Springs At 3030 Park, The
3030 Park Avenue, Bridgeport, CT 06604 · For profit - Limited Liability company · 23 certified beds · (203) 374-5611 Medicare only — no Medicaid
This home has serious findings on its record. Read them closely before you consider it.
- a strong health-inspection score (5/5) — the hardest rating to game (though it’s ranked within its own state, not nationally)
- a high payroll-based staffing rating (4/5)
- fewer deficiencies at its most recent standard inspection than at the one before — a sign of improvement
- it has an abuse, neglect, or exploitation citation (F0600), cited Jan 2026
- it has 1 actual-harm citation
- a high number of inspection citations overall (18) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
- the CMS record shows $8,018 in federal fines (most recent 2024-03-21)
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 | 5 of 5 |
| StaffingFrom payroll records (PBJ) | 4 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 | 5 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 | 9.5% | 18.0% | 15.4% | better |
| Long-stay residents who lose too much weight | 12.5% | 6.5% | 5.4% | worse |
| Long-stay residents with a catheter left in their bladder | 0.0% | 0.7% | 0.9% | better |
| Long-stay residents with a urinary tract infection | 2.8% | 1.5% | 2.0% | worse |
| Long-stay residents with depressive symptoms | 0.0% | 22.3% | 6.5% | check this* — see note marked star 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 | 0.0% | 3.5% | 3.3% | check this* — see note marked star below the table |
| Long-stay residents on antianxiety or hypnotic medication | 8.3% | 17.6% | 18.9% | better |
| Long-stay residents with pressure ulcers | 3.4% | 4.0% | 4.7% | better |
| Long-stay residents with worsening bladder/bowel control | 26.2% | 24.7% | 21.2% | worse |
| Short-stay residents who newly got an antipsychotic medication | 2.6% | 1.5% | 1.4% | worse |
| Short-stay residents given the seasonal flu vaccine | 96.3% | 69.7% | 79.4% | better |
| Short-stay residents rehospitalized after admission | 23.8% | 24.3% | 22.6% | typical |
| Short-stay residents with an outpatient ER visit | 4.0% | 10.7% | 12.0% | better |
* This home reported 0% on a measure where lower is better. That can mean genuinely excellent care — but because the number is self-reported, a zero can also mean the problem was not recorded. Weigh it against the inspection record above.
‡ 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.
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.
63.2% 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 119 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.
Met the expected recovery: 56.2% 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 80 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 0.81 therapist hours per resident per day in 2026Q1 — more than 94% of the 13,892 homes that report any therapy hours at all.
Weekend therapy: weekend therapy hours are 41% 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 | 63.2%CMS range 54.5–70.1 | 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 | 8.7%CMS range 5.7–13.0 | 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 | 56.2% | 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 | 58.8% | 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 | 42.5% | 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 | 100.0% | 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 | 0.0% | 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 | 1.0% | 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 | 6.2%CMS range 3.6–10.8 | 7.1% | Oct 2023–Sep 2024 | no different from U.S. |
| Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs | 0.82 | 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 23 beds and averages 21.2 residents a day — about 92% occupied, or roughly 2 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 5.91 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 2.01 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.89 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 5.05 hrs/resident/day on weekends vs 6.26 on weekdays — 19% thinner on weekends. RN hours go from 2.33 to 1.23 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)
1 administrator has left in the past year.
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 fewer than at the previous inspection — improving. 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.
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.
18 citations, most serious first. The 11 most serious are shown; the remaining 7 are one tap away and print in full.
- Actual harm · Gcited before2024-03-21 · 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 clinical record reviews, facility documentation, facility policy and interviews for one of four sampled residents (Resident #1) who required staff assistance with getting in and out of the bed and chair, via a mechanical lift, the facility failed to ensure a proper transfer to prevent a fall that resulted in Resident #1 sustaining bilateral femur fractures. The findings include: Resident #1's diagnoses included dementia, cervical spine spondylopathy, depression, respiratory failure, and aphasia. The quarterly Minimum Data Set assessment dated [DATE] identified Resident #1 rarely or never made decisions regarding tasks of daily life, required assistance of two (2) staff members with getting in and out of the bed and chair, and was incontinent of bowel and bladder. The Resident Care Plan dated [DATE] identified activities of daily living self-care performance deficit related to dementia and limited mobility. Interventions directed to provide assistance of two (2) staff members for turning 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 · E2026-01-07 · tag F0790 — failed to provide dental care — patternProvide routine and 24-hour emergency dental care for each 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 policy, and interviews for 3 of 3 residents (Residents # 7, 12, and 16) reviewed for dental services, the facility failed to offer routine dental services to long-term care residents, per the facility policy. The findings include: 1. Resident #7 was admitted to the facility in 9/2024 with diagnoses that included Alzheimer's Disease and protein-calorie malnutrition. The annual MDS dated [DATE] identified Resident #7 had severely impaired cognition and was not edentulous (lacking teeth). The quarterly MDS dated [DATE] identified Resident #7 did not have mouth or facial pain, discomfort or difficulty with chewing. The care plan dated 11/17/25 failed to reflect Resident #7's need for routine dental services. Review of the clinical record failed to reflect Resident #7 had been offered or had received routine dental services or that Resident #7 or Resident #7's representative had refused routine dental services from 9/2024 through 1/2026, 16 months. 2. Resident #12 was…
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 · D2026-01-07 · tag F0600 — failed to protect residents from abuse and neglect — isolatedProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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 interview for 1 resident (Resident #30) reviewed for staff to resident altercation, the facility failed to ensure the resident was free from abuse. The findings include:Resident #30 was admitted to the facility in July 2025 with diagnoses that included nondisplaced fracture of the fifth cervical vertebra, concussion and edema of cervical spinal cord, and cervical disc disorder at C5-C6 level.The admission MDS dated [DATE] identified Resident #30 had intact cognition and was dependent with personal hygiene. Additionally, Resident#30 had no verbal behavioral symptoms directed toward others (e.g., threatening others, screaming at others, cursing at others).The reportable event form dated 10/21/25 at 11:00 AM identified Resident #30 was alert and oriented. NA #3 came into Resident #30's room while the resident had a visitor and became loud speaking about personal issues. Resident #30 asked NA #3 to leave. Two other staff members…
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 before2026-01-07 · tag F0880 — failed to prevent and control infections — isolatedProvide and implement an infection prevention and control program.
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 3 of 3 resident (Resident #3, 28, and 32) reviewed for transmission based precautions, the facility failed ensure that appropriate signage was posted for Resident #3 who was on contact precautions, failed to ensure nursing staff adhered to appropriate infection control techniques for Resident #28, who was on droplet precautions, and failed to ensure nursing staff adhered to appropriate infection control techniques for Resident #32 who was on enhanced barrier precautions. The findings include: 1. Resident #3 was admitted to the facility in December 2025 with diagnoses that included metabolic encephalopathy, dysphagia, and urinary retention.The admission MDS dated [DATE] identified that Resident #3 had intact cognition, was frequently incontinent of bowel, required an indwelling urinary catheter, required substantial assistance from staff with bathing, and moderate assistance from staff for transfers…
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 · D2025-02-11 · tag F0550 — failed to protect resident dignity and rights — isolatedHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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 4 residents (Resident #223) reviewed for ADL's and who required assistance with toileting, the facility failed to ensure care that promoted the resident's dignity. The findings include: Resident #223 was admitted to the facility on [DATE] with diagnoses that included pneumonia, pulmonary hypertension, and chronic obstructive pulmonary disease (COPD). A physician's order dated 2/5/25 directed to administer Lasix (diuretic) 20 mg daily every other day. The nursing skilled evaluation dated 2/5/25 at 10:55 PM identified Resident #223 was alert and oriented and was continent of bladder with yellow urine. The social worker admission collection dated 2/6/25 at 2:56 PM identified Resident #223 was cognitively intact. The social worker note dated 2/6/25 at 3:20 PM identified she had called the resident representative with therapy present who indicated that Resident #223 was continent of bowel and bladder at home prior…
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 · D2025-02-11 · 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
Based on review of the clinical record, facility documentation, facility policy and interviews for of 3 of 4 residents (Resident #13, 3 and 173) reviewed for advance directives, the facility failed to ensure a physician's order was obtained that reflected the resident/resident representatives wishes for code status (code status refers to the level of medical interventions a person wishes to have started if their heart or breathing stops). The findings include: 1. Resident #13 had diagnoses that included atherosclerotic heart disease. An Advance Directive dated 1/23/25 identified in the event of a cardiopulmonary arrest, Resident #13 requested Do Not Resuscitate (DNR). The Advance Directive was signed by the resident representative. A review of the physician orders dated 1/23/25 to 2/9/25 failed to reflect a DNR order was written. An interview with the DNS on 2/11/25 at 11:13 AM identified she would expect the nurse to obtain a physician's order once the advance directive was signed that reflected the resident/representative wishes. A review of the facility policy for Advance…
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 · D2025-02-11 · 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 1 of 3 residents (Resident #223) reviewed for medication administration, the facility failed to notify the physician when medications and creams were not available/provided according to the physician's order. The findings include: Resident #223 was admitted to the facility on [DATE] with diagnoses that included pneumonia, pulmonary hypertension, and chronic obstructive pulmonary disease (COPD). A physician's order dated 2/5/25 directed to administer Mucinex 1200 mg twice a day, Coenzyme Q10 200 mg tablet once a day, Triamcinolone Acetonide external cream 0.1% apply to abdominal folds and under left breast daily, and Anusol external cream 2.5% apply to hemorrhoids twice a day. Review of the nursing notes dated 2/5/25 to 2/10/25 failed to reflect the physician was notified that the Mucinex, Coenzyme Q10, Triamcinolone Acetonide external cream and Anusol had not been administered/applied per the physician's order.…
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 before2025-02-11 · 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 1 of 3 residents (Resident #223) reviewed for medication administration, the facility failed to administer medications and creams according to the physician's order. The findings include: Resident #223 was admitted to the facility on [DATE] with diagnoses that included pneumonia, pulmonary hypertension, and chronic obstructive pulmonary disease (COPD). A physician's order dated 2/5/25 directed to administer Mucinex 1200 mg twice a day, Coenzyme Q10 200 mg tablet once a day, Triamcinolone Acetonide external cream 0.1% apply to abdominal folds and under left breast daily, and Anusol external cream 2.5% apply to hemorrhoids twice a day. Review of the nursing notes dated 2/5/25 to 2/10/25 failed to reflect the physician was notified that the Mucinex, Coenzyme Q10, Triamcinolone Acetonide external cream and Anusol had not been administered/applied per the physician's order. The social worker admission collection 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 · D2025-02-11 · 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 clinical record reviews, facility documentation, facility policy and interviews for of 3 of 3 residents (Resident # 7, 3 and 16) reviewed for pressure ulcers, for Resident #7 the facility failed to conduct comprehensive skin assessments by a registered nurse following the identification of a pressure injury consistent with professional standards, for Resident #3, the facility failed to complete a required nutritional assessment related to the presence of a newly identified pressure injury and for Resident #16 the facility failed to ensure the air mattress was set by the residents' weight per the physician order. The findings include: 1. Resident #7 had diagnoses that included fracture of the left femur and difficulty walking. The Hospital Discharge summary dated [DATE] identified wound care for the left femur surgical site with no documented pressure injuries. The Baseline Care Plan dated 12/16/24 identified Resident #7 was at risk for skin breakdown. Interventions included the application of pressure…
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 before2025-02-11 · 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 review of the clinical record, facility documentation, facility policy and interviews for 1 of 2 residents (Resident #17) reviewed for accidents, the facility failed to implement interventions and supervision to prevent falls. The findings include: Resident #17 had diagnoses that included dementia and history of fracture. A Fall Risk assessment dated [DATE] identified Resident #17 was at risk for falls. The admission MDS dated [DATE] identified Resident #17 was severely cognitively impaired, required two person assist with bed mobility/transfers and had a history of falls since admission without injury. The Care Plan dated 9/18/24 identified Resident #17 had impaired cognition and was at risk for falls related to dementia. Interventions included anticipating resident needs, ensuring the call bell is within reach and if restless, relocating the resident to a common area for closer supervision instead of assisting them to bed. Physician orders dated 9/19/24 directed assist of one with ADL's. Assist of two…
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 before2025-02-11 · tag F0880 — failed to prevent and control infections — isolatedProvide and implement an infection prevention and control program.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on review of facility documentation and interviews, the facility failed to maintain a complete and accurate record of residents identified with Multidrug-resistant organisms (MDRO) in accordance with infection control standards. The findings include: A review of the facility infection control program identified no documented surveillance of long term residents with current or a history of MDRO's. An interview and facility documentation review with the ADNS on 2/10/25 at 9:44 AM identified she was the assigned infection preventionist (IP) for the facility for the preceding five months and was responsible for implementing and monitoring infection control activities in the facility. The ADNS identified that although she tracked the MDRO status for short term residents, she had not completed surveillance or tracking on any long-term residents. The ADNS had not observed any long-term resident on enhanced barrier precautions indicating an MDRO when she was first employed at the facility and had not verified their status. The ADNS was unable to provide any documented MDRO tracking…
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 7 citations
- Potential for harm · D2024-03-21 · tag F0726 — failed to have competent, trained nursing staff — isolatedEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
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 clinical record reviews, facility documentation, facility policy and interviews for one of four sampled residents (Resident #1) who were reviewed for a mechanical lift (Hoyer) transfer, the facility failed to provide documentation that staff education and competencies were conducted to ensure safe transfer techniques. The findings include: Resident #1's diagnoses included dementia, cervical spine spondylopathy, respiratory failure, aphasia, and hypertension. The quarterly Minimum Data Set assessment dated [DATE] identified Resident #1 rarely or never made decisions regarding tasks of daily life, required assistance of two (2) staff members with getting in and out of the bed and chair, and was incontinent of bowel and bladder. A physician's order dated 1/30/24 directed to provide assistance of two (2) staff members for transfers via the Hoyer lift. The nurse's note dated 3/2/24 at 2:30 PM identified the 7AM-3PM Nursing Supervisor was notified by the 7AM-3PM charge nurse at 1:20 PM that Resident #1 slid…
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 · E2023-02-27 · 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 review of facility documentation, observations of the kitchen and interviews, the facility failed to ensure that food temperatures were taken and documented daily at each meal and failed to ensure proper infection control practices for hand washing were maintained while plating food at mealtime. The findings included: 1. Interview and review of facility documentation on 2/22/2023 at 12:25 PM with [NAME] #1 identified that he did not know why the cook scheduled on 2/22/2023 did not document the temperatures of foods served on 2/4/2023 for( 3 meals). [NAME] #1 indicated that when he came in to work his next scheduled day that is when he started to write on the 2/4/2023 blank form realizing it was the wrong day went to the correct sheet to document on and further indicated that he did not work on 2/4/2023. [NAME] #1 further indicated that the food is provided by the assisted living facility kitchen, and it is delivered to the skilled nursing facility via satellite kitchen, the food is kept warm, skilled nursing completes some of prep and cooking, plates and serves meals to the…
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 · D2023-02-27 · tag F0655 — isolatedCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
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 clinical record review, facility policy review, and interviews for 1 sampled resident (Resident # 171) reviewed for edema, the facility failed to ensure that a baseline care plan was completed within 48 hours of resident admission to address the resident's needs. The findings include : Resident # 171's diagnoses included Chronic Congestive Heart Failure (CHF), sick sinus syndrome and atrial fibrillation. Resident #171 was admitted on [DATE] and was in the facility less than 10 days. Completion of admission Minimum Data Set ( MDS) assessment was not required during this time. The Resident Care Plan (RCP)with Care Plan initiation dates of 2/20/23 and 2/21/2023(72 and 96 hours after admission). The Resident Care Plan (RCP) meeting attendance sheet dated 2/23/2023 at 11:30 AM identified as the Initial 72-hour Care Plan meeting indicated that an initial care plan meeting was held and noted that interdisciplinary staff, resident, and family signed as being in attendance. On 2/27/2023 at 1:25 PM an interview…
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 · D2023-02-27 · tag F0658 — failed to meet professional standards of care — isolatedEnsure 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 clinical record review, facility policy review and interviews for 1 sample resident (Resident #10) reviewed for hospitalization, the facility failed to ensure the resident was assessed comprehensively after significant change of condition in accordance to the professional standard and facility practice. The findings include: Resident #10's diagnoses included left femur fracture, rheumatoid arthritis, Peripheral Vascular Disease (PVD) and atrial fibrillation. The admission MDS assessment dated [DATE] identified Resident #10 had intact cognition and required extensive assist of 1 to 2 person with transfer, toileting, hygiene and non-ambulatory. The nurse's note dated 2/6/23 at 2:02 PM identified Resident #10 had been vomiting, noted with lethargy and left the facility for nephrology appointment. Further review of the nurse's note dated 2/6/23 at 3:32 PM identified Resident #10 had an episode of unresponsiveness and vomiting at his/her nephrology appointment and the resident was transferred to hospital 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.
- Potential for harm · Dcited before2023-02-27 · 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 clinical record review, facility policy and interviews for 1 sampled resident ( Resident # 171) reviewed for edema, the facility failed to ensure body weights were obtained as ordered by the physician. The finding include: Resident # 171's was admitted to the facility on [DATE] with diagnoses that included Chronic Congestive Heart Failure (CHF), sinus syndrome and atrial fibrillation. A physician's order dated 2/18/2023 directed to obtain Resident #171's weight on admission, daily for 3 days, weekly for four weeks, then monthly. On 2/21/23 at 12:30 PM observation identified Resident # 171 noted with bilateral ankle swelling. When questioned about the swelling Resident #171 was unsure if the swelling was new or old. On 2/22/2023 at 1:45 PM and interview with Licensed Practical Nurse (LPN#1) indicated Resident #171 had a weight obtained on admission, (2/17/2023), then again on 2/20/2023 in the electronic health medical record. LPN #1 further indicated that more weights could be found in the weight book.…
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 before2023-02-27 · tag F0880 — failed to prevent and control infections — isolatedProvide and implement an infection prevention and control program.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, facility policy review and interviews, the facility failed to ensure that staff was wearing a N-95 mask and face shield/goggles prior to going in a positive COVID-19 room in accordance to facility practice. The findings include: Observation on 2/23/23 at 9:10 AM identified License Practical Nurse (LPN #2) was preparing to administered medication outside a positive COVID-19 room. LPN#2 was noted wearing a gown, surgical mask and gloves and proceeded to go inside the positive Covid 19 resident's room to administer a medication. Further observation with LPN #2 having close contact with the positive COVID-19 resident during the medication administration. Interview with LPN #2 on 1/23/23 at 9:25 AM identified she was aware that room she went in was a positive COVID-19 room and on the resident was on strict precaution. She also indicated that staff are required to wear a gown, N-95 mask, face shield/goggles and gloves prior to entering a positive COVID-19 room. She also indicated she should wear a N-95 mask and face shield/goggles while administering a medication.…
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 · D2023-02-27 · 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 clinical record review, facility documentation, facility policy review and interviews for 1 of 5 residents (Resident #9) reviewed for vaccinations, the facility failed to administer pneumovax vaccine following a request to receive the vaccinations. The findings include: Resident #9 's diagnoses included dementia, atrial fibrillation, heart failure, depression, and hypertension. A review of facility documentation of Resident # 9's medical consent and acknowledgement dated 9/30/22 immunization record identified Resident # 9's responsible party signed the consent to administer vaccines according to the recommended schedule on 10/7/22. The immunization record identified that the consent for pneumovax dose 1 was refused. Interview with Director of Nursing Services (DNS) on 2/22/23 at 2:00 PM identified RN #1 (Infection Control Nurse) was responsible for obtaining and ensuring the resident's vaccine was administered after the consent was obtained. She also indicated that typically RN #1 had a separate consent form that allowed the facility to administer the pneumovax vaccine. She…
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
$8,018 in federal fines across 1 penalty.
- $8,018 — penalty dated 2024-03-21
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 | Share | Since |
|---|---|---|---|---|
| CT WATERMARK OPERATOR LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | since 06/01/2016 |
| CT WATERMARK PARTNERS LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | since 06/01/2016 |
| CTW CAPITAL LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | since 06/01/2016 |
| TFG HOLDINGS X LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | since 12/31/2019 |
| BARNES, DAVID | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | since 06/01/2016 |
| FRESHWATER, DAVID | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | since 06/01/2016 |
| ZARRILLI, FREDERICK | Individual | INDIRECT OWNERSHIP INTEREST; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 03/01/2025 |
| SENIOR LIVING HOSPITALITY GROUP LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 03/01/2025 |
| KEOGH, NATASHA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | since 11/05/2012 |
CMS files one row per role, so the 12 rows in the source record cover these 9 parties — each is shown once here with every role it holds. Nothing is omitted.
5 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
CMS lists this home as Medicare-certified only — it is not Medicaid-certified, so it generally cannot accept Medicaid as payment for a long-term stay. That makes it one of roughly 545 homes nationally where a Medicaid-funded placement is not an option. If you expect to rely on Medicaid, ask the home directly before you tour, and see the Connecticut Medicaid page for homes that do.
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 075440. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2026-01-07, 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.