New London Specialty Care

In the surveyor’s words

From the most serious findings on record at New London Specialty Care, in the surveyor’s own words.

• Immediate jeopardy, patternF600Nov 8, 2022

  Based on observation, interview, clinical record review, and facility policy review the facility failed to maintain a safe environment free from resident sexual abuse, verbal abuse, and physical abuse from residents at the facility when Resident #5 touched the breast of Resident #1 and Resident #7, made sexual comments to Resident #6, physically touched Resident #2, and Resident #5 was hit by Resident #8. Resident #1 stated the fact that Resident #5 had touched her breast made her feel like she wanted to kill him (Resident #5), and stated Resident #5 had made ongoing physical attempts to reach out and touch her breast. During a confidential interview an anonymous Resident expressed concern of having her door open with her bottom exposed at night for fear of attempted physical contact. […]

• Immediate jeopardy, patternF741Nov 8, 2022

  Based on observation, clinical record review, staff interview, and facility policy review the facility failed to provide sufficient staff with skill sets to address a cognitively impaired male resident's (Resident #5's) behaviors towards other residents at the facility, which negatively impacted other residents within the environment (Resident #1, #2, #5, #6, #7, #8). Resident #5 had been involved in a physical altercation and displayed sexual behaviors towards others. Other residents who resided at the facility had voiced aggressive acts they would take towards Resident #5 in response to the resident's behaviors. This resulted in an Immediate Jeopardy when actual psychosocial harm occurred for residents who resided at the facility. The facility reported a census of 36 residents. […]

• Immediate jeopardy, patternF678Nov 18, 2021

  Based on staff interview, facility policy, and observation the facility failed to perform cardiopulmonary resuscitation (CPR) until emergency medical staff (EMS) arrived for a resident without heartbeat and respirations, who also lacked signs of irreversible death. The facility reported to have 12 residents with a full code status at the time of the incident. The facility reported a census of 37 residents. A determination was made that the facility's noncompliance with the requirement of participation placed residents in the facility in immediate jeopardy, beginning [DATE]. […]

• Immediate jeopardy, isolatedF609Nov 8, 2022

  Based on interview, clinical record review, the facility failed to report all allegations of abuse. A resident sexual abused another resident who resided at the facility when Resident #5 touched the breast of Resident #1 and Resident #7. Resident #5 had a history of [MEDICAL RECORD OR PHYSICIAN ORDER] . Record review revealed other instances of allegations of abuse, and staff interview revealed an alleged incident involving Resident #2 and Resident #5 that did not get reported. This resulted in an Immediate Jeopardy to residents who currently resided at the facility. Facility reported a census of 36 residents. Findings include: 1. The Quarterly Minimum Data Set (MDS) assessment for Resident #5 dated 6/29/22 revealed the resident had been rarely to never understood. […]

• Immediate jeopardy, isolatedF610Nov 8, 2022

  Based on observation, clinical record review, staff and resident interviews and Policy review, the facility failed to take measures to fully investigate allegations of abuse and failed to prevent and protect residents from further potential abuse during the investigation. A resident sexually abused another resident who resided at the facility when Resident #5 touched the breast of Resident #1 and Resident #7. Resident #1 stated the fact that Resident #5 touched her breast made her feel like she wanted to kill him. Resident#1 stated Resident #5 has made ongoing physical attempts to reach out and touch her breast. Record review revealed a history of inappropriate behaviors and a lack of protective measures taken or investigations completed. […]