Seabury
200 Seabury Drive, Bloomfield, CT 06002 · Non profit - Church related · 72 certified beds · (860) 286-0243 Medicare & Medicaid certified
This home’s record is mixed — some reassuring signs, some worth asking about.
- a strong health-inspection score (4/5) — the hardest rating to game (though it’s ranked within its own state, not nationally)
- a high payroll-based staffing rating (5/5)
- lower-than-typical staff turnover (10% vs 45% nationally) — better care continuity
- a high number of inspection citations overall (16) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
- the CMS record shows $28,105 in federal fines (most recent 2025-12-18)
- its last standard health inspection was over 2 years ago — the star rating may not reflect current conditions
One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.
A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.
| Health inspectionSurveyor-assigned, ranked within your stateInspector-verified | 4 of 5 |
| StaffingFrom payroll records (PBJ) | 5 of 5 |
| Quality measuresSelf-reported by the facility | 5 of 5 |
Location & what’s nearby
Open in Google Maps ↗ · Directions ↗ · Larger map ↗
Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.
Quality measures — how residents actually fare
| Overall quality measures | 5 of 5 |
| Long-stay residentspeople who live here | 5 of 5 |
| Short-stay residentsrehab / post-hospital | 4 of 5 |
Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.
Trend — is this home getting better or worse?
Over 2025-02 to 2026-06, this home’s CMS overall rating held steady at 5 stars. From monthly CMS archive snapshots.
Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.
See all quality measures vs. state & national benchmarks
| Measure | This home | State avg | Typical state | vs typical state |
|---|---|---|---|---|
| Long-stay residents whose need for help with daily activities increased | 8.3% | 18.0% | 15.4% | better |
| Long-stay residents who lose too much weight | 4.7% | 6.5% | 5.4% | better |
| Long-stay residents with a catheter left in their bladder | 0.5% | 0.7% | 0.9% | better |
| Long-stay residents with a urinary tract infection | 1.4% | 1.5% | 2.0% | better |
| Long-stay residents with depressive symptoms | 3.8% | 22.3% | 6.5% | better than state‡ — see note marked double-dagger below the table |
| Long-stay residents who were physically restrained | 0.0% | 0.0% | 0.1% | better than state‡ — see note marked double-dagger below the table |
| Long-stay residents with falls causing major injury | 5.0% | 3.5% | 3.3% | worse |
| Long-stay residents whose ability to walk worsened | 6.1% | 16.4% | 16.1% | better |
| Long-stay residents on antianxiety or hypnotic medication | 17.2% | 17.6% | 18.9% | typical |
| Long-stay residents given the seasonal flu vaccine | 91.4% | 93.5% | 95.3% | typical |
| Long-stay residents with pressure ulcers | 3.1% | 4.0% | 4.7% | better |
| Long-stay residents with worsening bladder/bowel control | 24.1% | 24.7% | 21.2% | worse |
| Long-stay residents who got an antipsychotic medication§ — see the note below the table | 26.6% | 17.8% | 17.1% | worse |
| Short-stay residents who newly got an antipsychotic medication | 1.8% | 1.5% | 1.4% | worse |
| Short-stay residents given the seasonal flu vaccine | 74.1% | 69.7% | 79.4% | typical |
| Short-stay residents rehospitalized after admission | 12.1% | 24.3% | 22.6% | better |
| Short-stay residents with an outpatient ER visit | 13.2% | 10.7% | 12.0% | typical |
| Long-stay hospitalizations per 1,000 resident days | 1.70 | 2.06 | 1.67 | typical |
| Long-stay outpatient ER visits per 1,000 resident days | 0.59 | 1.46 | 1.80 | better |
‡ On this measure the state average is at least twice (or half) the typical state — a gap that size is usually how the state codes and reports the measure, not how its homes actually perform. Against a benchmark this state does not sit on, a “vs typical state” verdict would mostly be measuring the state, so we compare this home with its own state instead and show both averages.
§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.
CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.
Short-stay rehab — if you are coming here from a hospital
Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.
71.1% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that better than the national rate. This is CMS’s risk-adjusted rate over 168 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.
Met the expected recovery: 50.0% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 78 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.
Therapy staffing: this home’s payroll records show 0.56 therapist hours per resident per day in 2026Q1 — more than 86% of the 13,892 homes that report any therapy hours at all.
Weekend therapy: weekend therapy hours are 17% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.
This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.
See every short-stay measure CMS publishes for this home
| Measure | This home | U.S. median | Period covered | CMS’s call |
|---|---|---|---|---|
| Got home and stayed homeRate of successful return to home or community from a SNF | 71.1%CMS range 63.9–78.6 | 51.5% | Oct 2022–Sep 2024 | better than U.S. |
| Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF | 7.6%CMS range 5.4–11.2 | 10.7% | Oct 2022–Sep 2024 | no different from U.S. |
| Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge | 50.0% | 56.6% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge | 46.1% | 52.8% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge | 43.6% | 50.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified | 90.4% | 98.7% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting | 100.0% | 100.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay | 2.1% | 0.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened | 2.1% | 1.9% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization | 5.7%CMS range 3.4–9.3 | 7.1% | Oct 2023–Sep 2024 | no different from U.S. |
| Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs | 0.87 | 1.02 | Oct 2022–Sep 2024 | CMS makes no comparison for this measure |
From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.
Staffing
How full it usually is: this home is certified for 72 beds and averages 67.7 residents a day — about 94% occupied, or roughly 4 beds typically open. It runs fairly full. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.
Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 4.78 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 1.19 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 3.10 is at or above the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.
Weekend coverage: total nurse staffing is 4.32 hrs/resident/day on weekends vs 4.96 on weekdays — 13% thinner on weekends. RN hours go from 1.35 to 0.79 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)
This home’s total nursing-staff turnover of 10% is below the national median of 45%.
Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.
Inspection trend
Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.
This trend is not current. The most recent of these two inspections was over 2 years ago; the arrow describes what inspectors found then, not what the home is like now.
Inspection deficiencies
State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.
Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.
16 citations, most serious first. The 10 most serious are shown; the remaining 6 are one tap away and print in full.
- Potential for harm · Fcited before2024-03-21 · tag F0812 — failed to store, cook, and serve food safely — widespreadProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation in the Dietary Department, staff interview, and facility policy, the facility failed to ensure food items were labeled and dated, and failed to ensure an adequately clean water filter system for the steam receptacles. The findings include: During a tour of the Dietary Department on 3/15/24 at 10:38 AM with the Executive Chef the following was identified: a. A 40-gallon plastic bin containing loose sugar (approximately 1/4 full) failed to identify the date the sugar was poured into the bin and failed to identify the expiration date of the sugar. b. A 40-gallon plastic bin containing loose rice flour (approximately 1/3 full) failed to identify the date the rice flour was poured into the bin and failed to identify the expiration date of the rice flour. c. A 40-gallon plastic bin containing loose brown rice was (approximately 1/16 full) failed to identify the date the brown rice was poured into the bin and failed to identify the expiration date of the brown rice. d. A 40-gallon plastic bin of approximately 2 cups of loose flour failed to identify the date the flour…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · E2024-03-21 · tag F0658 — failed to meet professional standards of care — patternEnsure services provided by the nursing facility meet professional standards of quality.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on review of the clinical record, facility documentation, facility policy, and interviews for 1 of 3 sampled residents (Resident #7) reviewed for pressure ulcers, the facility failed to ensure a weekly skin check was conducted by a licensed staff member and for 1 of 5 sampled residents, (Resident #48) reviewed for unnecessary medications, the facility failed to follow physician orders regarding pain medications. The findings include: 1. Resident #7 had a diagnosis of cerebral infarction with paralysis, hypertension, and congestive heart failure. Review of the physician orders dated 8/14/23 directed Resident #7 to have skin assessments performed weekly on Mondays. The Minimum Data Set assessment dated [DATE] identified Resident #7 was without cognitive impairment, was dependent on staff for transfers and personal hygiene, and required maximal assistance from staff for bathing, and toileting. Resident #7's Resident Care Plan dated 1/26/24 identified Resident #7 was at risk for pressure ulcers/injury related…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2024-03-21 · tag F0578 — failed to honor advance directives / code status — isolatedHonor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on review of the clinical record, facility policy, and interviews for the only sampled resident (Resident #28) reviewed for advanced directives, the facility failed to have a signed advanced directive available in either the paper or electronic clinical record. The findings include: Resident #28's diagnoses included congestive heart failure and chronic kidney disease. The admission Minimum Data Set assessment dated [DATE] identified Resident #28 was severely cognitively impaired and required moderate assistance for bed mobility and transfers. The Resident Care Plan dated 2/11/24 identified that Resident #28 was a Do Not Resuscitate (DNR) and a Do Not Hospitalize (DNH). Review of the monthly physician's orders for January, February, and March 2024 failed to identify a current or discontinued order for a DNR or DNH. In an interview and clinical record review with the DNS and ADNS on 3/20/24 at 9:21 AM, Resident #28's clinical record failed to reflect a completed and signed advanced directive form and failed…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2024-03-21 · tag F0580 — failed to tell family and doctor about changes — isolatedImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on review of the clinical record, facility documentation, facility policy and interviews for the only sampled resident (Resident #14) reviewed for edema, the facility failed to notify the provider of a significant change in the resident's weight. The findings include: Resident #14's diagnoses included heart failure, anemia, and atrial fibrillation (irregular heartbeat). The admission Minimum Data Set (MDS) assessment dated [DATE] identified Resident #14 was moderately cognitively impaired, required substantial/maximal assistance of staff to transfer, and required substantial/maximal assistance of staff to propel the wheelchair. The Resident Care Plan dated 11/5/23 identified that Resident #14 had heart failure and was at risk of having too much fluid in his/her circulatory system. Interventions included notifying the medical staff if the resident had any signs or symptoms of heart failure and updating the medical staff of any significant changes in the resident's condition. A physician's order dated…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2024-03-21 · tag F0684 — failed to provide proper treatment and quality of care — isolatedProvide appropriate treatment and care according to orders, resident’s preferences and goals.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on review of the clinical record, facility documentation, facility policy and interviews for the only sampled resident (Resident #14) reviewed for edema, the facility failed to follow the provider's order for daily weights, and for 1 of 2 sampled residents (Resident #18) reviewed for skin conditions the facility failed to ensure a treatment order was correctly transcribed to the [NAME] and that post-surgical wound treatments were performed. The findings include: 1. Resident #14's diagnoses included heart failure, anemia, and atrial fibrillation (irregular heartbeat). The admission Minimum Data Set (MDS) assessment dated [DATE] identified Resident #14 was moderately cognitively impaired, required substantial/maximal assistance of staff to transfer, and required substantial/maximal assistance of staff to propel the wheelchair. The Resident Care Plan dated 11/5/23 identified that Resident #14 had heart failure and was at risk of having too much fluid in his/her circulatory system. Interventions included…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2024-03-21 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolatedProvide appropriate pressure ulcer care and prevent new ulcers from developing.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, review of the clinical record, facility policy, and staff interviews for 1 of 3 residents, (Resident #7), reviewed for pressure ulcers, the facility failed to ensure that a weekly skin assessment was completed by a licensed staff member. The findings included: Resident #7's diagnosis included hypertension, congestive heart failure, and hemiplegia/ hemiparesis following a cerebral infarction affecting the left side. Review of the physician orders dated 8/14/23 directed Resident #7 to have weekly skin checks completed on Mondays during the day shift. The quarterly Minimum Data Set assessment dated [DATE] identified Resident #7 was cognitively intact, was dependent on staff for transfers, required set up for eating, and personal hygiene, and required maximal assistance for bathing, and toileting. The Resident Care Plan dated 1/26/24 identified Resident #7 was at risk for pressure ulcers/injury related to the use of a splint (medical device) to left upper extremity, skin integrity was to be…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2024-03-21 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolatedProvide safe and appropriate respiratory care for a resident when needed.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, review of the clinical record, facility policy, and interviews for 2 of 3 sampled residents (Resident #10 and #215) reviewed for respiratory issues, the facility failed to obtain a physician's order for oxygen administration. The findings include: 1. Resident #10's diagnosis included malignant neoplasm of the frontal lobe, atrial fibrillation (irregular heartbeat), and congestive heart failure. The quarterly Minimum Data Set assessment dated [DATE] identified Resident #10 was severely cognitively impaired and was totally dependent on staff for toileting and personal hygiene. The Resident Care Plan dated 2/28/24 identified Resident #10 utilized oxygen with interventions that included regularly monitoring his/her oxygen saturation levels and application of oxygen via nasal cannula as needed. Review of the nursing note dated 3/7/24 at 7:21 AM identified that at 12:30 AM Resident #10 had a low oxygen saturation level on room air (without oxygen) ranging between 85 percent (%) to 87 %, oxygen…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2024-03-21 · tag F0710 — isolatedObtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on review of the clinical record, facility documentation, facility policy, and interviews for the only sampled resident (Resident #28) reviewed for hospice, the facility administered hospice services without a physician's order. The findings include: Resident #28's was admitted on [DATE] with diagnoses that included congestive heart failure and chronic kidney disease. The admission Minimum Data Set assessment dated [DATE] identified Resident #28 was severely cognitively impaired and required moderate assistance for bed mobility and transfers. Additionally, the MDS identified that Resident #28 received hospice care. The Resident Care Plan dated 2/11/24 identified that Resident #28 was on hospice care. Interventions included performing a pain assessment every shift, administering comfort meds as ordered and assessing the response, and education on the progression of terminal illness and symptoms during the dying process. Review of the monthly physician's orders dated January, February, and March 2024 failed…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2024-03-21 · tag F0770 — failed to provide lab services — isolatedProvide timely, quality laboratory services/tests to meet the needs of residents.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on review of the clinical record, facility policy, and interviews for 1 of 5 sampled residents, (Resident #18), reviewed for unnecessary medications, the facility failed to obtain lab services per the physician order. The findings include: Resident #18's diagnoses included bipolar disorder, hypertension, dementia, and hypothyroidism. The quarterly Minimum Data Set assessment dated [DATE] identified Resident #18 required set-up or clean up assistance with eating and oral hygiene, and supervision or touching assistance with upper body dressing and personal hygiene. The physician orders dated 1/18/24 directed facility staff to obtain laboratory work which included a complete blood count, basic metabolic panel, thyroid stimulating hormone, and vitamin D12 levels. Review of the clinical record failed to identify Resident #18 had laboratory results available per the physician's order on 1/18/24. Interview with the DNS on 03/21/24 at 11:56 AM identified that the facility staff failed to have the physician…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2022-02-17 · tag F0684 — failed to provide proper treatment and quality of care — isolatedProvide appropriate treatment and care according to orders, resident’s preferences and goals.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, review of the clinical record, facility documentation, facility policy and interviews for 1 resident (Resident #309) reviewed for admission/transfer/discharge, the facility failed to perform a full body skin assessment on admission, and to ensure pain medications were readily available to meet the resident's needs on admission. The findings include: Resident #309 was admitted to the facility on [DATE] with diagnoses that included joint replacement surgery, diabetes mellitus, peripheral vascular disease, anemia, and atherosclerotic heart disease. The care plan dated 1/20/22 for identified Resident #309 was at risk for pressure ulcers and skin injuries related to impaired mobility, peripheral vascular disease, diabetes mellitus and aspirin use. Resident #309 is identified to have pain related to total knee replacement, history of lumbar radiculopathy, cervical myelopathy, and osteoarthritis. Interventions included to monitor for changes in CMS to lower extremities, check feet daily,…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
Show the remaining 6 citations
- Potential for harm · Dcited before2022-02-17 · tag F0812 — failed to store, cook, and serve food safely — isolatedProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
What the surveyor found here — the official record, unedited, may be distressing
Based on observation, review of facility documentation, facility policy and interviews the facility failed to ensure the sanitizer solution used to clean contact surfaces in the kitchen contained the manufacturer recommended sanitizing levels. The findings include the following: Observation on 2/17/22 at 10:45 AM identified the surface sanitizing solution, Quaternary (QAC) solution in the kitchen registered consistently at less than 150-ppm in 3 of the 3 sanitizing buckets tested. Staff were observed to prepare new solution in 3 buckets and upon testing, the sanitization level for all 3 buckets was less than the 150 ppm. Interview at that time with the Dietary Manager identified it is the managers responsibility to ensure the QAC solution is at the manufactures recommended level. Review of the log for the QAC solutions failed to reflect the ppm of the sanitizing buckets was being recorded. Observation on 2/18/22 at approximately 8:15 AM identified 3 of 3 buckets tested at 50-100ppm QAC. The policy directs the QAT solution should reach a proper concentration of 200-400 ppm.
- Potential for harm · D2022-02-17 · tag F0883 — failed to offer flu and pneumonia vaccines — isolatedDevelop and implement policies and procedures for flu and pneumonia vaccinations.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on review of the clinical record, facility's documentation, facility policy and interview for 2 of 5 residents (Resident #9 and 17) reviewed for pneumococcal immunization, the facility failed to assess for pneumococcal immunization status on admission or offer the residents the immunization. The findings include: Resident #9 and 17 were admitted to the facility in 2019. Review of Resident #9 and 17's clinical record failed to reflect that the residents had been assessed for pneumococcal immunization status upon admission to facility or offered a pneumococcal immunization. Interview with the Infection Control Nurse (LPN #1) on 2/8/22 at 2:15 PM identified the clinical record lacked documentation that consent, or assessment had been completed for Residents #9 and 17 to determine pneumococcal immunization status. LPN #1 identified that she recently accepted this position as infection control preventionist (ICP). Interview with the DNS on 2/8/22 at 2:30 PM identified that the ICP is responsible for assessing and tracking immunizations in the facility and indicated that other…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · E2019-08-16 · tag F0755 — failed to provide safe pharmacy services — patternProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, facility policy and interviews for two medication rooms, the facility failed to remove expired medications from inventory. The findings included: 1. Observation of Laris Unit medication room and medication cart on 8/12/19 at 1:15 P.M. identified 2 containers of expired aspirin 325 MG tablets in the floor stock cabinet; one container had an expiration date of 3/1/19 and the other had an expiration date of 1/1/19. During the observation of the medication cart on the Laris Unit one container of aspirin 325 MG tablets with an expiration date of 1/1/19 was identified. Interview with RN #1 on 8/12/19 at 1:25 P.M. identified the facility expectation is every nurse that administer medication is expected to check the expiration and indicated she/he did not recall when he/she last gave a 325 MG aspirin tablet and could not recall checking the 325 MG aspirin for an expiration date. RN #1 identified she/he was not sure who was responsible for checking the expiration dates of medication containers…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Ecited before2019-08-16 · tag F0812 — failed to store, cook, and serve food safely — patternProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observations, review of facility documentation and interviews, the facility failed to store, prepare and serve food in accordance with professional standards for food service safety. The findings included: 1. Observation of kitchen during initial tour and interview with Dietary Director on 8/12/19 at 10:00 A.M. identified four dietary personnel with facial hair in the food preparation area without the benefit of facial hair restraints. The Dietary Director identified that she/he was aware of the regulations relating to facial hair restraint and sanitary practices. The Dietary Director further indicated she/he was new to the position and was unable to explain why the dietary personnel staff had never been directed to utilize facial hair. Interview with Dietary Manager on 8/12/19 at 10:10 A.M. identified there is no facility policy relating to facial hair restraint and the dietary employees had not been directed to wear facial-hair restraints. Interview with Administrator on 8/12/19 at 10:16 A.M. identified the dietary department is in the process of being restructured and…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2019-08-16 · tag F0659 — isolatedProvide care by qualified persons according to each resident's written plan of care.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on review of the clinical record, review of facility policy and interviews for one of five resident's reviewed for unnecessary medications (Resident #38), the facility failed to review and/or revise the resident's plan of care to meet the resident's needs. The findings included: Resident #38's diagnoses included vascular dementia with behavioral disturbance, depression and anxiety disorder, difficulty walking and idiopathic hypotension. A quarterly Minimum Data Set ( MDS) assessment dated [DATE] identified the resident as severely impaired for cognitive status, without behaviors, requiring extensive assistance from staff for most Activities of Daily Living (ADL), and noted the utilization of both antipsychotic and antidepressant medications during the last seven days. The Resident Care Plan (RCP) updated on 6/29/19 identified a problem of Behavioral symptoms that included threating to throw self on the floor and making suicidal statements. Approaches included : to attempt to redirect with food, fluids,…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2019-08-16 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolatedEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, review of the clinical record, facility documentation, facility policy, and interviews for one sampled resident (Resident # 39) reviewed for accidents, the facility failed to implement the facility fall policy to prevent a second fall. The findings include: Resident #39 was admitted on [DATE] with diagnoses that included: heart failure, renal failure, dementia with behavioral disturbance, displaced intertrochanteric fracture of right femur, unsteadiness on feet, and lack of coordination. A physician's order dated 6/6/19 directed to implement the nursing, physical therapy, and occupational therapy care plans. Review of the fall-risk assessment dated [DATE] identified Resident #39 was with intermittent confusion and a high risk for falls. The care plan dated 6/7/19 identified Resident #39 was at risk for fall secondary to weakness, cognitive deficit, and a femur fracture from a recent fall; The care plan further identified Resident #39 was non ambulatory and required the use of a lift for…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.
- Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
- Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
- State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Fines & penalties
$28,105 in federal fines across 1 penalty.
- $28,105 — penalty dated 2025-12-18
Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.
Who owns this facility
| Owner / manager | Type | Role | Since |
|---|---|---|---|
| BABBITT, BRADFORD | Individual | CORPORATE DIRECTOR | since 11/01/2014 |
| BURNETT, ROBERT | Individual | CORPORATE DIRECTOR | since 11/02/2023 |
| DOLLAR, ELLEN | Individual | CORPORATE DIRECTOR | since 11/06/2025 |
| FINDLAY, NORVILLA | Individual | CORPORATE DIRECTOR | since 03/13/2025 |
| JACQUES, CHERYL | Individual | CORPORATE DIRECTOR | since 01/15/2025 |
| JASMINSKI, AUGUST | Individual | CORPORATE DIRECTOR | since 03/07/2024 |
| MACK, DIANE | Individual | CORPORATE DIRECTOR | since 11/02/2023 |
| MELLO, JEFFREY | Individual | CORPORATE DIRECTOR | since 11/03/2022 |
| MIHALCIK, MATTHEW | Individual | CORPORATE DIRECTOR | since 05/15/2026 |
| MOORE, MARIAN | Individual | CORPORATE DIRECTOR | since 11/03/2022 |
| PICKERING, JOHN | Individual | CORPORATE DIRECTOR | since 11/06/2025 |
| PURNELL, ERL | Individual | CORPORATE DIRECTOR | since 11/01/2015 |
| SCOTT, CRAIG | Individual | CORPORATE DIRECTOR | since 01/01/2017 |
| SHERRILL, MICHAEL | Individual | CORPORATE DIRECTOR | since 11/07/2019 |
| STANLEY, LYNNE | Individual | CORPORATE DIRECTOR | since 11/06/2025 |
| THERIAULT, RONALD | Individual | CORPORATE DIRECTOR | since 11/02/2023 |
| TONKIN, RUSSELL | Individual | CORPORATE DIRECTOR | since 11/05/2020 |
| ZIEGENHAGEN, ROBERT | Individual | CORPORATE DIRECTOR | since 06/26/2025 |
| BERNASCONI, RENEE | Individual | CORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 07/01/2019 |
| KUZMENKO, RUSLAN | Individual | CORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 01/01/2017 |
| OAKES, MICHAEL | Individual | CORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROL | since 06/30/2019 |
| CLIFTONLARSONALLEN LLP | Organization | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 01/01/2024 |
| HEALTHPRO HERITAGE LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 02/01/2017 |
| BOMPASTORE, JACOB | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 04/10/2019 |
| KNITTEL, ROSE | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 01/01/2024 |
CMS files one row per role, so the 34 rows in the source record cover these 25 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.
2 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.
Follow the money — this home’s finances
Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.
A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.
Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.
Cost & finances
Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.
What families pay in CT
This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the Connecticut Medicaid page.
Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.
Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 075383. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2024-03-21, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →
Not a government site. Eldercare Lens is not affiliated with, endorsed by, or authorized by the Centers for Medicare & Medicaid Services (CMS), Medicare, or any government agency. The star ratings, citations, and inspection wording on this page are reproduced from the public CMS record; the plain-English summaries, tiers, and comparisons around them are ours. We do not speak for CMS, and CMS has not reviewed this page. For the official record, go to Medicare Care Compare. How we’re funded →
Are you this operator? If the record here is out of date, or misses what you have since fixed, tell us and we will look: hello@eldercarelens.com. We reproduce the public CMS record and cannot change what it says — corrections to the underlying data go through CMS and your state survey agency — but we will correct anything we have got wrong about it, and we will say so on the page.