Norwalk Skilled Nursing & Wellness Centre, LLC

In the surveyor’s words

From the most serious findings on record at Norwalk Skilled Nursing & Wellness Centre, LLC, in the surveyor’s own words.

• Immediate jeopardy, isolatedF740Sep 20, 2024

  Based on interview and record review, the facility failed to ensure the resident, who had diagnosis of depression (mental health disorder characterized by persistently low mood or loss of interest in activities, causing significant impairment in daily life ) and a history of suicidal ideation (thinking about or formulating plans for suicide [the act or an instance of ending one's own life voluntarily and intentionally) did not commit suicide for one of three sampled residents out of 38 residents with a diagnosis of depression (Resident 1). The facility failed to: 1. […]

• Immediate jeopardy, isolatedF600Apr 20, 2021

  Based on observation, interview and record review, the facility failed to ensure residents were free from abuse for one of two sampled residents (Resident 1). Resident 1 was rough handled by Certified Nursing Assistant 1 (CNA 1) after the resident refused care resulting in physical injuries and mental abuse. CNA 1 was allowed to continue to care for Resident 1. The facility failed to implement its abuse policy and procedure (P/P) as follows: 1. Report the abuse allegation to the Department of Public Health (DPH) within 24 hours. 2. Remove CNAs 1 and 2 immediately from providing care to Resident 1 during the investigation. 3. Thoroughly investigate the allegation which included interviewing other staff and residents. 4. Ensure Resident 1 was safe and free from further abuse. […]

• Actual harm, isolatedF689Jul 14, 2025

  Based on interview and record review, the facility failed to ensure a resident, who had diagnosis of self-harm, did not inflict self-injury by spraying oven-cleaner (degreaser) over his arms, for one of three sampled residents (Resident 1). The facility failed to: 1. Ensure staff followed Resident 1's untitled Care Plan dated 7/8/2025, for ideations of self-harm to provide the resident with a one-on-one sitter (a caregiver who provides continuous, dedicated support to an individual patient when a patient requires close supervision due to safety concerns such as potential for self-harm) after Resident 1 was readmitted back to the facility on 7/7/2025 from a general acute care hospital (GACH) 1 where he had been admitted for ideations of self-harm. 2. […]

• Actual harm, isolatedF689Nov 27, 2024

  Based on observation, interview and record review, the facility failed to ensure the resident, who was transferred by a mechanical lift (a device used to transfer residents from a bed to a chair or between surfaces), did not fall from the lift during transfer and sustained injuries for one of three sampled residents (Resident 1). The facility failed to: 1. Ensure Certified Nursing Assistant (CNA 1) did not transfer Resident 1 by herself from a bed to a shower chair (a movable or permanently installed seat for the tub or shower) by using a mechanical lift (a device used to transfer residents from a bed to a chair or between surfaces). 2. […]

• Actual harm, isolatedF580Sep 20, 2024

  Based on interview and record review, the facility failed to ensure the licensed nurses notified the physician when a resident with diagnosis of depression (mental health disorder characterized by persistently low mood or loss of interest in activities, causing significant impairment in daily life ) experienced a change of condition ([COC] a sudden, clinically important deviation from a patient's baseline in physical, cognitive behavioral, or functional status) manifested by sobbing (crying spells) and verbalization that someone wants to kill him by putting poison in his water pitcher for one of three sampled residents (Resident 1). This failure resulted in Resident 1 committing suicide (the act or an instance of ending one's own life voluntarily and intentionally). On [DATE] at 4:40 a.m. […]