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Facilities Licensing and Inspections

Connecticut Department of Public Health

Total number of deficiencies written at level of jeopardy (Immediate Jeopardy to resident health and safety) (J, K, L)

Current Value

28

2023

Definition

Story Behind the Curve

Immediate jeopardy, a situation in which immediate corrective action is necessary because the facility’s noncompliance with one or more requirements of participation has caused, or is likely to cause, serious injury, harm, impairment, or death to a resident receiving care in a facility. Scope is measured by three levels: isolated; pattern; and widespread.

*Data is updated annually. Next update will be January of 2024. 

Partners


Facility Licensing and Investigation staff includes licensed registered nurses and building and fire safety inspectors who conduct the surveys and investigations.

Department of Public Health staff includes but is not limited to the Commissioner’s Office, Practitioner licensing staff, legal office and epidemiology.

Department of Consumer Protection (Drug Control)

Centers for Medicare and Medicaid Services provides the survey protocol (State Operations Manual) for staff conducting surveys as well as enforcement remedies.

Connecticut Long Term Care Ombudsman Program protects and promotes the rights and quality of life for residents of skilled nursing facilities.

Leading Age Connecticut and Connecticut Association for Health Care Facilities are associations dedicated to advancing the quality of services and care for older adults and chronically ill individuals in the setting of their choice by leading, educating, representing, advocating and servicing its members who are mission-driven, not-for-profit providers representing the continuum.

Connecticut Hospital Association advances the health of individuals and communities by leading, representing, and serving hospitals and healthcare providers across the continuum of care that are accountable to the community and committed to health improvement.

What Works

Quality Improvement Organization may be contracted with facilities to work on quality improvement projects to improve patient care and therefore decreasing the number of deficiencies.

Other methods include:

  • Quarterly meetings with provider associations to explain regulatory updates
  • Education with key staff members within facilities to discuss state & federal protocols
  • Annual conference for providers and DPH surveyors to discuss regulatory updates and statewide improvement projects/trends and education
  • Communication with all facilities when significant issues or emergencies arise

Ensuring 100% of certified healthcare facilities are inspected on a yearly basis maintains compliancy with CMS (Centers for Medicare and Medicaid Services) regulations.

Action Plan

DPH provides annual inspections to assess whether the nursing home meets certain "minimum" standards. If a nursing home has no deficiencies, it means that it met the minimum standards at the time of the inspection.

DPH maintains communication with partners on a regular basis to provide interpretative guidance to revised regulations and review current trends found during the survey process.

Why Is This Important?

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