Lutheran Home Of Southbury Inc
Lutheran Home Of Southbury Inc in SOUTHBURY, CT — inspection on December 1, 2025.
Found 3 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
Review of the facility Abuse Prevention Program Policy dated 5/25/25 defined misappropriation of resident property as the deliberate misplacement, exploitation, or wrongful, temporary or permanent, use of a resident's belongings or money without the resident's consent and directed that residents had the right to be free from misappropriation of resident property.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
12/01/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Lutheran Home of Southbury Inc
990 North Main Street Southbury, CT 06488
SUMMARY STATEMENT OF DEFICIENCIES
#4. SW #2 indicated Person #2 reported he/she arranged transportation on 9/13/2025 to another health care institution. SW #2 identified that on 9/12/2025, she did not contact the receiving health care institution to confirm Resident #4's admission on [DATE]. SW #2 identified on 9/12/2025 and 9/13/2025, she did not contact, convey, or electronically transmit Resident #4's discharge summary to the receiving health care institution or health care provider.Interview with Person #2 on 9/30/2025 at 10:27 A.M. identified on 9/12/2025 he/she received a call from Resident #4's spouse, who reported Resident #4 was scheduled to be discharged on 9/13/2025 from the facility back to the hotel.
Person #2 indicated Resident #4's spouse had been recently hospitalized and stated he/she was unable to care for Resident #4.
Person #2 indicated Resident #4's spouse asked if he/she could help coordinate transportation to a short-term care hospital on 9/13/2025.
Person #2 identified he/she spoke to SW #2 on 9/12/2025 to notify him/her of the arranged transportation on 9/13/2025 to the short-term care hospital.Interview with the Administrator on 9/30/2025 at 11:41 AM identified that on 9/13/2025, when Resident #4 left the facility, he/she had a copy of his/her discharge summary.
The Administrator was unable to provide documentation to reflect the facility confirmed Resident #4's discharge destination or that a discharge summary was provided to the receiving health care institution on 9/13/2025.
Interview with RN #1 (supervisor) on 9/30/2025 at 1:11 P.M. identified on 9/13/2025 at 4:30 P.M., RN #2 reported Resident #4 was discharged between 12:00 P.M. and 1:00 P.M., with his/her discharge paperwork. RN #1 identified that on 9/13/2025 at approximately 4:30 P.M., she received a call from a nurse at the health care institution asking why Resident #4 was sent there and requested that she send over a copy of Resident #4's discharge summary.Interview with the DNS on 9/30/2025 at 2:10 P.M. identified on 9/12/2025 SW #2 should have contacted the receiving health care institution to confirm Resident #4's admission on [DATE] and then sent over Resident #4's discharge summary.
The DNS was unable to explain why there was no communication with the receiving health care institution or why the discharge summary was not sent before Resident #4 left the facility.Although attempted, an interview with RN #2 was not obtained.
Review of the facility's Transfer or Discharge Emergency Policy dated 12/2021, directed in part, should it become necessary to transfer or discharge to a hospital or other related institution our facility will implement the following procedure: notify the receiving facility that the transfer is being made.
Review of the facility's Transfer or Discharge Policy dated 12/2016, directed in part, nursing services is responsible for preparing the discharge summary and post-discharge plan.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
12/01/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Lutheran Home of Southbury Inc
990 North Main Street Southbury, CT 06488
SUMMARY STATEMENT OF DEFICIENCIES
Review of the facility's Transfer or Discharge Policy dated 12/2016, directed in part, that nursing services is responsible for obtaining orders for discharge.
Facility ID: