Inspection Report Summary
The most recent inspection on September 15, 2023, identified deficiencies related to failure to ensure on-call services were provided by a Registered Nurse and failure to update a client’s service record accurately. Earlier inspections showed a pattern of issues including failure to follow client care plans, verbal abuse by staff, incomplete assessments, and infection control shortcomings. Complaint investigations substantiated verbal abuse by an aide and noted problems with personal care, medication management, and safety monitoring. Enforcement actions such as staff termination were taken, but fines or license suspensions were not listed in the available reports. The facility’s inspection history shows recurring challenges in client care and documentation, with no clear trend of consistent improvement or worsening over time.
Deficiencies (last 4 years)
Deficiencies (over 4 years)
2.8 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
50% better than Connecticut average
Connecticut average: 5.6 deficiencies/yearDeficiencies per year
4
3
2
1
0
Census
Latest occupancy rate
94% occupied
Based on a September 2023 inspection.
Census over time
Inspection Report
Complaint Investigation
Census: 99
Capacity: 105
Deficiencies: 0
Date: Sep 15, 2023
Visit Reason
The inspection visit was conducted as a complaint investigation related to complaint CT #35767.
Complaint Details
Complaint investigation related to CT #35767 with violations identified.
Findings
Violations of the General Statutes of Connecticut and/or regulations of Connecticut State Agencies were identified at the time of this inspection. Verification of Alzheimer's special care units or programs was also conducted.
Report Facts
Memory Care/Traditional census: 25
Memory Care/Traditional capacity: 74
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Karen Donato | RNC | Report submitted by |
| Mia Criscuolo | ED | Personnel contacted during inspection |
| Tiffany Meade | SALSA | Personnel contacted during inspection |
Inspection Report
Plan of Correction
Deficiencies: 1
Date: Sep 15, 2023
Visit Reason
An unannounced visit was made to Bal Hamden on September 15, 2023 by a representative of the Facility Licensing and Investigations Section of the Department of Public Health for the purpose of conducting an investigation based on additional information received through September 15, 2023.
Complaint Details
Complaint #35767 was the basis for the investigation.
Findings
The investigation identified a violation related to failure to ensure on-call services were provided by a Registered Nurse and failure to update the client service record with accurate code status for a client with an arteriovenous fistula for dialysis. The facility submitted a plan of correction addressing these issues.
Deficiencies (1)
Failure to ensure on-call services were provided by a Registered Nurse and failure to update the client service record with the client’s accurate code status.
Report Facts
Date of inspection visit: Sep 15, 2023
Plan of correction submission deadline: Oct 28, 2023
Date corrective measures effective: Sep 15, 2023
Date of code status audit: Sep 21, 2023
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Elizabeth Heiney | Supervising Nurse Consultant | Author of the letter and contact for questions regarding the instructions |
| LPN #1 | On-call nurse who directed ALSA aide to apply pressure and call 911 | |
| ALSA aide #1 | Responded to client call, applied pressure to bleeding site, and called for assistance |
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: Apr 26, 2023
Visit Reason
An unannounced visit was made to Bal Hamden on April 26, 2023 by a representative of the Facility Licensing and Investigations Section of the Department of Public Health for the purpose of conducting a Complaint Investigation Survey.
Complaint Details
Complaint #34400 was investigated. The report does not explicitly state substantiation status.
Findings
The Assisted Living Services Agency/ALSA failed to follow the plan of care for one client who required extensive assistance with personal care, medication management, and safety monitoring. Specifically, the client was observed unassisted with a meal and the aide failed to ensure assistance was provided in a timely manner to maintain food temperature and palatability.
Deficiencies (1)
Failure to follow the plan of care for Client #4 requiring assistance with feeding and medication management.
Report Facts
Date of visit: Apr 26, 2023
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Elizabeth Heiney | Supervising Nurse Consultant | Named as contact for response to the plan of correction and instructions related to the complaint investigation |
Inspection Report
Renewal
Census: 96
Capacity: 68
Deficiencies: 1
Date: May 9, 2022
Visit Reason
The inspection visit was conducted as a licensing inspection for renewal purposes, including a complaint investigation.
Complaint Details
Complaint investigation #32209 was included as part of the inspection.
Findings
Violations of the General Statutes of Connecticut and/or regulations were identified during the inspection. Verification of Alzheimer's special care units and infection prevention requirements were also completed. Approval for issuance of license was granted.
Deficiencies (1)
Violations of the General Statutes of Connecticut and/or regulations identified at the time of inspection
Report Facts
Census: 96
Total Capacity: 68
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Michael J. Smith | Nurse Consultant | Signature of FLIS Staff and report submitter |
| Mia Criscuolo | Ex Director | Personnel contacted during inspection |
| Sue Grant | SALSA | Personnel contacted during inspection |
Inspection Report
Renewal
Census: 96
Capacity: 68
Deficiencies: 0
Date: May 9, 2022
Visit Reason
The inspection was conducted as a licensing inspection and renewal visit, including verification of Alzheimer's special care units and infection prevention and control requirements.
Complaint Details
Complaint investigation referenced with case number 32209.
Findings
Violations of the General Statutes of Connecticut and/or regulations were identified during the inspection. The report includes approval for issuance of license following the inspection.
Report Facts
Census: 96
Total Capacity: 68
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Michael J. Smith | RN | Report submitted by |
| Mia Criscuolo | Ex Director | Personnel contacted during inspection |
| Sue Grant | SALSA | Personnel contacted during inspection |
Inspection Report
Plan of Correction
Deficiencies: 1
Date: May 9, 2022
Visit Reason
An unannounced visit was made to Bal Hamden on May 9, 2022 by a representative of the Facility Licensing and Investigations Section of the Department of Public Health for the purpose of conducting a licensing renewal inspection and an investigation.
Complaint Details
Complaint CT #32209 triggered the investigation. The complaint was substantiated by interviews and documentation review revealing verbal abuse by ALSA Aide #1 toward Client #1.
Findings
A violation of the Regulations of Connecticut State Agencies Section 19-13-D105 (m)(5) Client Bill of Rights was found related to verbal abuse by an ALSA aide toward a client. The aide was terminated due to severe improper conduct. The plan of correction includes termination of the associate involved and re-education of all ResCare staff on abuse reporting policies.
Deficiencies (1)
Failure to ensure Client #1 was free from verbal abuse by ALSA Aide #1, who used profanity and derogatory language toward the client.
Report Facts
Complaint number: 32209
Date of visit: May 9, 2022
Date corrective measures effective: Jul 14, 2022
Percentage of ALSA aids to be randomly interviewed weekly: 10
Timeframe for QA meeting review: 120
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Elizabeth Heiney | Supervising Nurse Consultant | Named as contact for plan of correction response and instructions |
| Mia Criscuolo | Executive Director | Interviewed regarding investigation and findings |
Inspection Report
Plan of Correction
Deficiencies: 3
Date: Oct 7, 2021
Visit Reason
An unannounced visit was made to Bal Hamden on October 7, 2021 by a representative of the Facility Licensing and Investigations Section of the Department of Public Health for the purpose of conducting an investigation.
Complaint Details
Complaint #30765 was the basis for the investigation.
Findings
The agency failed to perform a change of condition assessment for a client with increased confusion and wandering behavior, failed to develop and implement policies for safety checks and monitoring, and failed to provide 1:1 supervision until the client was moved to a secured Memory Care Unit. Documentation and staff interviews confirmed these deficiencies.
Deficiencies (3)
Failure to perform a change of condition assessment when the client had increased confusion and wandering behavior.
Failure to develop a policy or procedure delineating safety checks and expectations for documentation and failure to implement one-to-one monitoring to ensure safety.
Failure to implement 1:1 supervision until the client could be moved to the secured Memory Care Unit.
Report Facts
Dates of client service plan and nursing notes review: Client service plan dated 07/06/21; nursing notes reviewed from 07/06/21 to 08/26/21.
Date of client move: Client moved to Memory Care Unit on 08/28/21.
Dates of interviews: Interviews conducted on 09/21/21, 09/24/21, 09/27/21, 10/01/21, and 10/05/21.
Plan of correction effective dates: Corrective measures starting 10/29/21 to be completed by 11/19/21.
Audit percentage: 10
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Cheryl Davis | Public Health Services Manager | Signed the letter regarding the notice of noncompliance. |
| Ashanti Hinton | Administrator | Facility administrator addressed in the letter. |
Inspection Report
Renewal
Deficiencies: 0
Date: Sep 28, 2021
Visit Reason
The inspection was conducted as a licensing renewal inspection and included a complaint investigation (#30765). Violations of Connecticut State regulations were identified during the inspection.
Complaint Details
Complaint investigation #30765 was part of the inspection process.
Findings
Violations of the General Statutes of Connecticut and/or regulations were found at the time of the inspection. A desk audit was also conducted on multiple dates prior to the inspection.
Report Facts
Desk Audit Dates: Desk audit conducted on 9/20/21, 9/21/21, 9/24/21, and 9/27/21
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Marlea Criscuolo | ED | Personnel contacted during inspection |
| Anne Wetmore | Regional RN | Personnel contacted during inspection |
| Kimoko Morris | RN, Director of QA | Personnel contacted during inspection |
| Ashanti Hinton | RN Designee | Personnel contacted during inspection |
| Melissa J. San Souci | RN | Report submitted by |
Inspection Report
Plan of Correction
Deficiencies: 4
Date: May 18, 2020
Visit Reason
An unannounced visit was made to BAL Hamden on May 18, 2020 by a representative of the Facility Licensing and Investigations Section of the Department of Public Health for the purpose of conducting a COVID-19 infection control inspection.
Findings
The Assisted Living Services Agency (ALSA) failed to follow CDC federal guidelines for infection control to prevent community spread and protect residents and staff, including failure to identify compliance with CDC guidelines on disposable gown use, failure to identify availability of cleaning solutions for PPE, and failure to specify sanitization process locations for goggles and face shields.
Deficiencies (4)
ALSA failed to follow CDC guidelines to not re-use disposable gowns and failed to discard gowns after each use in a dedicated container.
RN #1 and ALSA aides donned KN95 masks and face shields that were cleansed in the RN Designee's office, but the availability of the cleaning solution in the anteroom was not identified.
Surveyor inspection of anterooms failed to identify availability of other cleansing materials for face shields such as sanitizing wipes or alcohol wipes.
ALSA policy on sanitizing goggles and face shields included use of solution but failed to specify location for conducting sanitization to contain waste and prevent community spread.
Report Facts
Inspection date: May 18, 2020
Plan of correction submission deadline: May 30, 2020
Plan of correction effective date: May 21, 2020
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Loan Nguyen | Supervising Nurse Consultant | Contact person for questions concerning instructions in the letter |
| RN #1 | Registered Nurse | Named in findings related to PPE cleaning and availability of cleaning solution |
| Mia Crisculo | Executive Director | Recipient of the inspection report and plan of correction |
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