Inspection Report Summary
The most recent inspection on July 19, 2022, found no deficiencies and approved the facility’s license renewal. Earlier inspections showed a mixed record with some deficiencies related mainly to nursing communication, medication management, and staff orientation to client care plans. A substantiated complaint investigation in 2015 identified physical abuse by a private aide and failures in staff orientation and care coordination. Fines, immediate jeopardy findings, or license suspensions were not listed in the available reports. The facility’s inspection history indicates improvement over time, with the most recent inspections showing compliance with regulations.
Deficiencies (last 6 years)
Deficiencies (over 6 years)
1.5 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
73% better than Connecticut average
Connecticut average: 5.6 deficiencies/yearDeficiencies per year
4
3
2
1
0
Census
Latest occupancy rate
100% occupied
Based on a July 2022 inspection.
This facility has shown a decline in demand based on occupancy rates.
Census over time
Inspection Report
Renewal
Census: 66
Deficiencies: 0
Date: Jul 19, 2022
Visit Reason
The inspection visit was conducted as a licensing inspection and renewal of the facility license.
Findings
The report includes verification of Alzheimer's special care units or programs and compliance with infection prevention and control requirements as per P.A. 21-185. Approval for issuance of license was granted.
Report Facts
Census: 66
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Michael J. Smith | Nurse Consultant | Report submitted by |
| Sarah Malaspina | Ex. Director | Personnel contacted during inspection |
| Lindsay Ressler | RN, SALSA | Personnel contacted during inspection |
Inspection Report
Renewal
Census: 66
Capacity: 66
Deficiencies: 0
Date: Jul 19, 2022
Visit Reason
The inspection was a renewal licensing inspection conducted to review the facility's compliance with regulations and to approve issuance of the license.
Findings
No violations of the General Statutes of Connecticut or regulations were identified at the time of this inspection. The inspection included a tour, review of client records, personnel files, clinical record reviews, quality assurance documents, interviews with clients and staff, and review of staffing schedules.
Report Facts
Census: 66
Total Capacity: 66
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Michael J. Smith | Nurse Consultant | Report submitted by and signature on inspection report |
| Sarah Malaspina | Executive Director | Personnel contacted during inspection |
| Lindsay Ressler | RN, SALSA | Personnel contacted during inspection |
Inspection Report
Renewal
Census: 48
Capacity: 144
Deficiencies: 0
Date: Sep 22, 2021
Visit Reason
The inspection was conducted as a renewal licensing inspection for the facility BAL Woodbridge (ALSA #144).
Findings
No violations of the General Statutes of Connecticut and/or regulations of State Agencies were identified at the time of this inspection. Policy review was done relative to record reviews and/or violations as appropriate.
Report Facts
Number of ALSA clients: 48
Total licensed beds: 144
Number of home visits: 3
Number of records reviewed: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Diana McSherry | SALSA | Personnel contacted during inspection |
| Lucy DiZinno | SALSA Designee | Personnel contacted during inspection |
| Sarah Malaspina | Service Coordinator | Managed Residential Community visited |
Inspection Report
Renewal
Capacity: 144
Deficiencies: 0
Date: Sep 22, 2021
Visit Reason
The inspection visit was conducted as a renewal licensing inspection for the facility.
Findings
No violations of the General Statutes of Connecticut and/or regulations of State Agencies were identified at the time of this inspection. Approval for issuance of license was granted.
Report Facts
Licensed Bed Capacity: 144
Number of ALSA clients: 48
Number of home visits: 3
Number of records reviewed: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Sarah Malaspina | Service Coordinator | Personnel contacted during inspection and named in report |
| Diana McSherry | ALSA | Personnel contacted during inspection and named in report |
| Levy Nizario | SALSA Designee | Named in relation to records review |
Inspection Report
Plan of Correction
Deficiencies: 2
Date: Feb 5, 2020
Visit Reason
Unannounced visits were made to BAL Woodbridge on February 5 and August 24, 2020 by a representative of the Facility Licensing and Investigations Section of the Department of Public Health for the purpose of conducting multiple investigations.
Findings
Violations of the Regulations of Connecticut State Agencies and General Statutes were noted during the visits, including failure of Licensed Practical Nurses to report changes in clients' conditions to the Registered Nurse and failure to appoint a qualifying Nursing Supervisor. The plan of correction outlines measures to prevent recurrence, including policy updates, audits, staff re-inservice, and documentation improvements.
Deficiencies (2)
Licensed Practical Nurse (LPN) failed to report a change in Client #3's condition to the ALSA Registered Nurse.
Licensed Practical Nurse (LPN) failed to report Client #1's change in condition to the ALSA Registered Nurse and failed to appoint a qualifying Nursing Supervisor.
Report Facts
Inspection visit dates: 2
Plan of correction submission deadline: 2020
Corrective measures effective date: 2020
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Loan Nguyen | Supervising Nurse Consultant | Signed notice of noncompliance and plan of correction |
| Diana McSherry | Resident Care Director | Author of cover letter submitting plan of correction |
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: Sep 13, 2018
Visit Reason
An unannounced visit was made to BAL Woodbridge on September 13, 2018 by a representative of the Facility Licensing and Investigations Section of the Department of Public Health for the purpose of conducting a complaint investigation.
Complaint Details
Complaint investigation #24059 was conducted. Violations were not identified at the time of the inspection.
Findings
The investigation found that the agency nurses failed to reconcile the physician's medication orders against the current medication supply and/or labels for one client requiring nursing services for medication administration. No violations were identified at the time of the inspection.
Deficiencies (1)
Failed to identify nursing notification to the physician of the discrepancy between the physician's order and the labeling of the bottle.
Report Facts
Complaint Investigation Number: 24059
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kimiko Morris | Supervisor of Assisted Living Services Agency | Personnel contacted during the inspection. |
| Loan Nguyen | Supervising Nurse Consultant | Approval for issuance of license granted by. |
Inspection Report
Renewal
Census: 94
Deficiencies: 2
Date: May 4, 2017
Visit Reason
The visit was an unannounced licensing inspection conducted on May 4 and 5, 2017, for the purpose of renewal of the assisted living facility license.
Findings
Violations of the General Statutes of Connecticut and regulations were identified during the inspection, including failure to develop and implement policies for medication pre-pouring and failure to update client service programs related to hospice services. A plan of correction was submitted to address these deficiencies.
Deficiencies (2)
Failed to identify nursing documentation of medication pre-pouring for the subsequent period of 4/27/17 to 5/24/17 and the medication management policy failed to identify guidance on the medication pre-pouring process and documentation in the client’s record.
Failed to update the Client Service Program and/or orient the ALSA aides regarding hospice services and failed to identify documentation of the addition of hospice services or specific instructions to ALSA aides on changes in the plan of care including hospice services.
Report Facts
Census: 94
Traditional census: 79
Memory care census: 15
Number of ALSA clients: 94
Number of home visits: 2
Number of records reviewed: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Anthony Vecchitto | Executive Director | Signed plan of correction letter |
| Loan Nguyen | Supervising Nurse Consultant | Approval for issuance of license and report submission |
| Kimiko Morris | Supervisor of Assisted Living Services Agency | Named as personnel contacted and recipient of violation letter |
| May J. Besitha | RN Regional Nurse | Personnel contacted and signed inspection checklist |
Inspection Report
Plan of Correction
Deficiencies: 1
Date: Aug 19, 2015
Visit Reason
Unannounced visits were made to BAL at Woodbridge on August 19, 2015 by a representative of the Facility Licensing and Investigations Section of the Department of Public Health for the purpose of conducting an investigation and a licensing inspection, with additional information obtained on August 25, 2015.
Findings
The Assisted Living Services Agency (ALSA) failed to orient the private aide to the client's plan of care and/or coordinate the client's care with other entities involved in the client's service program. The private aide was observed transferring a client without using a mechanical lift as required and was involved in an incident of physical altercation with another aide. Documentation of orientation and coordination was lacking.
Deficiencies (1)
Failure to orient the private aide to the client's plan of care and/or coordinate the client's care with other entities involved in the client's service program.
Report Facts
Inspection visit date: Aug 19, 2015
Additional information date: Aug 25, 2015
Plan of correction effective date: Apr 30, 2016
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Loan Nguyen | Supervising Nurse Consultant | Signed letter regarding the inspection and plan of correction |
| Wendy Kaufman | Executive Director | Signed plan of correction letter |
Inspection Report
Complaint Investigation
Census: 31
Capacity: 91
Deficiencies: 3
Date: Aug 18, 2015
Visit Reason
The inspection was conducted as a complaint investigation (Complaint Investigation # CT18018) along with a licensing inspection at BAL at Woodbridge on August 18 and 19, 2015.
Complaint Details
Complaint Investigation # CT18018 was substantiated with findings of physical abuse by a private aide and failure of the agency to properly orient and coordinate care for Client #1.
Findings
Violations of Connecticut State regulations were identified, including failure to orient a private aide to the client's plan of care and failure to coordinate the client's care with other entities. The investigation found evidence of physical abuse by a private aide towards a client and inadequate documentation and coordination by the agency.
Deficiencies (3)
Failure to orient the private aide to the client's plan of care and coordinate care with other entities.
Physical abuse of Client #1 by a private aide, including slapping and hitting.
Failure to identify documentation of orientation provided to the private aide about Client #1's plan of care and transfer needs.
Report Facts
Census: 31
Licensed Capacity: 91
Inspection Dates: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Loan Nguyen | Supervising Nurse Consultant | Signed violation letter and approval for issuance of license |
| Leann Zambrano | Executive Director | Personnel contacted during inspection |
| Liz Tecza | SALSA | Personnel contacted during inspection |
Viewing
Loading inspection reports...
