Arden Care Center

F 0580 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few

FORM CMS-2567 (02/99) Previous Versions Obsolete

breakdown, and provide wound treatments as ordered.The admission [NAME] Data Set (MDS) dated [DATE REDACTED] identified Resident #1 had a Brief Interview for Mental Status (BIMS) score of fifteen (15) indicative of intact cognition, was occasionally incontinent of bowel, always incontinent of bladder, required substantial assistance with bed mobility, dependent on staff for all ADLs including transfers, was non-ambulatory and dependent on staff for mobility in the wheelchair. The MDS further identified Resident #1 had a stage one pressure injury, a stage three pressure injury, and an infection of the foot.The physician's orders dated 7/30/2025 directed to cleanse the right ankle with generic wound cleanser, followed by xeroform, cover with abdominal pad, wrap with Kerlex (gauze wrap) one time per day on the day shift, and cleanse the right lateral calf wound with normal saline, pat dry, followed by calcium alginate, and wrap with Kerlex one time per day on the day shift.Review of the Resident #1's TAR dated 8/3/2025 identified the wound treatments for Resident #1's right ankle and right lateral calf wounds were not signed off indicating that the wound treatments were not administered.Interview with LPN #5 on 8/25/2025 at 2:07 P.M. identified on 8/3/2025 she was aware that she was supposed to administer Resident #1's wound treatments to the right ankle and right lateral calf. LPN #5 identified on 8/3/2025 she did not administer Resident #1's wound treatments. LPN #5 indicated she did not have time to administer Resident #1's wound treatments, so they were not done. LPN #5 did not notify the physician on 8/3/2025 that Resident #1's wound treatments were not administered.Interview with the DNS on 8/25/2025 identified on 8/3/2025 LPN #5 should have notified the RN supervisor she was unable to administer Resident #1's wound treatments and notified the on-call provider that Resident #1's wound treatments were not done.Interview with MD #1 on 8/26/2025 at 3:33 P.M. identified on 8/3/2025 when LPN #5 did not administer Resident #1's wound treatments, LPN #5 should have notified the on-call provider. MD #1 identified his expectations are if

a wound treatment is not administered for any reason he is notified.Review of facility notification change in condition policy dated 11/30/2025; in part, directed the patient's physician must be immediately notified when there is a need to alter treatment.

Event ID:

Facility ID:

If continuation sheet

Printed: 04/13/2026 Form Approved OMB No. 0938-0391

Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION

(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:

(X2) MULTIPLE CONSTRUCTION

B. Wing

A. Building

(X3) DATE SURVEY COMPLETED

08/26/2025

NAME OF PROVIDER OR SUPPLIER

STREET ADDRESS, CITY, STATE, ZIP CODE

Arden Care Center

850 MIX Ave Hamden, CT 06514

For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG

SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)

F 0600 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few

FORM CMS-2567 (02/99) Previous Versions Obsolete

LPN #3's initials. RN #2 identified Resident #1's wound treatments were supposed to be done daily and were not done on 8/2/2025 and 8/3/2025.Interview with LPN #6 on 8/25/2025 at 1:35 P.M. identified on 8/4/2025 RN #2 reported Resident #1's family members had concerns about Resident #1's dressings on h/her wounds. LPN #6 identified she and RN #2 went in to assess Resident #1. LPN #6 identified Resident #1's right calf, right ankle, and lower back/buttock dressings were soiled and dated as 8/1/2025 with LPN #3's initials. LPN #6 identified Resident #1's wound treatments were daily and were not done on 8/2/2025 and on 8/3/2025.Interview with LPN #5 on 8/25/2025 at 2:07 P.M. identified on 8/3/2025 she was aware that

she was supposed to administer Resident #1's wound treatments to the right ankle and right lateral calf.

LPN #5 identified on 8/3/2025 she did not administer Resident #1's wound treatments. LPN #5 indicated

she did not have time to administer Resident #1's wound treatments so they were not done. Interview with

the Director of Nurses (DNS) on 8/25/2025 at 2:25 P.M. identified Resident #1's wound treatments should have been completed on 8/2/2025 and 8/3/2025. The DNS was not aware that on 8/2/2025 and 8/3/2025 Resident #1's wound treatments were not administered. The DNS identified she expects wound treatments to be administered per physician's orders and if the nurse signs off on the resident's TAR it indicates the wound treatment was completed. The DNS further identified Resident #1's right ankle, right calf, and lower back/buttocks wound treatments should have been administered on 8/2/2025 and 8/3/2025.Interview with MD #1 (Medical Director) on 8/26/2025 at 3:33 P.M. identified Resident #1's physician's orders directed to complete daily wound treatments for all h/her wounds. MD #1 identified from 8/2/2025 to 8/4/2025 Resident #1's wound treatments should have been completed. MD #1 identified his expectations are resident's wound treatments are administered per the physician's orders.Review of the facility abuse prohibition policy dated 10/24/2022; in part, identified the center prohibits neglect for all patients. Neglect is defined as failure,

in difference, or disregard to provide care and services to a patient.

Event ID:

Facility ID:

If continuation sheet

Printed: 04/13/2026 Form Approved OMB No. 0938-0391

Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION

(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:

(X2) MULTIPLE CONSTRUCTION

B. Wing

A. Building

(X3) DATE SURVEY COMPLETED

08/26/2025

NAME OF PROVIDER OR SUPPLIER

STREET ADDRESS, CITY, STATE, ZIP CODE

Arden Care Center

850 MIX Ave Hamden, CT 06514

For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG

SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)

F 0610 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few

FORM CMS-2567 (02/99) Previous Versions Obsolete

family members reported on 8/4/2025 when they came in to visit Resident #1, Resident #1 was in bed, naked, and crying. RN #2 identified that he did not initiate an investigation nor communicate to the Director of Nurses (DNS) or Administrator that Resident #1's family alleged Resident #1 was left naked in bed by NA #2. RN #2 indicated when he entered Resident #1's room, Resident #1 was not naked. RN #2 identified because Resident #1 was not naked, and an investigation was initiated for the allegation that Resident #1 was abused over the weekend he did think an additional investigation should be initiated. Interview with Licensed Practical Nurse (LPN) #3 (charge nurse) on 8/25/2025 at 1:50 P.M. identified on 8/4/2025 that Resident #1's family told her that Resident #1 was crying because when NA #2 was providing care to Resident #1, she left the room to obtain supplies, and NA #2 left Resident #1 naked and exposed. LPN #3 indicated Resident #1's family members went downstairs to report concerns to the Administrator. LPN #3 identified shortly after Resident #1's family members went downstairs, RN #2 (supervisor) and LPN #6 (unit manager) went into Resident #1's room to obtain further information. LPN #3 indicated that on 8/4/2025 she assumed since RN #2 went into see Resident #1 that RN #2 initiated an investigation for the allegation that

on 8/4/2025 Resident #1 was left naked in bed by NA #2. LPN #3 identified on 8/4/2025 she should not have assumed that RN #2 initiated an investigation, and she should have notified the DNS or ADNS.

Interview with the DNS on 8/25/2025 at 2:25 P.M. identified she was not aware on 8/4/2025 Resident #1's family members reported to RN #2 that they found Resident #1 crying, lying in bed, naked by NA #2 who had left the room to obtain linens and never returned. The DNS identified on 8/4/2025 that RN #2 should have initiated the investigation and notified her of the allegation. The DNS further identified her expectation for any allegations of mistreatment, abuse, or neglect that an investigation is immediately initiated. Review of the facility abuse prohibition policy dated 10/24/2022; in part, directed immediately upon receiving information concerning a report of suspected or alleged abuse, mistreatment or neglect, initiate an investigation, and the investigation will be thoroughly documented.

Event ID:

Facility ID:

If continuation sheet