Livewell Connecticut

In the surveyor’s words

From the most serious findings on record at Livewell Connecticut, in the surveyor’s own words.

• Actual harm, isolatedF689Oct 28, 2021

  Based on clinical record review, facility documentation review, and staff interviews for one of three residents (Resident #1) reviewed for accidents, the facility failed to ensure a resident was transferred in accordance with physician's orders to prevent an injury. The findings include: Resident #1 was admitted to the facility with diagnoses that included Alzheimer's, depression, and [CONDITION(S)]. The Physician's orders dated 8/3/2021 directed to transfer Resident #1 with two staff assist to adaptive wheelchair with head rest, Rojo cushion, bilateral elevating leg rests, and pelvic positioning belt. […]

• No harm, potential for more than minimal, widespreadF880Mar 28, 2025

  Based on review of facility documentation, review of facility policy, and interviews, the facility failed to provide documentation that their flushing program logs were maintained according to the facility's water management plan. The findings include: Review of the Facility Water Management Plan with the Director of Maintenance for the years 2023 through March 2025 on 3/26/25 at 11:45 AM identified the facility water management plan included flushing monthly, annual testing and that the facility also had a contract with a vendor for their water management program. The Director of Maintenance provided a log titled Domestic Hot Water Heaters Monthly Draining for 2024 in which only the months of January, February, March and April were checked off as completed. […]

• No harm, potential for more than minimal, patternF842Mar 28, 2025

  Based on review of clinical records, review of facility documentation and interviews for four sampled residents (Residents #22, #26, #30 and #49) who received psychiatric medications and received psychiatric services, the facility failed to ensure psychiatric visits were documented in a timely manner. The findings include: 1. Resident #22's diagnoses included dementia, anxiety disorder, and delusional disorder. The annual MDS assessment dated [DATE] identified Resident #22 had severely impaired cognition, required maximal assistance with dressing, personal hygiene, moderate assistance with bed mobility and transfers and ambulated using a walker with moderate assistance. […]

• No harm, potential for more than minimal, patternF883Mar 28, 2025

  Based on review of clinical records, review of facility documentation, review of facility policy/procedure and interviews for three of five sampled residents (Resident #46, Resident #47, and Resident #50), reviewed for immunizations, the facility failed to ensure that the pneumococcal vaccine was offered and administered as required. The findings include: Resident #46 was admitted to the facility in November/2024 with diagnoses that included mild neurocognitive disorder, bipolar disorder, and Vitamin D deficiency. The quarterly MDS assessment dated [DATE] identified Resident #46 had intact cognition. […]

• No harm, potential for more than minimal, patternF758Mar 30, 2023

  Based on observations, review of the clinical record, review of facility policy, and interviews for 1 of 5 sampled residents, (Resident #35), reviewed for unnecessary medications, the facility failed to attempt a gradual dose reduction (GDR). The findings include: Resident #35's diagnoses included unspecified dementia, bipolar disorder, non-traumatic brain dysfunction, and depression. The annual MDS assessment dated [DATE] identified Resident #35 was severely cognitively impaired, had minimal depression, required extensive assistance with bed mobility, transfers, and wheelchair use. Review of the Resident Face Sheet identified that Person #1 was the resident's power of attorney for financial and health care decisions. […]