Inspection Report Summary
The most recent inspection on June 17, 2025, found no deficiencies and confirmed the facility was back in compliance as of May 10, 2025. Earlier inspections showed a pattern of deficiencies related primarily to medication administration errors, medication storage issues, neurological assessment documentation, infection control practices, and care plan implementation. Complaint investigations included substantiated findings of medication errors and improper medication storage, as well as failure to conduct neurological assessments after a resident fall. Enforcement actions such as fines or license suspensions were not listed in the available reports. The facility appears to have addressed prior deficiencies with corrective actions and follow-up inspections indicating improvement over time.
Deficiencies (last 8 years)
Deficiencies (over 8 years)
3.9 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
30% better than Connecticut average
Connecticut average: 5.6 deficiencies/yearDeficiencies per year
8
6
4
2
0
Census
Latest occupancy rate
86% occupied
Based on a June 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Census over time
Inspection Report
Renewal
Census: 128
Capacity: 148
Deficiencies: 0
Date: Jun 17, 2025
Visit Reason
A desk audit was completed for the facility's renewal inspection on 2025-04-02 to review compliance with regulation F 600.
Findings
No new non-compliance issues were identified during the desk audit, and the facility was found to be back into compliance as of 2025-05-10.
Report Facts
Licensed Beds: 148
Census: 128
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Andrew Wildman | Administrator | Personnel contacted during inspection |
| Linda M Gagnon | Surveyor | Surveyor conducting the inspection |
Inspection Report
Renewal
Census: 129
Capacity: 148
Deficiencies: 0
Date: Oct 11, 2024
Visit Reason
The inspection was conducted as a licensing inspection for renewal and included review of complaint investigations CT34275 and CT34256.
Complaint Details
Complaint investigations CT34275 and CT34256 were reviewed as part of 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, with attached violation letter and narrative report referenced.
Report Facts
Licensed Bed Capacity: 148
Census: 129
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Lisa Taylor | Personnel contacted during inspection | |
| Emily Quade | Personnel contacted during inspection | |
| Marie Mathieu | Survey Team Leader | Survey team leader and report submitter |
| Norma Schuberth | Supervisor | Survey supervisor |
Inspection Report
Plan of Correction
Census: 126
Capacity: 148
Deficiencies: 2
Date: Jul 16, 2024
Visit Reason
The visit was conducted for the purpose of reviewing the implementation of the plan of correction for the violation letter dated 6/18/24.
Findings
The inspection found that violations #1 and #2 were corrected as of 7/12/24, and the DNS and Administrator were notified in person on 7/16/24 that all violations were corrected.
Deficiencies (2)
Violation #1
Violation #2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Pedro Roman | DNS | Personnel contacted during inspection |
| Andrew Wildman | Administrator | Personnel contacted during inspection |
| Danielle Castro | NC | Report submitted by |
| Stephanie Schumann | NC | Signature of FLIS Staff |
Inspection Report
Follow-Up
Census: 126
Capacity: 148
Deficiencies: 0
Date: Jul 16, 2024
Visit Reason
The visit was conducted to review the implementation of the Plan of Correction for the violation letter dated 6/3/24.
Findings
The violation identified in the previous inspection was corrected as of 6/21/24. On 7/16/24, the DNS and Administrator were notified in person that all violations were corrected.
Report Facts
Licensed Bed Capacity: 148
Census: 126
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Andrew Wildman | Administrator | Personnel contacted during inspection |
| Pedro Roman | DNS | Personnel contacted during inspection and notified of correction |
| Stephanie Schumann | Report submitted by | |
| Karen Gworek | Supervisor | Survey team supervisor |
| Danielle Castro | FLIS staff signature |
Inspection Report
Follow-Up
Census: 126
Capacity: 148
Deficiencies: 1
Date: Jul 16, 2024
Visit Reason
An unannounced visit was completed on 7/16/24 for the purpose of reviewing the implementation of the Plan of Correction for the Violation letter dated 6/3/24.
Findings
Violation #1 was identified as corrected as of 6/21/24. On 7/16/24, the DNS and Administrator were notified in person that all violations were corrected.
Deficiencies (1)
Violation #1 identified in previous inspection
Report Facts
Licensed Bed Capacity: 148
Census: 126
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Pedro Roman | DNS | Notified in person of correction of violations |
| Andrew Wildman | Administrator | Notified in person of correction of violations |
Inspection Report
Monitoring
Census: 127
Capacity: 148
Deficiencies: 0
Date: May 8, 2024
Visit Reason
A desk audit was conducted to review the implementation of the Plan of Correction for a prior violation dated 3/26/2024.
Findings
Violation #1 was identified as corrected as of 3/28/2024. The Administrator was notified via telephone that all violations were corrected.
Report Facts
Licensed Bed Capacity: 148
Census: 127
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Andrew Wildman | Administrator | Contacted during inspection and notified of correction status |
| Danielle Castro | RN, NC | Report submitted by |
| Karen Gworek | Supervisor | Supervisor of the survey team |
Inspection Report
Complaint Investigation
Census: 120
Capacity: 148
Deficiencies: 2
Date: Dec 20, 2023
Visit Reason
The inspection was conducted as a complaint investigation related to Complaint #36746 at Wilton Meadows Health Care Center.
Complaint Details
Complaint #36746 was substantiated with findings of medication administration errors and improper medication storage and labeling.
Findings
The facility was found to have violations of Connecticut State regulations, including a medication administration error involving a resident and issues with medication storage and cleanliness of medication carts. The facility submitted plans of correction addressing these deficiencies.
Deficiencies (2)
Failed to administer medication per physician's order resulting in a medication error for Resident #1.
Failed to ensure medications were stored in a clean, sanitary manner and properly labeled.
Report Facts
Licensed Bed/Bassinet Capacity: 148
Census: 120
Loose pills identified: 17
Loose pills identified: 7
Loose pills identified: 10
Loose pills identified: 2
Loose pills identified: 4
Loose pills identified: 1
Loose pills identified: 6
Loose pills identified: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Andrew Wildman | Administrator | Facility administrator contacted during inspection. |
| Pedro Roman | Director of Nursing (DON) | Interviewed regarding medication administration and medication cart cleaning policies. |
| Karen Gworek | Supervising Nurse Consultant | Author of the violation notice letter related to complaint #36746. |
| Licensed Practical Nurse (LPN) #1 | Administered medication in error to Resident #1. | |
| Licensed Practical Nurse (LPN) #5 | Identified loose pills in medication cart on Deerfield 2 unit. | |
| Licensed Practical Nurse (LPN) #4 | Identified loose pills in medication cart on Deerfield 1 unit. | |
| Licensed Practical Nurse (LPN) #6 | Identified loose pills in medication cart on Birchwood 1 unit and discussed cleaning schedules. | |
| Licensed Practical Nurse (LPN) #7 | New employee unaware of medication cart cleaning schedules. | |
| Licensed Practical Nurse (LPN) #8 | Responsible for daily cleaning of medication cart during night shift. |
Inspection Report
Renewal
Census: 120
Capacity: 148
Deficiencies: 0
Date: Jun 28, 2022
Visit Reason
The inspection was conducted as a licensing inspection for renewal purposes at Wilton Meadows HCC.
Findings
The report indicates that this was a licensing inspection for renewal with no violations or citations noted in the document. The certification file was reviewed as part of the process.
Report Facts
Licensed Bed/Bassinet Capacity: 148
Census: 120
Inspection Report
Follow-Up
Census: 119
Capacity: 148
Deficiencies: 0
Date: Jun 24, 2022
Visit Reason
A desk audit review was conducted on 6/24/22 by a representative of the FLIS for the purpose of reviewing the plan of correction for the violation letter dated 3/22/22.
Findings
Violations of the General Statutes of Connecticut and/or regulations of Connecticut State Agencies were not identified at the time of this inspection. Review of information identified for violations 1a. have been corrected.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Pedro Roman | RN, DNS | Personnel contacted during the inspection |
| Kibby Phillips | Generalist Surveyor, HPA | Signature of FLIS Staff and report submitter |
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: Mar 9, 2022
Visit Reason
A COVID-19 Vaccination Verification and a Complaint Investigation Survey were conducted at Wilton Meadows Health Care Center on March 7 and 9, 2022 to determine compliance with 42 CFR Part 483 requirements for Long Term Care Facilities.
Complaint Details
The survey was complaint-driven, referenced as ACTS Reference Number CT00031776, and included a COVID-19 Vaccination Verification and Complaint Investigation.
Findings
The facility failed to conduct neurological assessments in accordance with its policy and procedure for one resident who had an unwitnessed fall. The resident was assessed by nursing staff and evaluated at the hospital with no significant injuries noted, but the facility did not fully comply with required neurological checks post-fall.
Deficiencies (1)
Failure to conduct neurological assessments in accordance with facility policy for a resident who had an unwitnessed fall.
Report Facts
Dates of neurological observations: 48
Neurological observation frequency: 15
Neurological observation frequency: 30
Neurological observation frequency: 60
Neurological observation frequency: 240
Employees mentioned
| Name | Title | Context |
|---|---|---|
| RN #1 | 3-11PM Nursing Supervisor | Conducted initial assessment and neurological checks after resident fall. |
| RN #3 | Charge Nurse | Responsible nurse on unit during fall; reported swelling and discoloration of resident's eye. |
| Assistant Director of Nursing | Assistant Director of Nursing (ADON) | Provided interview regarding facility fall and neurological check policies. |
Inspection Report
Complaint Investigation
Capacity: 148
Deficiencies: 1
Date: Mar 7, 2022
Visit Reason
The inspection was conducted as a complaint investigation related to Complaint Investigation #31776, including a COVID-19 Vaccination Verification and Complaint Investigation Survey.
Complaint Details
Complaint Investigation #31776 was substantiated with violations identified during the inspection.
Findings
The facility was found to have violations related to failure to conduct neurological assessments for a resident who had an unwitnessed fall, inconsistent neurological checks, and inadequate documentation and follow-up according to facility policy and procedures.
Deficiencies (1)
Failure to conduct neurological assessments in accordance with the facility's policy and procedure for a resident who had an unwitnessed fall.
Report Facts
Licensed Bed Capacity: 148
Complaint Number: 31776
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Ellen Casey | Administrator | Named as personnel contacted and recipient of the important notice. |
| Karen Gworek | Supervising Nurse Consultant | Supervisor and signatory of the inspection report and notice. |
| Kathleen Plaskon | Survey Team Leader | Survey team leader and report submitter. |
Inspection Report
Abbreviated Survey
Census: 105
Capacity: 148
Deficiencies: 2
Date: Sep 25, 2020
Visit Reason
A COVID-19 Focused Infection Control Survey was conducted to determine compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities, including proper infection prevention and control practices to prevent the transmission of COVID-19.
Findings
The facility failed to perform a comprehensive risk assessment for new/readmissions and appropriately cohort residents based on that risk assessment. Signage was not visible on doors of residents on transmission-based precautions, and PPE was not available outside those rooms. The facility's risk assessment lacked necessary components according to established recommendations to prevent COVID-19 transmission.
Deficiencies (2)
Failure to perform a comprehensive risk assessment for new/readmissions and appropriately cohort residents based on that risk assessment.
Failure to ensure signage was visible on the door of residents' rooms who were on transmission-based precautions.
Report Facts
Total Capacity: 148
Census: 105
Empty Beds: 43
Residents on observation/quarantine: 6
New admissions on same unit as quarantined residents: 3
Newly admitted residents on observation for COVID-19: 2
Inspection Report
Abbreviated Survey
Census: 105
Capacity: 148
Deficiencies: 3
Date: Sep 24, 2020
Visit Reason
An unannounced visit was conducted to Wilton Meadows Health Care Center on September 24, 2020, by the Department of Public Health for the purpose of conducting a Covid-19 focused infection control survey.
Findings
The facility failed to perform a comprehensive risk assessment for new/readmissions and appropriately cohort residents based on transmission-based precautions. Signage was not visible on doors of residents' rooms on transmission-based precautions, and PPE was not available outside the doors. The facility's risk assessment lacked necessary components to prevent transmission of Covid-19 to non-infected residents.
Deficiencies (3)
Failure to perform a comprehensive risk assessment for new/readmissions and appropriately cohort residents based on transmission-based precautions.
Failure to ensure signage was visible on doors of residents' rooms on transmission-based precautions.
Failure to ensure PPE was available outside the doors of residents on droplet precautions.
Report Facts
Total capacity: 148
Census: 105
Residents on observation/quarantine: 6
New admissions on same unit as residents on quarantine: 3
Newly admitted residents identified with Covid-19 infection: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Ellen Casey | Administrator | Interviewed on 9/24/20 regarding hospital relationship and Covid-19 case transparency |
| Norma Schuberth | Supervising Nurse Consultant | Author of the report and contact for questions regarding violations |
| Director of Nursing Services | Interviewed on 9/24/20; ultimately responsible for compliance with plan of correction |
Inspection Report
Abbreviated Survey
Census: 93
Capacity: 148
Deficiencies: 0
Date: May 8, 2020
Visit Reason
A COVID-19 Focused Survey was conducted on May 8, 2020 at Wilton Meadows to determine compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities, including proper infection prevention and control practices to prevent the development and transmission of COVID-19.
Findings
Deficiencies were not cited as a result of this COVID-19 focused survey.
Inspection Report
Abbreviated Survey
Deficiencies: 0
Date: Apr 24, 2020
Visit Reason
A COVID-19 Focused Survey was conducted to determine compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities, including proper infection prevention and control practices to prevent the development and transmission of COVID-19.
Findings
The survey found the facility compliant with no deficiencies cited related to infection prevention and control practices for COVID-19.
Inspection Report
Follow-Up
Census: 131
Capacity: 148
Deficiencies: 1
Date: Jan 11, 2019
Visit Reason
The visit was conducted as a desk audit to review the implementation of the plan of correction for a violation letter dated November 29, 2018.
Findings
Based on a review of the facility's documentation and an interview with the Director of Nurses, all violations cited in the previous letter were corrected.
Deficiencies (1)
Violations 1a, 1b, 2a, 2b, 2c, 2d, 2e, and 3a were corrected.
Report Facts
Licensed Bed Capacity: 148
Census: 131
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Holly Dwyer | Director of Nursing Services (DNS) | Personnel contacted during inspection |
| Ronald Arnone | RN | Report submitted by |
Inspection Report
Complaint Investigation
Census: 131
Capacity: 148
Deficiencies: 7
Date: Nov 13, 2018
Visit Reason
Unannounced visits were made to Wilton Meadows Health Care Center by representatives of the Facility Licensing and Investigations Section of the Department of Public Health for the purpose of conducting an investigation following complaints and regulatory oversight.
Complaint Details
The investigation was complaint-driven with multiple complaint numbers referenced (#23437, #24376, #23902, #22842, #23045). The abuse allegation involving Resident #1 was investigated and found not substantiated. Other complaints involved medication management, catheter care, wound care, and fall prevention.
Findings
The facility was found to have multiple violations including failure to ensure resident dignity with catheter privacy covers, expired and improperly labeled medications, failure to maintain catheter infection control standards, and failure to report and investigate alleged abuse. Plans of correction were requested and submitted.
Deficiencies (7)
Failure to ensure the resident's urinary catheter bag was covered to promote dignity.
Medications and biologicals were not expired and/or labeled properly, including expired insulin and undated tuberculin solution.
Failure to maintain the catheter according to professional standards for infection control.
Failure to report alleged abuse immediately and failure to ensure staff reported abuse per policy.
Failure to ensure timely assessment and treatment of residents' wounds and pressure ulcers.
Failure to ensure fall care plans were implemented and residents were supervised as directed.
Failure to ensure medications that expired were removed and destroyed per facility policy.
Report Facts
Licensed Bed Capacity: 148
Census: 131
Inspection Dates: 2018-11-13 to 2018-11-15
Plan of Correction Due Date: Dec 9, 2018
Medication Expiration Date: Sep 23, 2018
Medication Expiration Date: Oct 31, 2018
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Ellen Casey | Administrator | Named in relation to findings and plan of correction |
| Holly Dwyer | RN DNS | Named in relation to inspection and findings |
| Norma Schuberth | Supervising Nurse Consultant | Signed enforcement and violation letters |
| Cheryl Davis | Supervising Nurse Consultant | Signed complaint investigation correspondence |
| Margaret Hager | Reported submitted inspection reports | |
| Melissa Dziob | Supervisor | Signed final compliance letter |
Inspection Report
Complaint Investigation
Deficiencies: 3
Date: Nov 8, 2018
Visit Reason
Unannounced visits were made to the facility and concluded on 11/8/18 by a representative of the Facility Licensing & Investigations Section for the purpose of conducting multiple investigations including allegations of abuse and care plan compliance.
Complaint Details
The complaint investigation involved an allegation that Nurse #1 hit Resident #1 in the face after the resident spit medication at her. The allegation was reported late by CNA #1 and was investigated but not substantiated. The facility re-educated staff on abuse reporting policies and implemented monitoring and audits to ensure compliance.
Findings
The facility failed to ensure timely reporting of an abuse allegation involving Resident #1, failed to implement care plan interventions for Resident #2 who experienced falls, and failed to promptly notify the physician of abnormal X-ray results for Resident #3. Investigations found the abuse allegation unsubstantiated but identified deficiencies in abuse reporting, care plan implementation, and communication of diagnostic results.
Deficiencies (3)
Failure to ensure staff reported an allegation of abuse immediately in accordance with facility policy for Resident #1.
Failure to implement care plan interventions for Resident #2 related to fall prevention, including 1:1 supervision and use of non-skid footwear.
Failure to promptly notify the ordering physician of abnormal X-ray results for Resident #3.
Report Facts
Deficiencies cited: 3
Date of survey completion: Nov 8, 2018
Plan of correction completion dates: Dec 20, 2018
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Nurse #1 | Licensed Practical Nurse | Named in abuse allegation involving Resident #1 |
| CNA #1 | Nurse Aide | Reported alleged abuse of Resident #1 |
| Assistant Director of Nursing | Reported abuse allegation to DON and participated in investigation | |
| Director of Nurses | Reviewed abuse investigation and care plan deficiencies | |
| APRN #1 | Advanced Practice Registered Nurse | Ordered X-ray and involved in diagnostic result notification for Resident #3 |
Inspection Report
Plan of Correction
Deficiencies: 3
Date: Nov 8, 2018
Visit Reason
The document is a Plan of Correction submitted in response to findings noted during a complaint survey concluded on November 8, 2018, at Wilton Meadows.
Complaint Details
The Plan of Correction responds to complaints #23437, #24376, and #23902. The complaint survey was concluded on November 8, 2018. The facility denies admission of deficiencies but files the plan as evidence of intent to comply.
Findings
The Plan of Correction addresses violations related to reporting abnormal diagnostic test results promptly, abuse reporting and education, and fall care plan revisions. The facility outlines steps for audits, staff education, and compliance monitoring with specified compliance dates.
Deficiencies (3)
Failure to report abnormal x-ray results promptly to the physician.
Failure to properly report and address an alleged abuse incident involving a nurse and a resident.
Failure to revise and implement fall care plans for residents who experienced falls.
Report Facts
Complaint numbers: 3
Compliance dates: Dec 20, 2018
Incident dates: Oct 27, 2018
Education start date: Nov 26, 2018
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Ellen Casey | Administrator | Signed the Plan of Correction letter. |
Inspection Report
Renewal
Census: 134
Capacity: 148
Deficiencies: 5
Date: Dec 13, 2016
Visit Reason
The inspection was conducted as a licensure renewal and certification survey with unannounced visits concluding on December 15, 2016, to assess compliance with Connecticut State regulations.
Findings
The facility was found to have multiple violations including failure to ensure a homelike environment, hazard-free environment, effective infection control practices, and proper dietary staff hygiene. Specific issues included unsafe wheelchair backrest pins, inadequate housekeeping for infection control, and improper handling of clean dishes by dietary staff.
Deficiencies (5)
Failure to ensure a homelike environment due to foam tubing held with masking tape on a resident's padded side rail.
Failure to ensure a hazard-free environment resulting in a resident falling from a wheelchair due to dislodged backrest pins.
Failure to monitor and track residents on active isolation precautions and ineffective housekeeping practices for residents on isolation.
Failure to ensure dietary staff followed accepted infection control practices while handling clean dishes and washing hands.
Failure to maintain a three-day emergency food supply with missing items such as pudding, wax beans, peas, and baked beans.
Report Facts
Licensed Bed Capacity: 148
Census: 134
Inspection Dates: Inspection visits occurred on 12/12/16, 12/13/16, 12/14/16, and 12/15/16.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kim Hriceniak | Supervising Nurse Consultant | Signed the violation letters and reports. |
| Mary Tobin | Administrator | Named as personnel contacted during the inspection. |
| Director of Nursing Services | Interviewed regarding foam tubing and wheelchair backrest issues. | |
| LPN #1 | Licensed Practical Nurse | Interviewed regarding resident fall from wheelchair. |
| OT #1 | Occupational Therapist | Interviewed regarding wheelchair backrest pins. |
| OT #2 | Occupational Therapist | Evaluated wheelchair after resident fall. |
| Housekeeper #1 | Interviewed about cleaning procedures for rooms with active infections. | |
| Housekeeper #2 | Interviewed about cleaning procedures. | |
| Housekeeper #3 | Interviewed about cleaning procedures. | |
| Housekeeper #4 | Interviewed about cleaning procedures. | |
| Director of Food Services | Interviewed about emergency food supply and dietary staff practices. | |
| Dietary Aide #1 | Observed removing clean dishes improperly and interviewed about handwashing. | |
| Infection Control Nurse/RN #1 | Interviewed about infection control practices. |
Inspection Report
Plan of Correction
Deficiencies: 5
Date: Plan of Correction Wilton Meadows State POC eid 7 27 22
Visit Reason
This document is a Plan of Correction responding to violations of the Regulations of Connecticut State Agencies related to resident care, nursing staff, and facility practices.
Findings
The plan addresses multiple violations including failure to ensure proper resident assessments, medication transcription, notification to ombudsman, and maintenance of specialty equipment. Systemic changes and quality assurance monitoring plans are outlined to ensure compliance.
Deficiencies (5)
Failure to ensure proper resident assessments and documentation after incidents such as falls and skin tears.
Failure to notify the state ombudsman's office concerning residents transferred and admitted to the hospital.
Failure to maintain specialty air mattress according to physician orders.
Failure to ensure medication was transcribed according to physician orders.
Failure to ensure RN assessment after skin tear and proper clinical documentation regarding end of life status and pronouncement of death.
Report Facts
Compliance date: Compliance date for all corrections is August 8, 2022
Audit duration: 4
Audit duration: 2
Residents affected: 6
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nurses | Responsible for ensuring compliance and quality assurance monitoring | |
| Administrator | Responsible to ensure compliance with notification to ombudsman's office |
Inspection Report
Plan of Correction
Deficiencies: 0
Date: Plan of Correction Wilton VL POC wrong format 2 28 24
Visit Reason
The document is a plan of correction addressing an event involving Resident #1, focusing on abuse and neglect prevention and reporting.
Findings
Resident #1 was free from abuse and neglect with no injury sustained. Staff followed facility policy during the event, and a timely investigation was completed. The LPN involved was terminated. Staff education on abuse prevention was completed, and ongoing audits will be conducted until compliance is met.
Report Facts
Compliance date: 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| LPN #1 | Removed from the building and terminated following the event | |
| DNS | Completed the investigation and education of staff |
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