification failures. |
Inspection Report
Complaint Investigation
Census: 109
Capacity: 111
Deficiencies: 6
Date: May 11, 2022
Visit Reason
The inspection was conducted as a Covid Vaccination Survey and a Complaint Investigation Survey to determine compliance with regulations related to COVID-19 and other care standards.
Complaint Details
Complaint investigation survey was conducted related to COVID-19 infection control and hospice care services. Multiple violations were substantiated including failure to notify families, incomplete documentation, and inadequate infection control practices.
Findings
The facility was found to have multiple violations including failure to timely notify families of COVID-19 positive residents, incomplete treatment documentation, failure to provide hospice service choices, inadequate use of PPE during a COVID-19 outbreak, and lack of a designated Infection Preventionist. Plans of correction were required with substantial compliance expected by July 1, 2022.
Deficiencies (6)
Failure to follow standards of practice regarding documenting family notification of Resident #3's positive COVID-19 test.
Failure to provide evidence treatments were completed in accordance with physician orders for Resident #1.
Failure to offer Resident #1's family a choice in Hospice agencies when requested.
Failure to ensure staff used appropriate PPE during COVID-19 outbreak on Rosewood unit.
Failure to designate a full-time Infection Preventionist responsible for the facility's Infection Prevention Control & Immunization Program.
Failure to timely notify Resident #2's responsible party/family of confirmed COVID-19 infection.
Report Facts
Census: 109
Total Capacity: 111
Residents positive for COVID-19: 5
Residents reviewed: 5
Audit duration: 60
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Melissa Copes | Corporate Nurse | Personnel contacted during inspection |
| Judith Birtwistle | Supervising Nurse Consultant | Signed the notice letter regarding violations and plan of correction |
| Terri D. McNeil | RNC | FLIS staff signature and report submitter |
Inspection Report
Plan of Correction
Deficiencies: 5
Date: Jan 9, 2020
Visit Reason
Unannounced visit made to Apple Rehab Laurel Woods on January 9, 2020 by representatives of the Facility Licensing and Investigations Section for multiple investigations, licensure renewal, and certification inspection.
Findings
The report details multiple violations of Connecticut State Agencies regulations related to medication administration, abuse prevention, and medication storage. Specific deficiencies include failure to notify physicians of missed medication doses, failure to protect residents from misappropriation of property, failure to ensure pharmacy recommendations were timely acted upon, and failure to monitor medication refrigerator temperatures.
Deficiencies (5)
Facility failed to notify physician that medication was not administered for three consecutive doses to Resident #45.
Facility failed to protect Resident #150 from misappropriation of personal items.
Facility failed to ensure pharmacy recommendations were acted upon in a timely manner for Resident #94.
Facility failed to monitor refrigerator temperatures in 3 of 3 medication rooms according to policy.
Facility failed to ensure medication refrigerator temperatures were maintained within acceptable range to preserve medication integrity.
Report Facts
Compliance Date: Feb 2, 2020
Inspection Date: Jan 9, 2020
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Cher Michaud | Supervising Nurse Consultant | Signed the notice letter to the facility administrator. |
| Rebecca Nolting | Administrator | Facility administrator named in the report. |
Inspection Report
Renewal
Census: 109
Capacity: 120
Deficiencies: 5
Date: Jan 6, 2020
Visit Reason
The inspection was a licensure renewal visit conducted over January 6-9, 2020, including review of complaint investigations #25440 and #26640, and a licensure renewal and certification inspection.
Complaint Details
Complaint investigations #25440 and #26640 were reviewed during the inspection. Findings included substantiated medication errors and failure to protect residents from abuse and misappropriation of property.
Findings
The inspection identified violations related to medication administration errors, failure to protect residents from abuse and misappropriation of property, and failure to maintain proper medication refrigerator temperatures. Plans of correction were submitted with compliance dates of February 2, 2020.
Deficiencies (5)
Failure to administer prescribed pain medication to Resident #45 for multiple doses and failure to notify physician of missed doses.
Failure to protect Resident #150 from misappropriation of personal property and failure to ensure resident's right to be free from abuse.
Failure to maintain proper medication refrigerator temperatures in 3 of 3 medication rooms, risking medication integrity.
Failure to ensure timely pharmacy recommendations were acted upon for Resident #94's unnecessary medications.
Failure to maintain documentation and follow policy for medication shortage/unavailable medication and emergency medication supply.
Report Facts
Licensed Bed Capacity: 120
Census: 109
Inspection Dates: 2020-01-06 to 2020-01-09
Compliance Date: Feb 2, 2020
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Rebecca Nolting | Administrator | Named as personnel contacted during inspection and in relation to findings. |
| Cher Michaud | Supervising Nurse Consultant | Signed notice letter regarding violations and plan of correction. |
Inspection Report
Follow-Up
Census: 105
Capacity: 120
Deficiencies: 0
Date: Sep 3, 2019
Visit Reason
The visit was a desk audit conducted on 9/3/2019 by a representative of the FLIS Department to review the Plan of Correction (P.O.C) for the violation letter dated 7/8/2019.
Findings
The review identified that the violations cited in the previous inspection had been corrected as of the date of the desk audit.
Report Facts
Licensed Bed Capacity: 120
Census: 105
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Rebecca Nolting | Administrator | Personnel contacted during inspection |
| J. Dumond | Certified Nurse Consultant | Signed desk audit review |
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: Jun 20, 2019
Visit Reason
An unannounced visit was made to Apple Rehab Laurel Woods on June 20, 2019, by a representative of the Facility Licensing and Investigations Section of the Connecticut Department of Public Health for the purpose of conducting an investigation related to a complaint of abuse.
Complaint Details
Complaint #25611 was investigated. The allegation of abuse was substantiated, and Nursing Assistant #2 was terminated for violating the facility's abuse policy.
Findings
The investigation substantiated an allegation of abuse involving Resident #1 and Nursing Assistant #2. Resident #1 was found to have been handled roughly by staff, resulting in pain and distress. The facility failed to ensure the resident was free from abuse, and Nursing Assistant #2 was terminated. The facility's abuse policy was reviewed and found to prohibit mistreatment of residents.
Deficiencies (1)
Failure to ensure Resident #1 was free from abuse, including rough handling by Nursing Assistant #2 resulting in pain and distress.
Report Facts
Complaint number: 25611
Compliance date: Plan of correction compliance date August 1, 2019
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Norma Schuberth | Supervising Nurse Consultant | Signed the initial notice letter and involved in the investigation |
| Rebecca Veniscofsky | Administrator | Facility administrator addressed in the notice and plan of correction |
| Rebecca Nolting | Administrator | Signed the plan of correction letter |
Inspection Report
Complaint Investigation
Deficiencies: 6
Date: Nov 19, 2018
Visit Reason
Unannounced visits were made to the facility on 11/16 and 11/19/18 by representatives of the Facility Licensing & Investigations Section for the purpose of conducting multiple investigations.
Complaint Details
The investigation was complaint-driven, focusing on allegations of abuse and improper care related to Resident #3 being tied to a wheelchair with a sheet, and other care deficiencies.
Findings
The facility was found deficient in multiple areas including failure to prevent abuse and improper use of restraints on Resident #3, failure to follow care plans and conduct neurological assessments after falls for Resident #2, failure to transfer Resident #1 according to plan of care resulting in injury, and failure to maintain complete and accurate medical records including undated physician orders.
Deficiencies (6)
Facility failed to ensure Resident #3 was free from abuse; resident was tied to wheelchair with a sheet and staff member responsible was terminated.
Facility failed to ensure Resident #3 was free from physical restraints imposed for discipline or convenience; restraints were used improperly.
Facility failed to implement plan of care for Resident #3 exhibiting behaviors and failed to complete neurological assessments for Resident #2 after falls.
Facility failed to ensure Resident #1 was transferred in accordance with plan of care, resulting in a laceration.
Facility failed to ensure physician orders were dated when signed for Residents #1 and #2.
Facility failed to maintain complete and accurate clinical records for Residents #1 and #3, including missing physician orders and MAR/TAR documentation.
Report Facts
Deficiencies cited: 6
Resident #1 laceration size: 6
Resident #1 laceration size: 7
Dates of physician visits for Resident #2: 15
Employees mentioned
| Name | Title | Context |
|---|---|---|
| NA #3 | Nurse Aide | Responsible for tying Resident #3 to wheelchair with sheet; terminated for failure to adhere to policy. |
| RN #1 | Registered Nurse | 11PM-7AM supervisor who assessed Resident #3 after abuse incident. |
| LPN #2 | Licensed Practical Nurse | Assigned nurse who assisted Resident #3 during agitation and fall incidents. |
| Administrator | Indicated Resident #3 should never have been restrained; staff re-educated and involved staff no longer employed. | |
| DON | Director of Nursing | Interviewed regarding restraint use, transfer policies, and physician orders. |
| ADON | Assistant Director of Nursing | Interviewed regarding neurological assessments and documentation. |
| APRN #1 | Advanced Practice Registered Nurse | Signed physician orders for Resident #2 but orders were not dated. |
| NA #1 | Nurse Aide | Attempted to transfer Resident #1 alone, resulting in skin tear. |
Inspection Report
Plan of Correction
Deficiencies: 4
Date: Nov 16, 2018
Visit Reason
The document is a Plan of Correction submitted in response to a health survey conducted from November 16 to November 19, 2018 at Apple Rehab Laurel Woods.
Findings
The Plan of Correction addresses deficiencies related to restraint use, failure to ensure neurological assessments after falls, incomplete or inaccurate clinical records, and failure to ensure physician orders were dated when signed. The facility outlines corrective actions including staff re-education, audits, and monitoring to ensure compliance.
Deficiencies (4)
Failure to ensure restraints were not utilized to address agitated behaviors exhibited by a resident.
Failure to implement the plan of care for residents exhibiting behaviors and failure to ensure neurological assessments were completed after falls.
Failure to ensure clinical records were complete and/or accurate.
Failure to ensure physician orders were dated when signed.
Report Facts
Inspection dates: Survey conducted November 16 to November 19, 2018
Compliance dates: Compliance dates listed as 12/14/2018 and 12/30/2018 for various corrective actions
Residents reviewed: 3
Resident transfers: 2
Stitches: 7
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Rebecca Nolting | Administrator | Signed the Plan of Correction letter |
Inspection Report
Renewal
Census: 108
Capacity: 120
Deficiencies: 5
Date: Nov 5, 2018
Visit Reason
Unannounced visits were made to Apple Rehab Laurel Woods for the purpose of conducting a licensure renewal inspection and certification survey.
Findings
Violations of the Connecticut General Statutes and/or regulations were identified during the inspection. The facility failed to meet certain regulatory requirements including issues related to resident care, call bell response, restraint use, and facility maintenance.
Deficiencies (5)
Facility failed to ensure the resident's call bell was answered timely and appropriately.
Facility failed to ensure restraints were not used improperly and followed proper procedures.
Facility failed to ensure neurological assessments were completed after resident falls.
Facility failed to ensure clinical records were complete and accurate.
Facility failed to ensure all fire door assemblies were properly maintained and repaired.
Report Facts
Licensed Bed Capacity: 120
Census: 108
Inspection Dates: 4
Doors Failed Inspection: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Rebecca Veniscofsky | Administrator | Personnel contacted during inspection and named in plan of correction. |
| Connie A. Greene | Supervising Nurse Consultant | Signed the inspection report. |
| Anthony M. Bruno | Building Construction & Fire Safety Unit Supervisor | Signed the fire safety inspection letter and plan of correction. |
| Cheryl Davis | Supervising Nurse Consultant | Recipient of plan of correction letter. |
| Rebecca Nolting | Administrator | Signed plan of correction letters. |
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