Inspection Report Summary
The most recent inspection on November 6, 2024, identified deficiencies related to the facility’s policy on pendant call response times and timely staff responses to client calls for assistance. Earlier inspections showed additional issues with updating service plans to reflect changes in client conditions and documentation and safety monitoring protocols, particularly during client isolation for COVID-19. Prior complaint investigations mostly found no violations, though a substantiated case in 2018 noted failures to update service plans and address client injuries and risks. Enforcement actions such as fines or license suspensions were not listed in the available reports. The inspection history shows ongoing challenges with documentation and timely client care responses, with some recent efforts to address these through plans of correction.
Deficiencies (last 4 years)
Deficiencies (over 4 years)
2 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
64% better than Connecticut average
Connecticut average: 5.6 deficiencies/yearDeficiencies per year
8
6
4
2
0
Census
Latest occupancy rate
85% occupied
Based on a July 2024 inspection.
Census over time
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: Nov 6, 2024
Visit Reason
An unannounced visit was made to Bal Trumbull on November 6, 2024, 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 #41704 was investigated. The findings included late call response times for Client #1 and inadequate policy definitions regarding response times. Substantiation status is not explicitly stated.
Findings
The investigation found that the Governing Authority failed to develop a comprehensive policy for pendant call response times, and the Assisted Living Services Agency staff failed to provide timely responses to client calls for assistance. Specific late call response times were documented, and the agency policy did not clearly define 'promptly' as required.
Deficiencies (1)
Failure to develop a comprehensive policy for pendant call response times and failure to provide timely responses to client calls for assistance.
Report Facts
Late call response times: 4
Plan of Correction submission deadline: 2025
Date corrective measures effective: 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Elizabeth Heiney | Supervising Nurse Consultant | Signed letter and contact person for response regarding complaint #41704. |
| Doris Quagliani | Interim Executive Director | Named as recipient and interviewed regarding pendant call policy. |
Inspection Report
Plan of Correction
Deficiencies: 2
Date: Jul 11, 2024
Visit Reason
An unannounced visit was made to Bal Trumbull on July 11, 2024, by a representative of the Facility Licensing and Investigations Section of the Department of Public Health for the purpose of conducting a licensure renewal inspection with additional information received through July 12, 2024.
Findings
Violations of the Regulations of Connecticut State Agencies and/or General Statutes were noted during the visit, including failure to update service plans with changes in client condition and failure of aides to follow proper documentation and safety monitoring protocols. Plans of correction were submitted to address these issues with re-education and audits to ensure compliance.
Deficiencies (2)
Failure to update the service plan with a change in condition for a client receiving assisted living services.
Failure of assisted living services agency aides to follow proper documentation and safety monitoring protocols during client isolation for COVID-19.
Report Facts
Date of inspection visit: Jul 11, 2024
Date corrective measures effective: Aug 9, 2024
Audit frequency: 4
Audit frequency: 3
Audit frequency: 4
Audit frequency: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Elizabeth T. Heiney | Supervising Nurse Consultant | Author of the plan of correction letter |
Inspection Report
Renewal
Census: 97
Capacity: 114
Deficiencies: 0
Date: Jul 11, 2024
Visit Reason
The inspection visit was conducted as a renewal licensing inspection and included a complaint investigation (CT #38296).
Complaint Details
Complaint investigation CT #38296 was part of the inspection; substantiation status is not explicitly stated.
Findings
Violations of the General Statutes of Connecticut and/or regulations were identified at the time of inspection, with an attached violation letter dated 7/29/24. Approval for issuance of license was granted.
Report Facts
Census: 97
Total Capacity: 114
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Julia O'Sullivan | ED | Personnel contacted during inspection |
| Jackie Noccioli | Acting SALSA | Personnel contacted during inspection |
| Karen Donato | RNC | Report submitted by |
| Elizabeth T. Tobey | Supervisor | Approval for issuance of license granted by |
Inspection Report
Monitoring
Census: 97
Capacity: 114
Deficiencies: 0
Date: Jul 8, 2024
Visit Reason
The visit was a monitoring visit related to a facility loss of air conditioning due to a lightning strike.
Findings
The facility experienced an electrical shortage causing loss of air conditioning in client apartments and administrative offices, but common areas remained cooled. Staff took measures to ensure client safety and comfort, including placing window air conditioning units and monitoring clients closely. No clients were hospitalized or passed away due to heat-related issues.
Report Facts
Licensed Bed Capacity: 114
Census: 97
Air Conditioners Obtained: 100
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Julia O'Sullivan | Executive Director | Self-reported the lightning strike incident and identified ongoing communication plans |
| Tony Rojos | Director | Obtained 100 air conditioners for client apartments |
| David Colongilo | VP of Operations | Identified possibility of chiller being fixed as of 07/09/24 |
Inspection Report
Renewal
Census: 85
Deficiencies: 0
Date: Aug 1, 2022
Visit Reason
The inspection was conducted as a licensing inspection with a focus on renewal of the facility's license.
Findings
The report indicates verification of Alzheimer's special care units and compliance with infection prevention and control requirements. Approval for issuance of the license was granted.
Report Facts
Census: 85
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Michael J. Smith | Nurse Consultant | Report submitted by |
| Julia O'Sullivan | Ex. Director | Personnel contacted during inspection |
| Pat Zimmermann | RN, SALSA | Personnel contacted during inspection |
Inspection Report
Renewal
Census: 85
Capacity: 68
Deficiencies: 0
Date: Aug 1, 2022
Visit Reason
The inspection was conducted as a re-licensure visit consisting of a tour, review of client records, personnel files, clinical record reviews, quality assurance documents, interviews with clients and staff, and review of staffing schedules.
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 full-time infection prevention and control specialist requirements were confirmed.
Report Facts
Census: 85
Total Capacity: 68
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Michael J. Smith | RN Nurse Consultant | Report submitted by and signature on inspection report |
| Julia O'Sullivan | Executive Director | Personnel contacted during inspection |
| Pat Zimmermann | RN SALSA | Personnel contacted during inspection |
Inspection Report
Complaint Investigation
Census: 114
Deficiencies: 0
Date: May 16, 2022
Visit Reason
The inspection visit was conducted as part of a complaint investigation (#32221) and to verify compliance with Alzheimer's special care unit requirements and infection prevention and control regulations.
Complaint Details
Complaint Investigation #32221 was the basis for the visit; no violations were found.
Findings
No violations of the General Statutes of Connecticut and/or regulations were identified at the time of this inspection. Verification of Alzheimer's special care units and infection prevention and control requirements was completed.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Michael J. Smith | Nurse Consultant | Report submitted by |
| Julia O’Sullivan | Executive Director | Personnel contacted during inspection |
| Sheryl Bilyard | SALSA | Personnel contacted during inspection |
Inspection Report
Complaint Investigation
Census: 114
Deficiencies: 0
Date: May 16, 2022
Visit Reason
The inspection was conducted as a complaint investigation related to Complaint Investigation #32221.
Complaint Details
Complaint Investigation #32221 was the reason for the visit. The complaint was not substantiated as no violations were found.
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
Census: 114
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Michael J. Smith | Nurse Consultant | Report submitted by and involved in the inspection |
| Julia O'Sullivan | Ex Director | Personnel contacted during the inspection |
| Sheryl Bilyard | SALSA | Personnel contacted during the inspection |
Inspection Report
Complaint Investigation
Census: 114
Deficiencies: 0
Date: May 16, 2022
Visit Reason
The inspection visit was conducted as a complaint investigation referenced by Complaint Investigation #32221.
Complaint Details
Complaint Investigation #32221 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. Verification of Alzheimer's special care units or programs and full-time Infection Prevention and Control Specialist requirements were confirmed.
Report Facts
Census: 114
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Michael J. Smith | Nurse Consultant | Report submitted by and involved in inspection |
| Julia O'Sullivan | Ex Director | Personnel contacted during inspection |
| Sheryl Bilyard | SALSA | Personnel contacted during inspection |
Inspection Report
Renewal
Census: 86
Capacity: 143
Deficiencies: 0
Date: Oct 1, 2021
Visit Reason
The inspection visit was conducted as a renewal licensing inspection for an assisted living facility.
Findings
No violations of the General Statutes of Connecticut or regulations of Connecticut State Agencies were identified at the time of this inspection.
Report Facts
Licensed Bed Capacity: 143
Census: 86
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Sheryl Bilyard | SMUA | Personnel contacted during the inspection |
| Julia O'Sullivan | Executive Director | Personnel contacted during the inspection |
Inspection Report
Complaint Investigation
Deficiencies: 5
Date: Feb 5, 2018
Visit Reason
Unannounced visits were made to BAL Trumbull on February 5, 2018, by representatives 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 #22861 was conducted following allegations of injuries of unknown origin to two clients. The findings substantiated failures in updating service plans and addressing client injuries and risks.
Findings
The investigation found that the Supervisor of Assisted Living Services Agency (SALSA) failed to update client service plans to reflect injuries and interventions for two clients with injuries of unknown origin. Documentation and interviews revealed failures to identify updates and instructions addressing clients' functional decline, risk for falls, bruises, and injuries of unknown origin.
Deficiencies (5)
Failed to update client service plan to reflect injuries and interventions for Clients #1 and #3 with injuries of unknown origin.
Failed to identify updates to reflect changes in Client #1's condition and interventions to address functional decline, risk for falls, and bruises.
Failed to identify written instructions to aides addressing Client #1's functional decline, risk for falls, and bruises.
Failed to identify further statements from involved ALSA staff after inquiry from surveyor.
Failed to address instructions for ALSA aides to reflect Client #1's change in condition with interventions to address injuries of unknown origin.
Report Facts
Complaint Investigation Number: 22861
Date of Onsite Inspection: Feb 5, 2018
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Donna Jones | Supervisor of Assisted Living Services Agency | Personnel contacted during the inspection and named in the report. |
| Loan Nguyen | Supervising Nurse Consultant | Named as the approving supervisor for issuance of license and recipient of plan of correction. |
| Joyce Farber | Resident Care Specialist | Author of the plan of correction letter responding to the alleged violations. |
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