John L. Levitow Health Care Center

In the surveyor’s words

From the most serious findings on record at John L. Levitow Health Care Center, in the surveyor’s own words.

• Immediate jeopardy, isolatedF760Jan 25, 2022

  Based on clinical record review, review of facility documentation, and interviews for one sampled resident (Resident #1), who received another resident's medication, Licensed Practical Nurse (LPN#1) failed to follow the five rights for medication administration which resulted in Resident #1 receiving [MEDICATION(S)] 450 mg extended release, [MEDICATION(S)] 400 mg, Loratadine 10 mg, [MEDICATION(S)] 1,000 mg extended release, and [MEDICATION(S)] 300 mg in error. Resident #1 required intubation and admission to the Intensive Care Unit. This failure resulted in the finding of Immediate Jeopardy. […]

• No harm, potential for more than minimal, patternF676Feb 25, 2025

  Based on observations, review of the clinical record, interviews, and facility policy for the only sampled resident (Resident #63) reviewed for activities of daily living, the facility failed to reassess ambulation ability after a decline in function. The findings include: Resident #63's diagnoses included stroke, traumatic brain dysfunction, and dementia. The quarterly Minimum Data Set assessment dated [DATE] identified Resident #63 was severely cognitively impaired and required supervision or touching assistance when ambulating 50 feet. The Resident Care Plan dated 7/9/24 identified alterations in Resident #63's activities of daily living related to dementia. […]

• No harm, potential for more than minimal, patternF679Feb 25, 2025

  Based on review of the recreational activity calendar and resident/staff interviews regarding weekend activities, the facility failed to offer varied recreational activities on Sundays other than Catholic mass. The findings include: Interview with the Veteran Council on 2/20/25 at 11:15 AM identified that a streaming of Catholic mass was offered on Sundays, but there were no other recreational programs for them to attend on Sundays. The Veteran Council further identified someone from recreation was at the facility on Saturdays, but there wasn't anyone on Sundays, and they would participate in Sunday activities if they were offered. […]

• No harm, potential for more than minimal, patternF804Feb 25, 2025

  Based on a tour of the Dietary Department, interviews, completion of a temperature tray, and facility documentation, the facility failed to ensure foods were at appropriate temperatures for palatability. The findings included: Interview with Resident #30 on 2/18/25 at 11:13 AM identified that food was often cold. Interview with Resident #10 on 2/18/25 at 11:14 AM identified that hot food was never hot (no particular meal). Interview with Resident #6 on 2/19/25 at 10:10 AM identified that the food was cold at times. […]

• No harm, potential for more than minimal, patternF729Feb 16, 2023

  Based on staff interview and record review for 2 of 4 Nurse Aides (NA #2 and NA #3) reviewed for employment eligibility, the facility failed to verify the Nurse Aide Registry prior to date of hire. The findings include: 1. NA #2's official start date was 9/23/22 and the Connecticut State Nurse Aide Registry Verification Report was dated 10/19/22, 26 days after NA #2's date of hire. NA #2's employee schedule and timecard identified that she worked for 17 orientation days from 9/23/22 to 10/19/22 which included working on resident units. 2. […]