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Connecticut Baptist Homes, INC

292 Thorpe Avenue, Meriden, CT 06450 · Non profit - Church related · 60 certified beds · (203) 237-1206 Medicare & Medicaid certified

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Abuse-prevention, restraint, or reporting citations — no harm found (F0607, F0609) — most recent Aug 20221 immediate-jeopardy citation$83,947 in federal fines
Insights

This home has serious findings on its record. Read them closely before you consider it.

In its favor
  • a high payroll-based staffing rating (4/5)
Worth asking about
  • it has citations for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0607, F0609) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
  • inspectors cited 1 immediate-jeopardy problem — the most serious level
  • a high number of inspection citations overall (20) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • the CMS record shows $83,947 in federal fines (most recent 2026-03-30)
  • its payroll-based staffing score sits well above its independent inspection score
  • its independent health-inspection rating is low (2/5)

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.

2/5
CMS overall
2 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 2 of 5
StaffingFrom payroll records (PBJ) 4 of 5
Quality measuresSelf-reported by the facility 3 of 5

Worth a closer look. This home's staffing rating runs 2 stars above its independent health-inspection score. The inspection is done by state surveyors; the staffing score rests on the facility's own payroll (PBJ) submissions — so a gap this large is worth reading the inspection record for.

Location & what’s nearby

Hospital
★★★★ 4/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
MediQuick0.9 mi
61 Pomeroy Ave · (203) 694-5350 · Call to confirm hours
Pharmacy
883 Paddock Ave · (203) 599-0187 · Call to confirm hours
Grocery
1265 E Main St · (860) 477-8078 · Call to confirm hours
Park
(860) 349-7122 · Typically dawn to dusk
Place of worship
The Cove0.5 mi
250 Pomeroy Ave · (203) 634-0500

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 3 of 5
Long-stay residentspeople who live here 3 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 1 to 2 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.

Overall rating2★
Inspection scorelower = better
See all quality measures vs. state & national benchmarks
MeasureThis homeState avgTypical statevs typical state
Long-stay residents whose need for help with daily activities increased25.6%18.0%15.4%worse
Long-stay residents who lose too much weight6.5%6.5%5.4%worse
Long-stay residents with a catheter left in their bladder0.0%0.7%0.9%better
Long-stay residents with a urinary tract infection0.5%1.5%2.0%better
Long-stay residents with depressive symptoms0.4%22.3%6.5%better than state — see note marked double-dagger below the table
Long-stay residents who were physically restrained0.0%0.0%0.1%better than state — see note marked double-dagger below the table
Long-stay residents with falls causing major injury11.4%3.5%3.3%worse
Long-stay residents whose ability to walk worsened22.5%16.4%16.1%worse
Long-stay residents on antianxiety or hypnotic medication14.5%17.6%18.9%better
Long-stay residents given the seasonal flu vaccine100.0%93.5%95.3%typical
Long-stay residents with pressure ulcers0.0%4.0%4.7%check this — see note marked star below the table
Long-stay residents with worsening bladder/bowel control31.7%24.7%21.2%worse
Long-stay residents who got an antipsychotic medication — see the note below the table13.1%17.8%17.1%better
Short-stay residents rehospitalized after admission5.7%24.3%22.6%better
Short-stay residents with an outpatient ER visit10.6%10.7%12.0%better
Long-stay hospitalizations per 1,000 resident days2.782.061.67worse
Long-stay outpatient ER visits per 1,000 resident days1.061.461.80better

* 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.

§ 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.

0.29U.S. median 0.31
Therapy hours / resident / day
0.13hours / resident / day
Physical therapy
0.14hours / resident / day
Occupational therapy
0.02hours / resident / day
Speech therapy

Therapy staffing: this home’s payroll records show 0.29 therapist hours per resident per day in 2026Q1 — more than 45% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 15% 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
MeasureThis homeU.S. medianPeriod coveredCMS’s call
Got home and stayed homeRate of successful return to home or community from a SNFnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNFnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identifiednot 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 next providerPercentage of residents where the SNF provided a current medication list to the next health care settingnot 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 dischargenot reported — Newly certified nursing home with less than 12-15 months of data available or the nursing home opened less than 6 months ago, and there were no data to submit or claims for this measure.
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF staynot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsenednot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalizationnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFsnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality 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

0.66
RN hours/ resident / day
0.61
LPN hours/ resident / day
2.60
Aide hours/ resident / day
3.87
Total nurse hours/ resident / day
0.45
RN hoursweekends
38.5%
Total nursing turnover
10.0%
RN turnover

How full it usually is: this home is certified for 60 beds and averages 57.5 residents a day — about 96% occupied, or roughly 2 beds typically open. It runs essentially full — expect a waiting list. 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 3.87 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.66 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.60 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 3.44 hrs/resident/day on weekends vs 4.04 on weekdays — 15% thinner on weekends. RN hours go from 0.75 to 0.45 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 38% 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

9
deficiencies at the latest standard inspection (2026-03-30)
5
at the previous standard inspection (2024-07-08)

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.

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.

ABCDEFGHIJKL

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.

20 citations, most serious first. The 13 most serious are shown; the remaining 7 are one tap away and print in full.

  • Immediate jeopardy · Jcited before2024-07-08 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
    Ensure 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 3 of 4 residents (Resident #42, 9 and 7), reviewed for accidents, for Resident #42 who had severely impaired cognition, a history of falls and was at high risk for elopement, the facility failed to monitor and accurately document the residents location in the facility every 15 minutes according to the plan of care which resulted in the resident being able to exit the facility (elope) unsupervised. These failures to properly monitor and accurately document the resident's location in the facility allowed the resident to elope the facility and resulted in a finding of Immediate Jeopardy. Additionally, for Resident #9, the facility failed to ensure the resident was transferred according to the physician's order resulting in a fall with an injury, and for Resident #7 the facility failed to ensure the staff used a gait belt during a transfer. The findings include: 1. Resident #42 was admitted to the facility 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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Actual harm · G2026-06-23 · tag F0760 — failed to prevent significant medication errors — isolated
    Ensure that residents are free from significant medication errors.
    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 the residents' medical records, facility documentation review, and interviews, it was determined that the facility failed to ensure that residents were free of significant medication errors. Specifically, the facility failed to administer correct medication to Resident #1 which led to harm and resulted in hospitalization with consequences. The findings include:Resident #1's diagnoses included diabetes mellitus, chronic kidney disease, lymphedema, asthma, neuropathy and hypertension. The quarterly Minimum Data Set assessment dated [DATE] identified Resident #1 was alert and oriented with no memory recall deficits. The Resident Care Plan dated 4/7/26 identified Resident #1 had altered cardiovascular status, impaired circulation and altered respiratory status. Interventions directed to administer medications per the physician's order. A physician's order dated 5/1/26 directed Resident #1 receive the following medications at 8:30 AM everyday: Daily-Vite tablet (a multivitamin) by mouth once a day,…

    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.

    Pharmacy Service Deficiencies · Deficient, Provider has plan of correction
  • Actual harm · G2026-03-30 · tag F0692 — failed to prevent malnutrition and dehydration — isolated
    Provide 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 observations, clinical record review, facility policies, and staff interviews, the facility failed to timely identify and respond to significant weight loss for 2 of 6 residents (Residents #3 and #26). The facility did not complete physician ordered weekly weights, did not obtain required reweights after weight loss of 5 pounds or greater per policy, failed to notify providers and the dietitian of documented significant weight loss, and did not implement or provide ordered nutritional supplements. These failures resulted in delays in assessment and intervention, allowing both residents to experience continued, preventable weight loss over multiple weeks. The findings include: 1.Resident #3's diagnosis included cerebrovascular disease, anxiety, and dementia. A Resident Care Plan dated 10/8/25 identified Resident #3 was at risk for malnutrition with interventions that included to provide gentle encouragement at mealtime, honor food preferences, and diet as ordered. A quarterly Minimum Data Set (MDS)…

    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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2026-03-30 · tag F0761 — failed to label and store drugs safely — pattern
    Ensure 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interviews, and review of facility policy for 2 of 2 medication rooms, the facility failed to ensure expired supplies were discarded and failed to ensure the medication cart was secured when staff were not in attendance. The findings include: 1. Interview and observation of the 2nd floor medication room with the Nursing Supervisor (RN #1) on [DATE] at 8:02 AM identified the following expired supplies a. 14 Covid19 AG Binox now tests ([NAME]), expired [DATE] b. Two (2) 10 milliliter (ml) syringe 22-gauge (g) x one (1) inch (in), expired [DATE] c. Six (6) three (3) ml syringe 23g x 1in, expired 8/20 d. 67 three (3) ml syringe 25g x 5/8 in, expired [DATE] e. 12 Hydrocortisone Acetate suppositories 25mg, expired [DATE]. 2. Interview and observation of the 3rd floor medication room with the Nursing Supervisor (RN #1) on [DATE] at 8:05 AM identified the following: a.One (1) 10 ml syringe 22g x one (1) in, expired [DATE] b. One (1) three (3) ml syringe 23g x 1in, expired [DATE] c. 21 three (3) ml…

    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.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2026-03-30 · tag F0812 — failed to store, cook, and serve food safely — pattern
    Procure 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 interviews, observations in the Dietary department and facility policy, the facility failed to ensure various food items were labeled with the date opened/expiration date, failed to ensure items were not stacked when wet, failed to identify plates coming from the dishwasher were clean, and failed to take freezer temperatures in 2 of 2 nourishment rooms. The findings include: On 3/23/26 at 10:24 AM, tour of the Dietary department with the Director of Dining identified the following: a. an 18 quart (qt) clear plastic bin (1/16 full) containing loose flour, an 18 qt clear plastic bin (4 qts full) containing loose breadcrumbs, and a 22 qt clear bin (12 qt full) containing loose oatmeal failed to identify the date the items were transferred into the bins from the original packaging and lacked an expiration date. The blue lid to the plastic bins of flour and breadcrumbs had an accumulation of white powdery debris and were dusty. b. a 46-ounce (oz) (almost full) plastic coated box type container of cranberry juice located in the beverage cooler was uncapped (no cap was located in…

    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.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2026-03-30 · tag F0880 — failed to prevent and control infections — pattern
    Provide 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 interviews, review of facility policy and observations of resident bathrooms on 2 of 2 nursing units, the facility failed to ensure personal care items were properly labeled, covered, and stored according to facility policy and in a manner to provide a clean environment. The findings included: Observation on 3/25/26 at 11:33 AM and on 3/25/26 at 1:00 PM observation with Registered Nurse (RN) #1 identified the following: a. room [ROOM NUMBER]'s shared bathroom contained 2 wash basins located on the floor and 1 urinal on the back of the toilet; all items were unlabeled (as to whom they belonged to) and not covered.b. room [ROOM NUMBER]'s shared bathroom contained 1 bedpan located on the handrail near the toilet, uncovered and unlabeled (as to whom it belonged to).c. room [ROOM NUMBER]'s bathroom contained 1 wash basin, which was labeled but located on the floor of the bathroom. c. room [ROOM NUMBER]'s shared bathroom contained 1 wash basin which was uncovered, labeled but stored on the floor and 1 bedpan…

    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.

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-03-30 · tag F0580 — failed to tell family and doctor about changes — isolated
    Immediately 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 policy and interviews for 2 of 6 residents (Resident #3 and Resident #26) reviewed for nutrition, the facility failed to ensure timely notification of a significant weight loss to either the physician, Dietician or responsible party. The findings include: 1. Resident #3's diagnosis included cerebrovascular disease, anxiety, and dementia. A Resident Care Plan (RCP) dated 10/8/25 identified Resident #3 was at risk for malnutrition with interventions that included gentle encouragement at mealtimes, honor food preferences, and diet as ordered. A quarterly Minimum Data Set (MDS) assessment dated [DATE] identified Resident #3 was moderately, cognitively impaired and required set up assistance with oral hygiene, upper/lower body dressing and personal hygiene. Additionally, the MDS identified Resident #3 was independent with eating, was not on a mechanically altered or therapeutic diet and weighed 134 pounds (lbs.). The Weight and Vital Summary located in the electronic…

    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.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-03-30 · tag F0658 — failed to meet professional standards of care — isolated
    Ensure 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, interviews, and facility policy for 1 of 3 sampled residents (Resident #9) reviewed for accidents, the facility failed to complete neurological assessments after multiple unwitnessed falls, per facility policy. The findings include: Resident #9 was admitted to the facility in February 2025 with diagnoses that included unspecified dementia, displaced fracture of the left femur and osteoporosis with a current pathological fracture.A quarterly Minimum Data Set (MDS) assessment dated [DATE] identified Resident #9 was severely cognitively impaired and required supervision or touching assistance for transfers and bed mobility and partial/moderate assistance for toileting.The Resident Care Plan (RCP) dated 11/14/25 identified Resident #9 was at risk for falls due to multiple risk factors with interventions to toilet Resident #9 before and after meals, encourage Resident #9 to wear proper footwear and keep the resident's environment safe.a. A facility Reportable Event (RE) form 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.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2026-03-30 · tag F0684 — failed to provide proper treatment and quality of care — isolated
    Provide 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 observations, review of the clinical record, facility policy and interviews for 1 of 3 residents observed utilizing an air mattress (Resident #31), the facility failed to ensure the air mattress was set according to physician orders. Additionally, for 1 of 2 sampled residents (Resident #45) reviewed for edema, the facility failed to complete weekly weights after readmission to the facility, per the physician order. The findings include: 1.Resident #31's diagnoses included dementia, chronic respiratory failure, and anxiety. A physician order dated 2/25/25 and currently in effect directed an air mattress for the bed, to set according to the resident's weight, and check for inflation/function every shift. The quarterly Minimum Data Set (MDS) assessment dated [DATE] identified Resident #31 was moderately cognitively impaired, dependent on staff for dressing toileting, showering and transfers. The MDS further identified Resident #31 required set up assistance for eating, was at risk for a pressure ulcer, had…

    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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-03-30 · tag F0688 — failed to keep residents mobile / prevent decline — isolated
    Provide 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, review of the clinical record, facility policy and interviews for the only sampled resident (Resident #6) reviewed for positioning and mobility, the facility failed to apply a left upper extremity splint per the physician's order for a resident with a hand contracture. The findings include: Resident #6's diagnoses included unspecified dementia with agitation, spondylolysis (stress fracture or crack in bone of vertebrae of spine), and age-related osteoporosis. An Occupational Therapy (OT) evaluation dated 1/29/25 identified Resident #6 had worsening hand tremors, worsening tone and increased left hand tightness. The OT evaluation further noted Resident #6 was at risk for development of a hand contracture and skin breakdown. The quarterly Minimum Data Set (MDS) assessment dated [DATE], identified Resident #6 was severely cognitively impaired and dependent with toileting, bed mobility and transfers. The MDS indicated Resident #3 had an upper extremity impairment on one side but failed 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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2026-03-30 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
    Ensure 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 policy and interviews for the only sampled resident (Resident #6) reviewed for positioning and mobility, the facility failed to complete a mechanical lift transfer with 2 staff members. The findings include: Resident #6's diagnoses included unspecified dementia with agitation, spondylolysis (stress fracture or crack in bone of vertebrae of spine), and age-related osteoporosis.The quarterly Minimum Data Set (MDS) assessment dated [DATE], identified Resident #6 was severely cognitively impaired and dependent with toileting, bed mobility and transfers. The MDS indicated Resident #3 had an upper extremity impairment on one side and a lower extremity impairment on both sides. The Resident Care Plan (RCP) dated 1/15/26 identified Resident #6 had impaired mobility, was non- ambulatory and was at risk for falls. Interventions included Resident #6 required total assistance with transfers with a mechanical lift with the assist of 2 staff and had total…

    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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-07-08 · tag F0940 — failed to train staff — pattern
    Develop, implement, and/or maintain an effective training program for all new and existing staff members.
    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 facility documentation, facility policy, and interviews the facility failed to ensure that an accurate record of an effective training program for all staff was maintained. The findings include: The Facility assessment dated [DATE] directed that every staff member has knowledge competency in: infection control, bed rails, body mechanics, confidentiality, corporate compliance, harassment, hospitality, lock out tag out, mission and values, hazard communication, abuse, neglect, exploitation and misappropriation; resident rights; identification of condition change; resident preferences and workplace violence. Additional knowledge competencies for all staff include dementia management, infection transmission and prevention, immunization, QAPI, and OSHA hazard communication. Hand hygiene return demonstration competencies and observed knowledge competencies for emergency response are also required. Competencies are based on current standards of practice and may include knowledge and a test, knowledge…

    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.

    Administration Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-07-08 · tag F0947 — failed to train nurse aides adequately — pattern
    Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on review of facility documentation, facility policy, and interviews reviewed for training requirements the facility failed to ensure that an accurate record of continuing nurse aide competence of no less than 12 hours per year, including dementia management training and resident abuse prevention training, was maintained. Upon the survey team's request for documentation of the completion of 12 hours of nurse aide annual in-servicing and competency training, the facility was unable to provide sufficient documentation, including completed and signed Annual Inservice Education Fair 12/11/23 through 12/29/23 packets and competency forms. Interview with the Administrator on 7/8/24 at 11:25 AM identified that the facility was unable to locate staff competency forms and tracking documentation supporting the required annual 12-hour nurse aide training. The Administrator further identified that the documentation had been missing since November of 2023, when the former Staff Development Nurse resigned. The Administrator indicated that starting next week, the facility will begin…

    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.

    Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
Show the remaining 7 citations
  • Potential for harm · Dcited before2024-07-08 · tag F0684 — failed to provide proper treatment and quality of care — isolated
    Provide 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 policy, and interviews for 1 of 4 residents (Resident #10) reviewed for accidents, the facility failed to complete neurological vital signs after an unwitnessed fall, and for the only sampled (Resident #54) reviewed for a non-pressure skin condition, the facility failed to ensure weekly skin audits were completed, per the physician's order. The findings include: 1. Resident #10 was admitted to the facility with diagnoses that included dementia, osteoarthritis, hard of hearing, and diabetes. The care plan dated 1/2/24 identified Resident #10 was at risk for falls. Interventions included close supervisor while awake and encourage common areas when in wheelchair for close supervision. The fall risk assessment dated [DATE] identified Resident #10 was at high risk for falls. The quarterly MDS dated [DATE] identified Resident #10 had moderately impaired cognition, had no behaviors and required maximum assistance with toileting, bathing, and dressing. A reportable event…

    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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-07-08 · tag F0757 — failed to avoid unnecessary drugs — isolated
    Ensure each resident’s drug regimen must be free from unnecessary drugs.
    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 2 of 5 residents (Residents #20 and 42) reviewed for unnecessary medications, the facility failed to ensure orthostatic blood pressure monitoring was completed per the physician's order for a resident receiving an antipsychotic medication. The findings include: 1. Resident #20 was admitted to the facility on [DATE] with diagnoses that included dementia, panic disorder, and a history of repeated falls. The quarterly MDS assessment dated [DATE] identified Resident #20 had intact cognition, sustained 2 or more falls with no injury and 1 fall with injury since the prior assessment, and received antipsychotic medications on a routine basis. The care plan dated 3/18/24 identified Resident #20 had a behavior problem related to hallucinations, accusatory behavior, and anxiety/panic disorders. Interventions included administering medications as ordered and monitoring for side effects and effectiveness. A 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.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2022-08-15 · tag F0607 — failed to have anti-abuse policies — isolated
    Develop and implement policies and procedures to prevent abuse, neglect, and theft.
    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 abuse, the facility failed to the implement the facility's policies and procedure for investigating an allegation of mistreatment. The findings include: Resident #1's diagnoses included encephalopathy, anemia, panic disorder, anxiety, hyperlipidemia, gastro-esophageal reflux disease and dementia without behavioral disturbance. The quarterly Minimum Data Set (MDS) assessment dated [DATE] identified Resident #1 had intact cognition and required limited assistance of 1 person with transfer, ambulation, dressing and toileting. The Resident Care Plan (RCP) updated on 1/27/22 identified Resident #1 had a deficit in self-care performance related to impaired balance and high fall risk. Interventions included: directing staff to praise all effort by the resident during self-care, staff to continue to encourage the resident to participate as able with the washing, dressing,…

    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.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2022-08-15 · tag F0609 — failed to report abuse allegations — isolated
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    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 abuse, the facility failed to the report an allegation of potential mistreatment to the state agency timely. The findings include: Resident #1's diagnoses included encephalopathy, anemia, panic disorder, anxiety, hyperlipidemia, gastro-esophageal reflux disease and dementia without behavioral disturbance. The quarterly Minimum Data Set (MDS) assessment dated [DATE] identified Resident #1 had intact cognition and required limited assistance of 1 person with transfer, ambulation, dressing and toileting. The Resident Care Plan (RCP) updated on 1/27/22 identified Resident #1 had a deficit in self-care performance related to impaired balance and high fall risk. Interventions included: directing staff to praise all effort by the resident during self-care, staff to continue to encourage the resident to participate as able with the washing, dressing, hygiene, toileting, 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.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2022-08-15 · tag F0656 — failed to write and follow a full care plan — isolated
    Develop 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 review of the clinical record, facility policy and interviews for one resident (Resident #52) reviewed for wandering, the facility failed to develop a comprehensive care plan to address the resident's wandering behavior. These findings include: Resident #52 was admitted to the facility with diagnoses that included Alzheimer's disease, dementia with behavioral disturbance and psychosis. A quarterly MDS assessment dated [DATE] identified Resident #52 was severely cognitively impaired, the resident required supervision with 1 staff for transfer, walking in the room and locomotion on the unit and to ambulates with a walker. The quarterly assessment also noted no documentation of wandering behavior. A review of Resident # 52's March 2022 behavior monitoring sheet for wandering identified the resident demonstrated wandering behaviors 18 times on the evening shift and indicated the resident responded to redirection and return to room. An elopement risk assessment completed on 4/8/22 identified that 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.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2022-08-15 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
    Provide 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, review of facility policy and interviews for 2 residents (Residents #16 and #17) reviewed for pressure wound for Resident #16, the facility failed to ensure consistent monitoring of the resident's pressure relief mattress and for Resident # 17, facility failed to ensure the dietician addressed the resident's new pressure area and. The findings included: 1.Resident # 16's diagnoses included cerebral infarction, severe protein calorie malnutrition, hemothorax and poly-osteoarthritis. The admission Minimum Data Set (MDS) assessment dated [DATE] identified Resident # 16 was severely cognitive impaired, required extensive assistance of two persons for bed mobility, transfer, and toileting, required totally dependent on the assistance 2 persons for bathing and limited assistance of one person for eating. The MDS assessment also indicated Resident #16 had a stage 2 pressure ulcer present on admission. A physician's order on 6/29/2022 directed Do Not Resuscitate and Comfort Measures…

    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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2022-08-15 · tag F0757 — failed to avoid unnecessary drugs — isolated
    Ensure each resident’s drug regimen must be free from unnecessary drugs.
    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 and interviews for 1 of 6 sampled residents (Resident #50) reviewed for unnecessary psychotropic medication use, the facility failed to monitor the resident's targeted behavior specific to the anti-psychotic medication use and the facility failed to monitor orthostatic blood pressure in accordance with the physician's order. The findings include: 1 a. Resident #50 had diagnoses that included hypertension, hypothyroid, generalized osteoarthritis, atherosclerotic heart disease and hypercholesterolemia. The quarterly Minimum Data Set (MDS) assessment dated [DATE] identified Resident #50 was cognitively intact, and the resident required extensive assist of 1 person with transfers, ambulation, toileting, dressing and hygiene. The nurse's note dated 8/1/22 identified Resident #50 showing the staff the tips of his/her finger and stated that there was an egg coming out from his/her finger. The Advance Practitioner Registered Nurse (APRN) was notified of the hallucination. A urine specimen…

    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.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction

“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.

Worried about a resident here? There are three different people you can turn to, and they do different jobs:
  • 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.
Not sure where to start, or need other help? Dial 2-1-1 for local resources — and if a call is hard or impossible for you, many local 211s also take a text (send your ZIP code to 898-211) or a web chat at 211.org; both vary by area, and 211.org will show what yours offers. Deaf or hard of hearing: dial 711 for the telecommunications relay service, then any number above. In an emergency, call 911.
It is illegal for a facility to retaliate against a resident or family for reporting a concern: federal law gives a resident the right to voice grievances — to the home or to any outside agency — without discrimination or reprisal (42 CFR §483.10(j)(1)). You may report anonymously.

Fines & penalties

$83,947 in federal fines across 2 penalties.

  • $70,320 — penalty dated 2026-03-30
  • $13,627 — penalty dated 2024-07-08

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 / managerTypeRoleSince
MORSE, MARY PATRICIAIndividualW-2 MANAGING EMPLOYEE; CORPORATE DIRECTOR; CORPORATE OFFICERsince 08/05/2005
AVENA, ROBERTIndividualCORPORATE DIRECTORsince 09/30/2020
DOYLE, RICHARDIndividualCORPORATE DIRECTORsince 09/30/2020
JONES, DAVIDIndividualCORPORATE DIRECTORsince 09/30/2020
LEWIS, MARGARETIndividualCORPORATE DIRECTORsince 09/30/2020
MCMUNN, WILLIAMIndividualCORPORATE DIRECTORsince 09/30/2020
RIGGS, HARRYIndividualCORPORATE DIRECTORsince 09/30/2020
SARRAZIN, MARCIAIndividualCORPORATE DIRECTORsince 09/30/2020
SCOTT, HOPETONIndividualCORPORATE DIRECTORsince 09/30/2020
STEVENS, DAVIDIndividualCORPORATE DIRECTORsince 09/30/2020
STEVENS, SANDRAIndividualCORPORATE DIRECTORsince 09/30/2020
YOUNG, PETERIndividualCORPORATE DIRECTORsince 09/30/2020

CMS files one row per role, so the 14 rows in the source record cover these 12 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

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.

$6.4M
Net patient revenuemost recent cost report
-22.4%
Operating marginrevenue minus expenses
$88K
Related-party expense1% of expenses
Who pays — share of resident-days
Medicaid 84%Medicare 4%Other / private 12%

About 84% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. This home reported $88K paid to related parties (affiliated landlords or management companies) in its most recent 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

$365per resident / day
operating cost
$11,107per month
≈ monthly operating cost
$298per day
avg. revenue, all payers

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

Paying with Medicaid

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.

Typical monthly cost in Connecticut
$15,208/mo
Nursing home (semi-private)
$16,729/mo
Nursing home (private)
$9,118/mo
Assisted living

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 075352. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2026-03-30, 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.

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