Havencare At Filosa
13 Hakim St, Danbury, CT 06810 · For profit - Limited Liability company · 64 certified beds · (203) 744-3366 Medicare & Medicaid certified
On the public record, this home looks stronger than most — but visit before you decide.
- a strong health-inspection score (5/5) — the hardest rating to game (though it’s ranked within its own state, not nationally)
- no federal fines or payment denials on record
- a high number of inspection citations overall (17) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
- 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 | 5 of 5 |
| StaffingFrom payroll records (PBJ) | 3 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 improved from 4 to 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 | 6.2% | 18.0% | 15.4% | better |
| Long-stay residents who lose too much weight | 6.1% | 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 | 0.0% | 1.5% | 2.0% | better |
| Long-stay residents with depressive symptoms | 26.5% | 22.3% | 6.5% | worse 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 | 8.5% | 3.5% | 3.3% | worse |
| Long-stay residents whose ability to walk worsened | 5.5% | 16.4% | 16.1% | better |
| Long-stay residents on antianxiety or hypnotic medication | 10.7% | 17.6% | 18.9% | better |
| Long-stay residents given the seasonal flu vaccine | 100.0% | 93.5% | 95.3% | typical |
| Long-stay residents with pressure ulcers | 5.5% | 4.0% | 4.7% | worse |
| Long-stay residents with worsening bladder/bowel control | 31.7% | 24.7% | 21.2% | worse |
| Long-stay residents who got an antipsychotic medication§ — see the note below the table | 10.4% | 17.8% | 17.1% | better |
| Short-stay residents who newly got an antipsychotic medication | 0.0% | 1.5% | 1.4% | better |
| Short-stay residents given the seasonal flu vaccine | 84.4% | 69.7% | 79.4% | typical |
| Short-stay residents rehospitalized after admission | 14.2% | 24.3% | 22.6% | better |
| Short-stay residents with an outpatient ER visit | 6.4% | 10.7% | 12.0% | better |
| Long-stay hospitalizations per 1,000 resident days | 1.55 | 2.06 | 1.67 | typical |
| Long-stay outpatient ER visits per 1,000 resident days | 1.24 | 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.
61.0% 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 181 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.
Met the expected recovery: 72.8% 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 81 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 0.40 therapist hours per resident per day in 2026Q1 — more than 70% of the 13,892 homes that report any therapy hours at all.
Weekend therapy: weekend therapy hours are 11% 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 | 61.0%CMS range 53.4–68.3 | 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 | 10.0%CMS range 7.5–13.5 | 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 | 72.8% | 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 | 70.4% | 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 | 66.7% | 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 | 99.0% | 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 | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality 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 | 98.5% | 98.7% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay | 1.0% | 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 | 8.6%CMS range 5.8–14.9 | 7.1% | Oct 2023–Sep 2024 | no different from U.S. |
| Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs | 0.88 | 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 64 beds and averages 58.8 residents a day — about 92% occupied, or roughly 5 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 4.02 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.97 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.31 is below 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 3.48 hrs/resident/day on weekends vs 4.25 on weekdays — 18% thinner on weekends. RN hours go from 1.05 to 0.77 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)
This home’s total nursing-staff turnover of 53% is about the same as 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.
17 citations, most serious first. The 10 most serious are shown; the remaining 7 are one tap away and print in full.
- Potential for harm · Dcited before2026-01-14 · tag F0656 — failed to write and follow a full care plan — isolatedDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
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 documentation review, facility policy review, and interviews for one resident (Resident #1) reviewed for quality of care, the facility failed to ensure use of a bed and chair alarm was assessed timely to ensure it was not a restraint and failed to ensure the care plan was based on a resident-specific assessment to support the use of the bed and chair alarms. The findings include: Resident #1's diagnoses included dementia, atrial fibrillation, osteoporosis, multiple rib fractures, depression, and history of falls. The quarterly Minimum Data Set (MDS) assessment dated [DATE] identified Resident #1 had a Brief Interview for Mental Status (BIMS) score of seven out of fifteen (7/15), indicative of being severely cognitively impaired, required partial to moderate assistance with ambulation and transfers and had no bed or chair alarms in use. The Resident Care Plan dated 10/29/25 identified Resident #1 was forgetful with poor safety awareness, and was at risk for falls 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 · E2024-08-07 · tag F0692 — failed to prevent malnutrition and dehydration — patternProvide enough food/fluids to maintain a resident's health.
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 interviews, review of the clinical record, and facility policy for 1 of 4 residents (Resident #47) reviewed for nutrition, the facility failed to document the percentage of supplements consumed in regard to significant weight loss. The findings include: Resident #47's diagnoses included left sided hemiplegia and hemiparesis (muscle weakness) following a cerebral infarction, dysphagia, and dementia. The Quarterly Minimum Data Set (MDS) assessment dated [DATE] identified Resident #47 was severely cognitively impaired and required supervision or touch assistance with eating, partial/moderate assistance with oral hygiene, and was dependent with personal hygiene. Additionally, Resident #47's MDS identified no significant weight loss at that time. The Resident Care Plan dated 12/8/23 identified a nutritional concern due to a cerebral vascular accident, hemiplegia and hemiparesis, dysphagia, and dementia. Interventions included to provide a one person assist with meals, give large portions, juice supplement as…
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 · D2024-08-07 · 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 observations, interviews and record review for 1 of 1 sampled residents (Resident #566) reviewed for an indwelling urinary catheter, the facility failed to provide a privacy covering on a urinary collection bag. The findings include: Resident #566's diagnoses include retention of urine, benign prostatic hyperplasia, and Parkinson's disease. The Resident Care Plan dated 7/31/24 identified Resident #566 utilized an indwelling foley catheter. Interventions included enhanced barrier precautions, foley to remain patent, to maintain the foley as ordered in the treatment administration record and to provide education on catheter use. The admission Minimum Data Set (MDS) assessment dated [DATE] identified Resident #566 was severely cognitively impaired, required substantial/moderate assistance for transfers and was dependent for toileting hygiene, bathing, and lower body dressing. Additionally, the MDS identified Resident #566 utilized an indwelling urinary catheter. Observations on 8/1/24 at 10:35 AM…
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 before2024-08-07 · 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 interviews, review of the clinical record, and facility documentation for 1 of 5 sampled residents (Resident #47) reviewed for unnecessary medication, the facility failed to accurately transcribe an Advanced Practice Registered Nurse (APRN) medication order. The findings include: Resident #47 diagnosis included vascular dementia with behavioral disturbance, unspecified psychosis, and Alzheimer's disease. The Quarterly Minimum Data Set (MDS) assessment dated [DATE] identified Resident #47 was severely cognitively impaired and required supervision with eating, partial assistance with oral hygiene, and was dependent with toileting, upper/lower body dressing, and personal hygiene. Additionally, the MDS identified Resident #47 received antidepressant medication. The Resident Care Plan dated 2/21/24 identified behavioral symptoms. Interventions included providing medications as ordered with physician discussion regarding dose revision and effect as needed. A Psychiatric progress note dated 4/17/24 written by…
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 before2024-08-07 · 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 interviews, review of the clinical record, and facility policy, for 1 of 2 residents (Resident #36) reviewed for pressure ulcers, the facility failed to ensure an alternating pressure mattress (APM) was set at the appropriate setting according to the physician's orders. The findings include: Resident #36's diagnoses included congestive heart failure, hypertension, unspecified protein calorie malnutrition and muscle weakness. The admission Minimum Data Set (MDS) assessment dated [DATE] identified Resident #36 was moderately cognitively impaired, and was dependent on staff with bed mobility, transfers, and ambulation. In addition, Resident #36 was frequently incontinent of urine and bowel and was at risk of developing pressure ulcers. Physician's order dated 7/24/24 directed an alternating pressure mattress (APM) with air loss at a weight setting of 165 pounds and to check placement and inflation each shift. The Resident Care Plan dated 8/1/24 identified Resident #36 was at risk for skin breakdown due to…
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 · D2024-08-07 · tag F0688 — failed to keep residents mobile / prevent decline — isolatedProvide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
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, interviews, review of the clinical record, and facility policy for 1 of 1 sampled resident (Resident #11) reviewed for range of motion (ROM), the facility failed ensure a device was applied for hand contractures. The findings include: Resident #11's diagnoses included Alzheimer's disease, poly osteoarthritis abnormal posture, and contractures of right/left hands. A Quarterly Minimum Data Set (MDS) dated [DATE] identified Resident #11 had a short/long term memory problem and upper/lower extremity limited ROM/impaired on both sides. Additionally, the MDS identified Resident #11 required maximal assistance with eating and was dependent with oral hygiene, toilet use, shower/bathing and upper/lower body dressing. An Occupational Therapy (OT) evaluation and plan of treatment dated 1/17/24 indicated Resident #11 had impaired ROM to the right upper extremity (elbow, wrist, hand, thumb, index finger, middle finger, ring finger and little finger), additionally, impaired ROM to the left upper…
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 · D2024-08-07 · 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 observations, interviews and record review for 1 of 3 residents (Resident #566) reviewed for infection control, the facility failed to ensure the urinary collection bag was maintained off the floor. Resident #566's diagnoses include retention of urine, benign prostatic hyperplasia, and Parkinson's disease. The Resident Care Plan dated 7/31/24 identified Resident #566 utilized an indwelling foley catheter. Interventions included enhanced barrier precautions, foley to remain patent, to maintain the foley as ordered in the treatment administration record and to provide education on catheter use. The admission Minimum Data Set (MDS) assessment dated [DATE] identified Resident #566 was severely cognitively impaired, required substantial/moderate assistance for transfers and was dependent for toileting hygiene, bathing, and lower body dressing. Additionally, the MDS identified Resident #566 utilized an indwelling urinary catheter. Observations on 8/1/24 at 10:35 AM and 8/5/24 at 6:26 AM identified Resident…
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 · D2022-04-26 · 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 observation, review of the clinical record, facility documentation, facility policy, and interviews for 1 of 2 Residents (Resident #26) reviewed for pressure wound, the facility failed to notify the responsible party in a timely manner. The findings include: Resident #26 was admitted to the facility with diagnoses that included rheumatoid arthritis and dementia. The care plan dated 3/10/22 identified a skin conditions and pressure ulcers. Interventions directed to derma septic to coccyx every shift and turn and reposition every 2 hours while in bed. Additionally, on 4/12/22 stage 2 pressure ulcer to left buttock. Intervention was to provide treatment as ordered. The quarterly MDS dated [DATE] identified Resident #26 had severely impaired cognition, was always incontinent of bowel and bladder and required extensive assistance with dressing and personal hygiene with assist of 2 and total care for toileting needed with assist of 2. Additionally, Resident #26 had no pressure areas. Day-Evening-Night 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.
- Potential for harm · Dcited before2022-04-26 · 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, clinical record review, review of facility documentation, review of facility policy, and interviews for one sampled resident (Resident #37) reviewed for supervision during dining, the facility failed to provide care and services in accordance with Speech Therapy (ST) recommendations. The findings included: Resident #37's diagnoses included chronic obstructive pulmonary disease, chronic kidney disease, dysphagia, osteoarthritis, status post COVID-19, dementia with behavioral disturbances, Alzheimer's disease, depression, psychosis and anxiety. The quarterly MDS assessment dated [DATE] identified Resident #37 with modified independence with cognitive skills for daily decision making, required extensive assist with bed mobility and supervision with eating. Further review identified no signs and/or symptoms of possible swallowing disorder. The care plan dated 1/6/22 identified problem with nutrition. Interventions directed to provide regular consistency diet and set up meal so the resident can…
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 before2022-04-26 · 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 observation, review of the clinical record, facility policy and interviews for 1 of 2 residents (Resident #26) reviewed for pressure ulcer, the facility failed to have a complete and accurate initial and weekly assessment of the resident's pressure ulcer and failed to ensure the dietician had seen the resident with a new pressure area in a timely manner. The findings included: 1a. Resident #26 was admitted to the facility with diagnoses that included rheumatoid arthritis and dementia. The care plan dated 3/10/22 identified a skin conditions and pressure ulcers. Interventions directed to apply derma septic to coccyx every shift and to turn and reposition every 2 hours while in bed. Additionally, on 4/12/22 noted a stage 2 pressure ulcer to left buttock. Intervention was treatment as ordered. The quarterly MDS assessment dated [DATE] identified Resident #26 had severely impaired cognition, was always incontinent of bowel and bladder and required extensive assistance with dressing and personal hygiene with…
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 · D2022-04-26 · 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 observation, review of the clinical record, facility documentation, facility policy, and interviews for 1 resident (Resident #2) reviewed for Accidents, the facility failed to conduct a thorough investigation for an injury of unknow origin. The findings include: Resident #2 was admitted to the facility with diagnoses that included Parkinson's disease, dementia, cerebral infarct and vascular disease, and anxiety disorder. The quarterly MDS assessment dated [DATE] identified Resident # 2 had severely impaired cognition, was frequently incontinent of bowel and occasionally incontinent of bladder and required extensive assistance for dressing, toileting, personal hygiene, ambulating and required 2 people for transfers. The care plan dated 1/27/22 identified a risk for falls/safety. Interventions directed to apply a bed and chair alarm for safety, landing mats on each side of the bed on the floor for safety, gripper socks when in bed, and to keep pathways clear. Additionally, a revision of the care plan…
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 · D2022-04-26 · tag F0867 — failed to act on quality-improvement findings — isolatedSet up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on, review of facility documentation, facility policy, and interviews the facility failed to implement appropriate plans of action to correct quality deficiencies once identified through Quality Assurance and Performance Improvement (QAPI). The findings include: A review of facility documentation identified 18 of 50 residents had electronic movement alarms. QAPI audit dated 10/18/21 noted 4 residents where the Position Change Alarms were removed. There was no documentation of measurable goals, step-by-step interventions to correct the problem and achieve established goals; and a description of how the QAA committee will monitor to ensure changes produce the expected results. An interview on 4/26/22 at 8:30AM with the Director of Clinical Operations identified an effort was made to address all residents who utilized alarms to see if there could be a reduction in their use back in 2019. The Director of Clinical Operations indicated she started in May 2021, and she identified a need to attempt to decrease the use of electronic movement alarms. However, the impact of the pandemic…
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 · E2019-09-26 · 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 observation, review facility documentation, review of facility policy, and interview, the facility failed to ensure staff were practicing appropriate hand hygiene and/or glove use during food preparation and/or serving practices. The findings include: An observation on 9/25/19 at 7:35 AM identified Dietary Staff #1 assisting with meal tray preparation for the morning meal. Dietary Staff #1 stopped plating food, doffed his gloves and exited the kitchen pushing a meal cart without performing hand hygiene. An observation on 9/25/19 at 7:39 AM identified Dietary Staff #1 returning to the kitchen, don gloves, push the door opener to the microwave, open then close the microwave with the right hand, turn the knob on the on the stove using the right hand and pick up the handle of the pot on the stove with the left hand. Dietary Staff #1 was then observed to place a stack of bowls on the counter using both hands. Using a ladle, Dietary Staff #1 scooped a thick white substance into 4 food bowls, then reached inside a bag on the food prep area and retrieved lids with the right gloved…
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 before2019-09-26 · tag F0656 — failed to write and follow a full care plan — isolatedDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
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, review of facility documentation, review of facility policy, and interviews, for 1 resident (Resident #7) reviewed for physical restraints the facility failed to ensure a device was not implemented after it was discontinued on the care plan. The findings include: Resident #7 was admitted on [DATE] with diagnoses that included fracture in unspecified part of the neck of the left femur and vascular dementia without behavioral disturbance. The annual Minimum Data Set (MDS) assessment dated [DATE] identified Resident #7 was severely cognitively impaired and required extensive one person assist with personal care. The fall risk assessment dated [DATE] noted a score of 19 indicating Resident #7 was at risk for falls. The care plan dated 1/17/19 identified Resident #7 was at risk for falls and/or injury related to a history of falls with interventions that included a wheelchair alarmed seatbelt- ensuring Resident #7 could unfasten his/herself to reposition every 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.
- No harm found · B2024-08-07 · tag F0584 — failed to keep a safe, clean, comfortable home — patternHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
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 and interviews for resident rooms on the second floor, the facility failed to provide a homelike, clean environment for the 9 of 13 rooms. The findings included: Observation of the second floor during the initial facility tour on 8/1/24 at 12:07 PM identified room [ROOM NUMBER] door and room [ROOM NUMBER] window, room [ROOM NUMBER], room [ROOM NUMBER] door and room [ROOM NUMBER] window, room [ROOM NUMBER] window, room [ROOM NUMBER] door, room [ROOM NUMBER] door and window, room [ROOM NUMBER] door and window, room [ROOM NUMBER] door and window, and room [ROOM NUMBER] door and window were missing a front piece to the facility supplied dresser, which clothing could be seen in the drawers. Interview with Person #1 on 8/5/24 at 12:21 PM identified that the dressers have been missing the front piece for at least 6 months and that she/he told LPN #1. Interview with LPN #1 on 8/5/24 at 12:25 PM identified that the dressers have been an issue and have been broken for a long time. LPN #1 identified…
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.
- No harm found · B2024-08-07 · tag F0761 — failed to label and store drugs safely — patternEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observations, interviews, review of facility documentation, and facility policy for medication storage, the facility failed to ensure storage of a vaccine in the refrigerator per CDC guidelines. The findings include: On 8/5/24 at 11:35 AM, observation of the 2nd floor medication cart identified a Covid-19 vaccine (Spike vac) with Resident #38's name attached was stored unrefrigerated in the cart. Interview with LPN #5 on 8/5/24 at 11:44 AM identified that the vaccine should be refrigerated and not stored in the medication cart. LPN #5 removed the vaccine and discarded it in a sharp ' s container. Interview with Pharmacist #1 on 8/6/24 at 2:20 PM identified that the Covid-19 vaccine was to be stored in the refrigerator until it was to be used and it should be taken out of the refrigerator an hour prior to administration. Spike vac vaccine should not be stored unrefrigerated for a long period of time because the efficacy of the vaccine will decrease. Documentation of receipt of vaccine was dated 5/3/24 and signed by LPN #3. Interview with LPN #3 on 8/7/24 at 11:44 AM…
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.
- No harm found · Bcited before2022-04-26 · tag F0656 — failed to write and follow a full care plan — patternDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
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 policy, and interviews for 6 residents (Residents #2, #8, #10, # 29, #43 and #197) reviewed for electronic movement alarms, the facility failed to develop and implement comprehensive person-centered care plan for each resident with interventions that included alternative safety measures prior to its initiation, ongoing progress of the alternative safety measures and plans for reduction of the use of a position change alarm. The findings included: 1.a Resident #2's diagnoses included Parkinson's disease, Cerebrovascular disease, and anxiety disorder. The Fall Scale dated 1/18/22 noted Resident #2 had a score of 45 which indicated the resident was a high risk for falls. The physician's orders dated 4/1/22 with an original order date of (9/7/21) directed bed alarm for safety. The care plan dated 4/2/22 identified Resident#2 was at risk for falls related to history of falls, incontinence, medications, and poor safety awareness. Interventions included to provide Occupational…
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
No federal fines in the current CMS record.
Who owns this facility
| Owner / manager | Type | Role | Share | Since |
|---|---|---|---|---|
| DANBURY OPCO LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | since 09/12/2023 |
| JEK IRRV TR II | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 26% | since 09/12/2023 |
| NMJ IRRV TR II | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 26% | since 09/12/2023 |
| JAKOBOVITS, NATHAN | Individual | W-2 MANAGING EMPLOYEE | — | since 09/12/2023 |
| KAGAN, JEFFREY | Individual | W-2 MANAGING EMPLOYEE | — | since 09/12/2023 |
| SHAPIRO, YITZCHOK | Individual | W-2 MANAGING EMPLOYEE | — | since 09/12/2023 |
3 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.
This home reported $1.5M paid to related parties — landlords or management companies under common ownership — equal to about 16% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.
Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2024. 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, FY2024). 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 075074. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2024-08-07, 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.