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Jerome Home

975 Corbin Avenue, New Britain, CT 06052 · Non profit - Other · 94 certified beds · (860) 229-3707 Medicare & Medicaid certified

Call the home — (860) 229-3707 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Abuse/neglect citation on record (F0603) — cited Feb 2025Behavioral-health or dementia-care citation — no harm found (F0758)2 actual-harm citations$8,018 in federal fines
Insights

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

In its favor
  • a strong health-inspection score (4/5) — the hardest rating to game (though it’s ranked within its own state, not nationally)
  • a high payroll-based staffing rating (5/5)
  • lower-than-typical staff turnover (35% vs 45% nationally) — better care continuity
Worth asking about
  • it has an abuse, neglect, or exploitation citation (F0603), cited Feb 2025
  • it has citations for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0609, F0610) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
  • it has 2 actual-harm citations
  • a high number of inspection citations overall (21) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • the CMS record shows $8,018 in federal fines (most recent 2024-12-03)

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.

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

Location & what’s nearby

Hospital
★★ 2/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
14 Vine St · (860) 229-1905 · Call to confirm hours
Pharmacy
543 W Main St · (860) 225-6486 · Call to confirm hours
Grocery
1309 Corbin Ave · (860) 348-9856 · Call to confirm hours
Park
184 W Main St · (860) 826-3360 · Typically dawn to dusk
Place of worship
100 Wightman Rd · (860) 225-4477

Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Overall quality measures 5 of 5
Long-stay residentspeople who live here 5 of 5
Short-stay residentsrehab / post-hospital 5 of 5

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Trend — is this home getting better or worse?

Over 2025-02 to 2026-06, this home’s CMS overall rating held steady at 5 stars. From monthly CMS archive snapshots.

Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.

Overall rating5★
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 increased11.3%18.0%15.4%better
Long-stay residents who lose too much weight0.0%6.5%5.4%check this — see note marked star below the table
Long-stay residents with a catheter left in their bladder0.0%0.7%0.9%better
Long-stay residents with a urinary tract infection0.4%1.5%2.0%better
Long-stay residents with depressive symptoms0.0%22.3%6.5%check this — see note marked star 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 injury1.5%3.5%3.3%better
Long-stay residents whose ability to walk worsened10.7%16.4%16.1%better
Long-stay residents on antianxiety or hypnotic medication8.3%17.6%18.9%better
Long-stay residents given the seasonal flu vaccine100.0%93.5%95.3%typical
Long-stay residents with pressure ulcers2.1%4.0%4.7%better
Long-stay residents with worsening bladder/bowel control20.6%24.7%21.2%typical
Long-stay residents who got an antipsychotic medication — see the note below the table5.6%17.8%17.1%better
Short-stay residents who newly got an antipsychotic medication0.8%1.5%1.4%better
Short-stay residents given the seasonal flu vaccine66.8%69.7%79.4%worse
Short-stay residents rehospitalized after admission20.4%24.3%22.6%typical
Short-stay residents with an outpatient ER visit7.5%10.7%12.0%better
Long-stay hospitalizations per 1,000 resident days1.442.061.67better
Long-stay outpatient ER visits per 1,000 resident days0.931.461.80better

* 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.

63.2% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that better than the national rate. This is CMS’s risk-adjusted rate over 180 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

63.2%U.S. median 51.5%
Got home and stayed home
8.8%U.S. median 10.7%
Went back to hospital
63.2%U.S. median 56.6%
Met the expected recovery
0.73U.S. median 0.31
Therapy hours / resident / day
0.45hours / resident / day
Physical therapy
0.26hours / resident / day
Occupational therapy
0.02hours / resident / day
Speech therapy

Met the expected recovery: 63.2% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 87 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 0.73 therapist hours per resident per day in 2026Q1 — more than 93% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 28% 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 SNF63.2%CMS range 55.2–67.951.5%Oct 2022–Sep 2024better than U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF8.8%CMS range 6.4–11.710.7%Oct 2022–Sep 2024no 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 discharge63.2%56.6%Oct 2024–Sep 2025CMS 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 discharge52.9%52.8%Oct 2024–Sep 2025CMS makes no comparison for this measure
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge59.8%50.0%Oct 2024–Sep 2025CMS 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 identified100.0%98.7%Oct 2024–Sep 2025CMS 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 setting100.0%100.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge100.0%98.7%Oct 2024–Sep 2025CMS 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 stay1.0%0.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened0.0%1.9%Oct 2024–Sep 2025CMS makes no comparison for this measure
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization5.3%CMS range 2.9–9.77.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs0.851.02Oct 2022–Sep 2024CMS 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

1.11
RN hours/ resident / day
1.11
LPN hours/ resident / day
3.46
Aide hours/ resident / day
5.68
Total nurse hours/ resident / day
0.72
RN hoursweekends
34.8%
Total nursing turnover
26.9%
RN turnover

How full it usually is: this home is certified for 94 beds and averages 88.9 residents a day — about 95% 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 5.68 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 1.11 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 3.46 is at or above the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 5.00 hrs/resident/day on weekends vs 5.95 on weekdays — 16% thinner on weekends. RN hours go from 1.27 to 0.72 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 35% is below the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

11
deficiencies at the latest standard inspection (2025-02-10)
5
at the previous standard inspection (2023-01-31)

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.

21 citations, most serious first. The 12 most serious are shown; the remaining 9 are one tap away and print in full.

  • Actual harm · Gcited before2024-12-03 · 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 clinical record reviews, review of facility documentation and policies, and interviews for one (1) of three (3) sampled residents (Resident #1) who required staff assistance of one (1) when ambulating, the facility failed to utilize a gait belt when ambulating Resident #1 resulting in a fall and left lower leg fractures. The findings include: Resident #1's diagnoses included acute respiratory failure, weakness, difficulty walking, osteoporosis and generalized osteoarthritis. The admission Minimum Data Set assessment dated [DATE] identified Resident #1 had a BIMS of thirteen (13) indicating Resident #1 was alert and oriented, required extensive one (1) person assistance with toileting, limited one (1) person assistance with transfers and walking, the resident's balance when walking was not steady, and a walker and wheelchair were utilized. The Resident Care Plan dated 4/19/23 identified Resident #1 required assistance with activities of daily living. Interventions directed to ambulate with one (1) staff…

    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 · Gcited before2020-01-28 · 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 and interview for 1 of 3 residents (Resident #89) reviewed for accidents, the facility failed to appropriately utilize adaptive equipment which caused the hot liquid to spill resulting in a burn on the resident's leg, and for 1 nourishment kitchenette, the facility failed to ensure chemicals were stored in a locked cabinet and away from resident access. The findings include: 1 Resident #89 was admitted to the facility on [DATE] with diagnoses that included Parkinson's disease and dementia. The quarterly MDS assessment dated [DATE] identified Resident #89 had severely impaired cognition and required supervision with eating. Physician's orders dated 2/1/19 directed staff to provide a [NAME] Cup (a spill proof drinking cup that is used with a straw) with all meals. A nurse's note dated 2/9/19 at 10:59 PM identified Resident #89 spilled hot coffee on his/her lap. The resident was put back to bed and the area checked. The right inner thigh was red and the…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-07-25 · 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 documentation, facility policy, and interviews for one (1) of three (3) residents (Resident #3) reviewed for falls, the facility failed to ensure the resident had a comprehensive individualized fall care plan with interventions when identified as a high risk for falls. The findings include:Resident #3 was admitted to the facility on [DATE] with diagnoses that included left artificial hip joint, type II diabetes and Alzheimer's disease. The Resident Care Plan (RCP) dated 1/19/25 identified Resident #3 needed assistance with activities of daily living (ADL) skills due to physical and mental impairments, recent hospitalization and deconditioning. Interventions included half-side rails for bed mobility and offer toileting upon arising, before/after meals, at hour of sleep and as neededA Fall Risk assessment dated [DATE] identified Resident #3's score was eighteen (18) indicative of being a high fall risk.The admission Minimum Data Set (MDS) assessment dated [DATE]…

    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 · E2025-02-10 · tag F0804 — failed to serve food at safe, palatable temperature — pattern
    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on a tour of the Dietary Department, interviews and facility documentation, the facility failed to ensure foods were at appropriate temperatures for palatability. The findings included: Interview with Resident #83 on 2/3/25 at 11:17 AM identified that food was sometimes cold. Interview with Resident #28 on 2/3/25 at 11:45 AM identified that hot food was often served cold. Interview with Resident #33 on 2/3/25 at 2:51 PM identified that hot food comes cold by the time he/she receives the meal. Interview with Resident #22 on 2/3/25 at 3:12 PM identified that the food was not tasting good. An interview with the Food Services Director on 2/5/25 at 12:27 PM identified the process to ensure foods were hot included the cook taking temperatures in the kitchen and recording them in the temperature log, plates kept in a plate warmer prior to plating, and metal meal covers to keep the food temperature hot. A review of the temperature log for the week of 2/3/25 identified temperatures were taken daily for breakfast, lunch and dinner and met the food code standard. On 2/5/25 at 12:27 PM, a…

    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 · D2025-02-10 · 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 interviews, review of the clinical record, and facility policy for 1 of 2 residents (Resident #343) reviewed for transmission-based precautions, the facility failed to notify the social worker, physician, and psychiatrist after a suicidal ideation statement was made, per the facility policy. The findings included: Resident #343 was admitted to the facility on [DATE] with diagnoses that included homicidal ideation, sepsis, chronic combined systolic and diastolic heart failure, and muscle weakness. A facility consult form for psychiatry services dated 1/24/25 and signed by Resident #343 identified the reason for the referral was due to a comment made in the ICU (at the hospital and prior to facility admission) regarding homicidal ideation, knives, glass, cans were withheld in the hospital. (Psychiatry at the Long Term Care facility was not updated regarding Resident #343's psychosocial behavior in the hospital). A physician's order dated 1/24/25 directed for consultations as needed, to include, but not…

    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 · D2025-02-10 · tag F0603 — failed to not confine residents against their will — isolated
    Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
    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 3 residents, (Resident #35), reviewed for abuse, the facility failed to ensure a resident exposed to a communicable illness was free to exit their room when wearing appropriate Personal Protective Equipment (PPE). The findings include: Resident #35's diagnoses included ischemic cardiomyopathy, adjustment disorder, dementia, and stage 3 chronic kidney disease. The quarterly Minimum Data Set assessment dated [DATE] identified Resident #35 was severely cognitively impaired, required supervision from a sit to stand position, required moderate assistance in walking 150 feet, and had no history of wandering. The Resident Care Plan (RCP) identified Resident #35 required assistance with activities of daily living. Interventions included providing staff assistance for ambulation using a wheeled walker on first and second shifts. A nurse progress note dated 1/30/25 identified Resident #35's roommate had tested positive for…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-02-10 · 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 review of the clinical record, review of facility documentation, review of facility policy, and interviews for 1 of 3 residents, (Resident #10), reviewed for abuse, the facility failed to ensure that an injury of unknown source was reported to the state agency. The findings include: Resident #10's diagnoses included dementia, psychosis, restlessness, and agitation. The quarterly Minimum Data Set (MDS) assessment dated [DATE] identified Resident #10 was severely cognitively impaired, dependent with transfers and toileting, required extensive assistance of 2 staff for bed mobility, was non-ambulatory, and had no functional limitations in range of motion. The Resident Care Plan dated 11/13/24 identified Resident #10 had discoloration to the left forehead and a memory deficit with impaired judgement. Interventions included the nurse to observe transfers for 7 days and to observe skin discoloration every shift. Further interventions included providing a calm and consistent environment using a calm and gentle…

    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 · Dcited before2025-02-10 · tag F0610 — failed to investigate and act on abuse reports — isolated
    Respond appropriately to all alleged violations.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on review of the clinical record, review of facility documentation, review of facility policy, and interviews for 1 of 3 residents, (Resident #10), reviewed for abuse the facility failed to ensure a complete investigation and summary were completed for a resident with an injury of unknown source. The findings include: Resident #10's diagnoses included dementia, psychosis, restlessness, and agitation. The quarterly Minimum Data Set (MDS) assessment dated [DATE] identified Resident #10 was severely cognitively impaired, was dependent with transfers and toileting, required extensive assistance of 2 staff for bed mobility, was non-ambulatory, and had no functional limitations in range of motion. The Resident Care Plan dated 11/13/24 identified Resident #10 had discoloration to the left forehead and a memory deficit with impaired judgement. Interventions included the nurse to observe transfers for 7 days and to observe skin discoloration every shift. Further interventions included providing a calm 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 · D2025-02-10 · tag F0655 — isolated
    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews, review of the clinical records and facility policy for 1 of 2 residents (Resident #343) reviewed for transmission-based precautions, the facility failed to ensure the baseline care plan included statements/behaviors of homicidal ideation that were made prior to admission. The findings included: Resident #343 was admitted to the facility on [DATE] with diagnoses that included homicidal ideation, sepsis, chronic combined systolic and diastolic heart failure, and muscle weakness. A hospitalist progress note from the hospital (prior to Resident #343's facility admission) dated 1/20/25 at 3:36 PM identified Resident #343 was very emotional but no longer suicidal-per psychiatry held off on Lexapro (a medication indicated for depression). A facility consult form for psychiatry services dated 1/24/25 and signed by Resident #343 identified the reason for the referral was due to a comment made in the ICU (at the hospital and prior to facility admission) regarding homicidal ideation, knives, glass,…

    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 · D2025-02-10 · 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 documentation, facility policy, and interviews for 1 of 4 residents (Resident #53) reviewed for accidents, the facility failed to ensure floor mats were in place per the physician's order. The findings include: Resident #53's diagnoses included dementia, hypotension, and unspecified abnormalities of gait and mobility. Review of the clinical record identified a Fall Risk Assessment Tool dated 1/20/24 indicated Resident #53 was a high risk for falls. The annual Minimum Data Set (MDS) assessment dated [DATE] identified Resident #53 was severely cognitively impaired, required extensive assistance of 2 staff for transfers and bed mobility, and was dependent with toileting. The Resident Care Plan dated 2/1/25 identified falls. Interventions included fall prevention with placement of floor mats to the left and right side of the bed. A physician's order dated 2/1/25 directed to place floor mats to the left and right side of the bed every shift. Review of the…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-02-10 · tag F0742 — isolated
    Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
    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 records and facility policy for 1 of 2 residents (Resident #343) reviewed for transmission-based precautions, the facility failed to provide appropriate treatment and services for a resident who displayed psychosocial behaviors. The findings included: Resident #343 was admitted to the facility on [DATE] with diagnoses that included homicidal ideation, sepsis, chronic combined systolic and diastolic heart failure, and muscle weakness. A hospitalist progress note from the hospital (prior to Resident #343's facility admission) dated 1/20/25 at 3:36 PM identified Resident #343 was very emotional but no longer suicidal-per psychiatry, held off due to being on Lexapro (a medication indicated for depression). A hospitalist progress note from the hospital (prior to Resident #343's facility admission) dated 1/22/25 at 7:28 AM identified psychiatry was consulted due to suicidal statements made by Resident #343. After further interview, it was determined Resident #343 was just…

    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 · D2025-02-10 · tag F0756 — failed to review each resident's drug regimen — isolated
    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on review of the clinical record, facility policy and interviews for 1 of 5 residents (Resident #53) reviewed for unnecessary medications, the pharmacist failed to identify irregularities for a resident receiving an antipsychotic (psychotic disorder) medication. The findings include: Resident #53's diagnoses included dementia, adjustment disorder with depressed mood and anxiety disorder. The quarterly Minimum Data Set (MDS) assessment dated [DATE] identified Resident #53 was severely cognitively impaired and required partial to moderate assistance with bed mobility and was dependent with toileting and transfers. The MDS indicated Resident #53 was receiving an antipsychotic medication. The Resident Care Plan (RCP) dated 12/5/23 identified antipsychotic medication use. Interventions included observing changes in mood and behavior, complete and thorough documentation in the nursing notes, and report behavioral changes to the Medical Doctor (MD). The physician's orders in effect from 12/5/23 through 8/15/24…

    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
Show the remaining 9 citations
  • Potential for harm · D2025-02-10 · tag F0758 — failed to limit and justify psychotropic drugs — isolated
    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
    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, staff interviews, and facility policies for 2 of 5 residents (Resident #1 and Resident #53) reviewed for unnecessary medications, the facility failed to monitor behaviors for residents receiving psychotropic (drugs that affect the brain and nervous system) medications and for Resident #53, the facility failed to conduct an Abnormal Involuntary Movement Scale (AIMS) assessment (test for abnormal movement) for a resident receiving an antipsychotic (psychotic disorder) medication. The findings include: 1. Resident #1's diagnosis included dementia, anxiety, and depression. The quarterly Minimum Data Set (MDS) assessment dated [DATE] identified that Resident #1 was moderately cognitively impaired and was dependent for bathing, dressing, and personal hygiene, and ate independently. The Resident Care Plan (RCP) dated 12/3/24 identified Resident #1 had been experiencing the following: agitation and restlessness, refusal of medications, treatments, and care with periods of anger 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.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-01-31 · 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 review of the clinical record, facility documentation, facility policy, and interviews for 1 of 3 residents for (Resident # 11) reviewed for abuse, the facility failed to report an allegation of staff to resident physical mistreatment to the overseeing state agency within required two hours after the suspected time of the abuse. The findings include: Resident #11's diagnoses included unspecified dementia, paranoid schizophrenia, adjustment disorder with mixed anxiety and depressed mood. The quarterly Minimum Data Set (MDS) assessment dated [DATE] identified Resident # 11 was without cognitive impairment and required extensive two person assist with bed mobility, transfers and one person assist with personal care. The care plan dated 2/9/21 identified Resident #11 with diagnoses of major depressive disorder, schizophrenia, adjustment disorder with mixed anxiety and depressed mood with a history of hallucinations and delusions. Interventions included supportive counseling from facility staff, provision of…

    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 · Dcited before2023-01-31 · tag F0610 — failed to investigate and act on abuse reports — isolated
    Respond appropriately to all alleged violations.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on review of the clinical record, facility documentation, facility policy, and interviews for 1 of 3 residents, resident (Resident # 11) reviewed for abuse, the facility failed to prevent further potential abuse following a report of staff to resident physical mistreatment. The findings include: Resident #11's diagnoses included unspecified dementia, paranoid schizophrenia, adjustment disorder with mixed anxiety and depressed mood. The quarterly Minimum Data Set (MDS) assessment dated [DATE] identified Resident # 11 was without cognitive impairment and required extensive two person assist with bed mobility, transfers and one person assist with personal care. The care plan dated 2/9/21 identified Resident #11 with diagnoses of major depressive disorder, schizophrenia, adjustment disorder with mixed anxiety and depressed mood with a history of hallucinations and delusions. Interventions included supportive counseling from facility staff, provision of structure, cueing, supervision, and support during periods…

    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 · D2023-01-31 · 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 documentation, facility policy and interviews for 1 resident (Resident #58 ) reviewed for positioning and mobility, the facility failed to complete a recommended Occupational Therapy (OT) or Physical Therapy (PT) evaluation after a quarterly therapy screen. The findings include: Resident #58's diagnoses included dementia, muscle weakness and abnormal posture. An annual MDS assessment dated [DATE] identified Resident #58 was moderately impaired for daily decision-making skills and was totally dependent with 2 staff members for personal hygiene and bed mobility. The MDS assessment also identified Resident #58 was not receiving active therapy and did not utilize splints. A quarterly rehabilitation screen progress note dated 7/22/22 at 2:47 PM identified Resident #58 was seen in collaboration with the unit nurse and APRN and that Resident #58 was noted with both arms contractures at the elbows and both legs contractures at the knees, The note further…

    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 before2023-01-31 · tag F0812 — failed to store, cook, and serve food safely — isolated
    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 observations, facility documentation review, facility policy review, and interviews for two of four sanitizing solutions in the kitchen, the facility failed to maintain the sanitizing solutions at sanitary levels. The findings include: 1a. Observation on 1/25/23 at 10:00 AM of the kitchen identified a red plastic bucket, labeled the bucket contained a sanitizing solution on a food preparation table in the middle of the kitchen. The bucket contained a liquid and 2 wiping cloths. The Director of Dietary identified the bucket in use contained a sanitizing solution. The Director of Dietary tested the solution with of quaternary ammonia QAC QR® test strips, Item #85-1244, 100 strips/container, and the test strip indicated the solution was less than 100 parts per million (PPM) of Quaternary Ammonia Compound (QAC). The Dietary Director indicated the PPM should be maintained at 200 PPM of QAC. Additionally, the Director of Dietary identified since it was right after breakfast, the solution was getting weak. The weak solution was refilled and was tested by the Director of Dietary…

    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 · Ecited before2020-01-28 · 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 observation, review of facility documentation, facility policy, and interviews the facility failed to maintain sanitizing solutions at appropriate levels. The findings include: Observation on 1/22/20 at 9:30 AM with the Director of Dietary identified 2 red gallon size buckets filled with liquid solution on top of the food preparation table. The Director of Dietary identified the solution in the buckets are used to clean surfaces in the kitchen, and that the buckets were filled by Kitchen Staff #1 a short time before. The Director of Dietary tested the solution in the first bucket twice, and the reading was zero both times. The Director of Dietary tested the second solution in the second bucket, and the results were zero. The Dietary Director identified that the solution in the buckets should contain sanitizer at approximately 200 parts per million (ppm), per policy, and that he is not sure why they were both reading zero. Interview with Kitchen Staff #1 at that time identified that she had filled the buckets a short time ago, and was using them to sanitize the counters 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.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2020-01-28 · tag F0685 — isolated
    Assist a resident in gaining access to vision and hearing services.
    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 #4) reviewed for communication and sensory, the facility failed to provide timely follow when the resident lost his/her hearing aids. The findings include: Resident #4 was admitted to the facility on [DATE] with diagnoses that included diabetes, hyperlipidemia and hypertension. A physician's order dated 5/2/19 directed to apply Resident #4's hearing aids to both ears every morning at 6:00 AM and to remove the hearing aids at hour of sleep daily and place in the medication cart. The quarterly MDS dated [DATE] identified Resident #4 had moderately impaired cognition, hearing loss and utilized hearing aids. The corresponding care plan identified Resident #4 had hearing difficulty and was at risk for impaired communication due to complaints of difficulty hearing and rhythmic sound in his/her ears. Interventions included an audiology consult, to ensure hearing and communication devices…

    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
  • No harm found · B2025-02-10 · tag F0584 — failed to keep a safe, clean, comfortable home — pattern
    Honor 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

    Based on observations and staff interviews for 2 of 6 common areas, the facility failed to maintain a clean environment for two large vents on the North and East units. The findings include: During a tour of the East wing on 2/3/25 at 10:30 AM, and 2/5/25 at 12:00 PM, a large vent measuring approximately 2.5 feet by 5.0 feet tall located in the open common area, was observed to have significant amount of debris, dark in color, within the slats of the vent. During a tour of the North unit on 2/4/25 at 10:30 AM, a large vent, approximately 2.5 feet by 5.0 feet on the wall in the open common area was observed to have a significant amount of dark colored debris visible throughout the slats and inside of the vent. Interview with the Director of Facilities on 2/5/25 at 1:15 PM, identified vent cleaning was the responsibility of the housekeeping staff, that the vents were supposed to be vacuumed weekly, and required cleaning. Subsequent to survey inquiry, the Director of Facilities identified that the housekeeping staff reported directly to him, the vents had been cleaned, and that going…

    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
  • No harm found · B2023-01-31 · tag F0732 — pattern
    Post nurse staffing information every day.
    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 facility's posted staffing, observation and interviews, the facility failed to record an accurate resident census and number of direct care staff that was available for residents in the facility for and public view. The findings include: Observation of facility posted daily nurse staffing form at the main entrance dated 1/30/23 at 11:30 AM identified the resident census was 86 + 23 (RCH residents) and number of direct care staff which included the license staff and nursing assistant working at [NAME] unit the Residential Care Home (RCH). Review of facility daily nurse staffing form from 1/1/23 through 1/29/23 identified the RCH residents were included 23 times out of 28 opportunities in the resident census and the skilled nursing residents census were noted blank on 1/15/23, 1/17/23, 1/20/23 and 1/27/23. Interview with Registered Nurse (RN#3) on 1/30/23 at 11:50 AM identified the nursing supervisor was responsible for updating the number of direct care staff on the nurse staffing form. She…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Nursing and Physician Services 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

$8,018 in federal fines across 1 penalty.

  • $8,018 — penalty dated 2024-12-03

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
GERTZ, LINDAIndividualW-2 MANAGING EMPLOYEEsince 10/04/2006
DAIGLE, DANIELIndividualCORPORATE DIRECTORsince 01/29/2015
MAZADORIAN, HARRYIndividualCORPORATE DIRECTORsince 07/01/2004
MORIARTY, JUSTINEIndividualCORPORATE DIRECTORsince 01/29/2015
SITTAMBALAM, EARLEIndividualCORPORATE DIRECTORsince 01/29/2015
TOOMBS, LORIIndividualCORPORATE DIRECTORsince 11/23/2014

The source lists no ownership percentage for any party here — 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.

$16.2M
Net patient revenuemost recent cost report
-9.4%
Operating marginrevenue minus expenses
$456K
Related-party expense3% of expenses
Who pays — share of resident-days
Medicaid 41%Medicare 8%Other / private 51%

This home reported $456K 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

$420per resident / day
operating cost
$12,767per month
≈ monthly operating cost
$384per 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 075343. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-02-10, 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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