Inspection Report Summary
The most recent inspection on August 7, 2024, found no deficiencies and the related complaint was not substantiated. Earlier inspections showed a mixed record, with prior reports noting deficiencies in client care oversight, emergency response, and documentation during complaint investigations in 2023, and issues related to medication management, staffing, and food service in 2017. Inspectors cited failures to follow physician orders, complete incident reports, and maintain proper documentation as main themes of deficiencies. Complaint investigations were mostly unsubstantiated except for substantiated violations in 2017 and 2023 related to client rights and care procedures. The facility’s inspection history indicates improvement over time, with the most recent visit showing compliance after earlier concerns.
Deficiencies (last 5 years)
Deficiencies (over 5 years)
2.6 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
54% better than Connecticut average
Connecticut average: 5.6 deficiencies/yearDeficiencies per year
12
9
6
3
0
Census
Latest occupancy rate
100% occupied
Based on a May 2022 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Census over time
Inspection Report
Complaint Investigation
Capacity: 177
Deficiencies: 0
Date: Aug 7, 2024
Visit Reason
The inspection visit was conducted as a complaint investigation related to CT#40367.
Complaint Details
Complaint investigation related to CT#40367; no violations were found and the complaint was not substantiated.
Findings
No 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 and part-time Infection Prevention and Control Specialist requirements were also confirmed.
Report Facts
Total licensed capacity: 177
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Michael J. Smith | Nurse Consultant | Signature of FLIS staff conducting the inspection |
| Kathleen Lane | Executive | Personnel contacted during the inspection |
Inspection Report
Complaint Investigation
Deficiencies: 4
Date: Mar 21, 2023
Visit Reason
Unannounced visits were made to Brightview On New Canaan on March 21, 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, plus Verification of Alzheimer's Special Care Units, Full Time Infection Prevention and Control Specialist, and other requirements of P.A. 21-185.
Complaint Details
Complaint #34171 triggered the investigation. The complaint involved failure to follow proper procedures related to a Client's DNR status, emergency response, and documentation. The report does not explicitly state substantiation status.
Findings
The Assisted Living Services Agency failed to review the Client service plan as required, ensure oversight of nursing care, follow physician orders, agency policies, and procedures, and failed to ensure a Client's rights. Specific findings included failure to locate a Client's DNR/Advanced Directive form, failure to initiate CPR appropriately, failure to follow emergency and advanced care planning policies, and failure to complete required incident reports.
Deficiencies (4)
Failure to review Client service plan at required intervals and ensure oversight of nursing care and adherence to physician orders and agency policies.
Failure to locate Client's DNR/Advanced Directive form and failure to initiate or stop CPR according to directives.
Failure to follow Client Emergency Response/Change in Condition policy and Advanced Care Planning policy.
Failure to complete incident report and investigate in accordance with agency policies after Client's death.
Report Facts
Clients in survey sample: 3
Client service plan review interval: 120
Client #1 admission date: Aug 21, 2019
Client #1 120-day assessment date: Nov 21, 2022
Client #1 service plan date: Jul 4, 2022
Client #1 death date: Mar 9, 2023
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Elizabeth Heiney | Supervising Nurse Consultant | Named as contact for response and instructions in the complaint investigation |
| Kathleen Lane | Executive Director | Named as responsible staff member for ensuring compliance with Plan of Correction |
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Mar 20, 2023
Visit Reason
The inspection visit was conducted as a complaint investigation related to complaint CT#34171 and to verify violations of the General Statutes of Connecticut and/or regulations of Connecticut State Agencies.
Complaint Details
Complaint investigation CT#34171 was conducted and 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. Verification of Alzheimer's special care units or programs and full-time Infection Prevention and Control Specialist requirements were also confirmed.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kathleen Lane | Executive Director | Personnel contacted during the inspection |
| Gehann Daniel | SALSA | Personnel contacted during the inspection |
| Megan Edson-Sawyer | Nurse Consultant | Signature of FLIS Staff and report submitter |
Inspection Report
Renewal
Census: 90
Capacity: 90
Deficiencies: 0
Date: May 27, 2022
Visit Reason
The inspection was a renewal licensing inspection for Brightview on New Canaan ALSA facility.
Findings
No violations of the General Statutes of Connecticut or regulations of Connecticut State Agencies were identified at the time of this inspection. Verification of Alzheimer's special care units or programs and full-time Infection Prevention and Control Specialist requirements were confirmed.
Report Facts
Memory Clients: 25
Staff Count: 81
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Michael J. Smith | Nurse Consultant | Signature of FLIS Staff and report submitter |
| Kathleen Lane | Ex Director | Personnel contacted during inspection |
| Gehann Daniel | SALSA | Personnel contacted during inspection |
Inspection Report
Renewal
Census: 90
Capacity: 90
Deficiencies: 0
Date: May 27, 2022
Visit Reason
The inspection visit was conducted as a licensing inspection and renewal of the facility's license, including verification of Alzheimer's special care units and infection prevention requirements.
Findings
The report indicates approval for issuance of the license following the inspection. No violations or citations are noted in the provided pages.
Report Facts
Memory clients: 25
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Michael J. Smith | RN Nurse Consultant | Report submitted by and involved in inspection |
| Kathleen Lane | Ex Director | Personnel contacted during inspection |
| Gehann Daniel | SALSA | Personnel contacted during inspection |
Inspection Report
Complaint Investigation
Capacity: 90
Deficiencies: 0
Date: Oct 22, 2018
Visit Reason
The inspection visit was conducted as a complaint investigation related to Complaint Investigation #24289.
Complaint Details
Complaint Investigation #24289 was conducted and found no violations; the complaint was not substantiated.
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: 90
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Joana Paniella | Exec Director | Personnel contacted during the inspection. |
| Geigiann Daniel Salsa | Personnel contacted during the inspection. |
Inspection Report
Renewal
Census: 81
Capacity: 99
Deficiencies: 9
Date: Sep 8, 2017
Visit Reason
The inspection was conducted as a renewal visit with a complaint investigation related to violations of Connecticut State Agencies regulations.
Complaint Details
Complaint investigation #21612 was conducted. Violations were substantiated as indicated by the attached violation letter dated May 29, 2018.
Findings
Violations of the General Statutes of Connecticut and regulations were identified, including failures in medication management, documentation, staffing, and client service records. A violation letter dated May 29, 2018, was attached detailing these findings.
Deficiencies (9)
Failure to maintain accurate and authentic documentation of medication administration, coordination of care, and assistance with meals for three clients requiring medication management.
Failure to appoint a registered nurse to serve as RN designee in the absence of the Supervisor of Assisted Living Services Agency.
Failure to implement proper hand hygiene practices by staff prior to removing and applying medication patches.
Failure to document controlled substance counts by two nurses every shift in accordance with agency policy.
Failure to ensure medication administration records were accurately signed and documented by nursing staff and aides.
Failure to identify documentation of coordination of care with clients or responsible parties.
Failure to ensure ALSA aides wore hair nets while handling food and to follow safe food handling procedures.
Failure to include serving food as a job requirement for ALSA aides, despite expectations for food service assistance.
Failure to maintain adequate staffing and supervision by a registered nurse designee.
Report Facts
Licensed Bed Capacity: 99
Census: 81
Inspection Dates: Inspection visits occurred on 2017-09-08 and 2017-09-19.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Gehann Daniel | Supervisor of Assisted Living Services Agency / Health Service Director/SALSA | Named in relation to the inspection and findings, including medication management and staffing. |
| Loan D. Nguyen | Supervising Nurse Consultant | Supervisor who approved issuance of license and signed related correspondence. |
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