Inspection Report Summary
The most recent inspection on March 31, 2025, had deficiencies identified during a substantiated complaint investigation. Earlier inspections showed a mixed record, with a clean renewal inspection on October 1, 2021, but prior reports in 2018 noted issues related to failure to complete required incident reports and internal investigations for client injuries. Inspectors cited deficiencies mainly involving documentation and adherence to internal policies for incident reporting and investigations. No fines, immediate jeopardy findings, or license actions were listed in the available reports. The pattern suggests some recurring challenges with compliance in complaint-related areas, though the facility had a period without deficiencies before the most recent inspection.
Deficiencies (last 3 years)
Deficiencies (over 3 years)
0.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
95% better than Connecticut average
Connecticut average: 5.6 deficiencies/yearDeficiencies per year
4
3
2
1
0
Census
Latest occupancy rate
90 residents
Based on a March 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Census over time
Inspection Report
Complaint Investigation
Census: 90
Deficiencies: 0
Date: Mar 31, 2025
Visit Reason
The inspection visit was conducted as a complaint investigation identified by CT# 43513.
Complaint Details
Complaint investigation CT# 43513 was substantiated 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, as noted in an attached violation letter dated 4/14/25.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Robin Vaughn | Executive | Personnel contacted during the inspection. |
| Judy Knisley | SALSA | Personnel contacted during the inspection. |
Inspection Report
Renewal
Census: 41
Capacity: 138
Deficiencies: 0
Date: Oct 1, 2021
Visit Reason
The inspection was conducted as a renewal licensing inspection for the assisted living facility.
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
Number of ALSA clients: 41
Number of memory care clients: 27
Total licensed bed capacity: 138
Number of home visits: 3
Number of records reviewed: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Lidia Ayala | Service Coordinator | Personnel contacted during inspection |
| Judith Knisley | SAHSA | Personnel contacted during inspection |
| Megan Olson-Sauyer | Report submitted by |
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: Nov 20, 2018
Visit Reason
An unannounced visit was made to BAL Brookfield on November 20, 2018 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
The investigation was complaint-related, focusing on the failure of ALSA staff to follow policies regarding incident reporting and investigation for a client who sustained injuries of unknown origin. Substantiation status is not explicitly stated.
Findings
The Assisted Living Services Agency (ALSA) staff failed to follow ALSA policies by not completing an incident report and internal investigation for injuries of unknown origin sustained by a client, contrary to regulatory requirements.
Deficiencies (1)
Failure to complete an incident report and internal investigation of injuries of unknown origin for Client #1, contrary to ALSA policies.
Report Facts
Date of visit: Nov 20, 2018
Plan of correction submission deadline: Jan 4, 2020
Date measures effective: Feb 15, 2021
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Loan Nguyen | Supervising Nurse Consultant | Signed the report and is the contact for questions regarding the violations |
| Lidia Ayala | Executive Director | Recipient of the inspection report and plan of correction request |
Inspection Report
Renewal
Deficiencies: 0
Date: Nov 19, 2018
Visit Reason
The inspection was conducted as a licensing renewal inspection and included review of a complaint investigation #26064.
Complaint Details
Complaint investigation #26064 was reviewed during this inspection.
Findings
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 |
|---|---|---|
| Lidia Ayala | ED | Personnel contacted during the inspection. |
| Elizabeth Tecca | SAISA | Personnel contacted during the inspection. |
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