Evergreen Woods
88 Notch Hill Road, North Branford, CT 06471 · For profit - Corporation · 50 certified beds · (203) 488-8000 Medicare only — no Medicaid
This home has serious findings on its record. Read them closely before you consider it.
- a strong health-inspection score (4/5) — the hardest rating to game (though it’s ranked within its own state, not nationally)
- no federal fines or payment denials on record
- a high payroll-based staffing rating (5/5)
- fewer deficiencies at its most recent standard inspection than at the one before — a sign of improvement
- it has an abuse, neglect, or exploitation citation (F0600), cited Sep 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
- a high number of inspection citations overall (15) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
- nursing-staff turnover (56%) runs well above the national median (45%)
One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.
A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.
| Health inspectionSurveyor-assigned, ranked within your stateInspector-verified | 4 of 5 |
| StaffingFrom payroll records (PBJ) | 5 of 5 |
| Quality measuresSelf-reported by the facility | 4 of 5 |
Location & what’s nearby
Open in Google Maps ↗ · Directions ↗ · Larger map ↗
Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.
Quality measures — how residents actually fare
| Overall quality measures | 4 of 5 |
| Long-stay residentspeople who live here | 4 of 5 |
| Short-stay residentsrehab / post-hospital | 5 of 5 |
Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.
Trend — is this home getting better or worse?
Over 2025-02 to 2026-06, this home’s CMS overall rating held steady at 5 stars. From monthly CMS archive snapshots.
Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.
See all quality measures vs. state & national benchmarks
| Measure | This home | State avg | Typical state | vs typical state |
|---|---|---|---|---|
| Long-stay residents whose need for help with daily activities increased | 18.9% | 18.0% | 15.4% | worse |
| Long-stay residents who lose too much weight | 10.6% | 6.5% | 5.4% | worse |
| Long-stay residents with a catheter left in their bladder | 0.0% | 0.7% | 0.9% | better |
| Long-stay residents with a urinary tract infection | 3.4% | 1.5% | 2.0% | worse |
| Long-stay residents with depressive symptoms | 35.2% | 22.3% | 6.5% | worse than state‡ — see note marked double-dagger below the table |
| Long-stay residents who were physically restrained | 0.0% | 0.0% | 0.1% | better than state‡ — see note marked double-dagger below the table |
| Long-stay residents with falls causing major injury | 0.0% | 3.5% | 3.3% | check this* — see note marked star below the table |
| Long-stay residents on antianxiety or hypnotic medication | 12.5% | 17.6% | 18.9% | better |
| Long-stay residents given the seasonal flu vaccine | 60.0% | 93.5% | 95.3% | worse |
| Long-stay residents with pressure ulcers | 7.0% | 4.0% | 4.7% | worse |
| Long-stay residents with worsening bladder/bowel control | 35.7% | 24.7% | 21.2% | worse |
| Long-stay residents who got an antipsychotic medication§ — see the note below the table | 0.0% | 17.8% | 17.1% | check this* — see note marked star below the table |
| Short-stay residents who newly got an antipsychotic medication | 0.9% | 1.5% | 1.4% | better |
| Short-stay residents given the seasonal flu vaccine | 81.9% | 69.7% | 79.4% | typical |
| Short-stay residents rehospitalized after admission | 27.8% | 24.3% | 22.6% | worse |
| Short-stay residents with an outpatient ER visit | 7.7% | 10.7% | 12.0% | better |
* This home reported 0% on a measure where lower is better. That can mean genuinely excellent care — but because the number is self-reported, a zero can also mean the problem was not recorded. Weigh it against the inspection record above.
‡ On this measure the state average is at least twice (or half) the typical state — a gap that size is usually how the state codes and reports the measure, not how its homes actually perform. Against a benchmark this state does not sit on, a “vs typical state” verdict would mostly be measuring the state, so we compare this home with its own state instead and show both averages.
§ 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.
65.0% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that better than the national rate. This is CMS’s risk-adjusted rate over 223 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.
Met the expected recovery: 62.8% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 148 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.
Therapy staffing: this home’s payroll records show 0.81 therapist hours per resident per day in 2026Q1 — more than 94% of the 13,892 homes that report any therapy hours at all.
Weekend therapy: weekend therapy hours are 34% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.
This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.
See every short-stay measure CMS publishes for this home
| Measure | This home | U.S. median | Period covered | CMS’s call |
|---|---|---|---|---|
| Got home and stayed homeRate of successful return to home or community from a SNF | 65.0%CMS range 58.5–71.4 | 51.5% | Oct 2022–Sep 2024 | better than U.S. |
| Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF | 10.5%CMS range 7.8–13.8 | 10.7% | Oct 2022–Sep 2024 | no different from U.S. |
| Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge | 62.8% | 56.6% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge | 62.8% | 52.8% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge | 49.3% | 50.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified | 99.5% | 98.7% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting | 94.9% | 100.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge | 96.1% | 98.7% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay | 1.1% | 0.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened | 3.2% | 1.9% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization | 7.3%CMS range 4.9–12.3 | 7.1% | Oct 2023–Sep 2024 | no different from U.S. |
| Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs | 0.97 | 1.02 | Oct 2022–Sep 2024 | CMS makes no comparison for this measure |
From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.
Staffing
How full it usually is: this home is certified for 50 beds and averages 41.0 residents a day — about 82% occupied, or roughly 9 beds typically open. It usually has some room. 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 5.40 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 1.75 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.81 is at or above the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.
Weekend coverage: total nurse staffing is 4.94 hrs/resident/day on weekends vs 5.58 on weekdays — 11% thinner on weekends. RN hours go from 1.91 to 1.35 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)
This home’s total nursing-staff turnover of 56% is well above the national median of 45%.
Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.
Inspection trend
Deficiencies are fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.
Inspection deficiencies
State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.
Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.
15 citations, most serious first. The 10 most serious are shown; the remaining 5 are one tap away and print in full.
- Potential for harm · Ecited before2025-09-04 · tag F0812 — failed to store, cook, and serve food safely — patternProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observations, review of facility policy, and interviews, the facility failed to prepare and serve food in a sanitary manner due to the lack of a hair restraint. The findings include: Observation in the kitchen on 8/29/25 at 9:30 AM with the Executive Chef, identified Dietary Aide #1 preparing cold sandwiches for lunch service later that day without the benefit of wearing a beard restraint. Interview with Dietary Aide #1 on 8/29/25 at 9:30 AM identified he was unsure if the facility had beard restraints for staff with facial hair but was pretty sure they didn't. Additionally, Dietary Aide #1 was unaware of the requirement to wear a beard restraint during food preparation and service.Interview with the Executive Chef on 8/29/25 at 9:40 AM identified she was unaware of the staff's requirement to wear beard nets for food preparation and service. The Executive Chef indicated that she believed she did have beard restraints available for staff, but if not, she would order them immediately. Review of the facility's Food Preparation and Service policy of Food Service/Distribution…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2025-09-04 · tag F0600 — failed to protect residents from abuse and neglect — isolatedProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews, review of clinical records, facility documentation, and facility policy for 1 of 2 sampled residents, (Resident #51) reviewed for abuse, the facility staff failed to ensure treatment in a dignified manner. The findings include:Resident #51's diagnoses included acute systolic (congestive) heart failure, impingement syndrome and pain of the right shoulder, and venous stasis dermatitis with blistering.The admission Minimum Data Set (MDS) assessment dated [DATE] identified Resident #51 had a Brief Interview of Mental Status (BIMS) score of 15 indicating no cognitive impairment, required partial/moderate assistance for toileting hygiene, and supervision or touching assistance for transfers.The Resident Care Plan (RCP) dated 8/28/2025 identified Activities of Daily Living (ADL) self-care deficits related to impaired mobility. Interventions included providing encouragement/supervision and allow adequate time to complete tasks.Interview with Resident #51 on 8/29/2025 at 11:03 AM identified that…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2025-09-04 · tag F0609 — failed to report abuse allegations — isolatedTimely 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, policy, and interviews for 1 of 2 sampled residents, (Resident #51) reviewed for abuse, the facility failed to report an allegation of abuse to the State Agency (SA) within the required time frame. The findings include:Resident #51's diagnoses included acute systolic (congestive) heart failure, impingement syndrome of the right shoulder, pain in the right shoulder, and venous stasis dermatitis with blistering.The admission Minimum Data Set (MDS) assessment dated [DATE] identified Resident #51 had a Brief Interview of Mental Status (BIMS) score of 15 indicating no cognitive impairment, required partial/moderate assistance for toileting hygiene, and supervision or touching assistance for transfers.The Resident Care Plan (RCP) dated 8/28/2025 identified Resident #51 was at risk for pain related to impaired mobility. Interventions included to manage or reduce side effects associated with pharmacological therapy, such as promoting adequate bowel and…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2025-09-04 · tag F0610 — failed to investigate and act on abuse reports — isolatedRespond 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 interviews, review of clinical records, review of documentation and facility policy for 1 of 2 residents, (Resident #51) reviewed for abuse, the facility failed to thoroughly investigate allegations of staff to resident abuse. The findings include: Number of residents sampled: 2Number of residents cited: 1Resident #51's diagnoses included acute systolic (congestive) heart failure, impingement syndrome of the right shoulder, pain in the right shoulder, and venous stasis dermatitis with blistering.The admission Minimum Data Set (MDS) assessment dated [DATE] identified Resident #51 had a Brief Interview of Mental Status (BIMS) score of 15 indicating no cognitive impairment, required partial/moderate assistance for toileting hygiene, and supervision or touching assistance for transfers.The Resident Care Plan (RCP) dated 8/28/2025 identified Resident #51 was at risk for pain related to impaired mobility. Interventions included to manage or reduce side effects associated with pharmacological therapy, such as…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2025-09-04 · tag F0880 — failed to prevent and control infections — isolatedProvide and implement an infection prevention and control program.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, review of clinical records, facility documentation, facility policy, and interviews for 1 of 3 sampled residents (Resident #29) reviewed for pressure ulcers, the facility failed to ensure signage was posted for a resident on Enhanced Barrier Precautions (EBP) and failed to perform hand washing/hand sanitization during wound care. Based on observations, interviews, clinical record and policy reviews, and facility documentation for 2 of 3 sampled residents, (Resident #13 and #29) reviewed for pressure ulcers and for the only sampled resident (Resident #20) reviewed for intravenous administration, the facility failed to ensure standards of infection control were maintained. The findings included: 1. Resident #13's diagnoses included an unstageable pressure ulcer of the sacral region, muscle weakness, and abnormalities of gait and mobility. The admission Minimum Data Set (MDS) assessment dated [DATE] identified Resident #13 had a Brief Interview of Mental Status (BIMS) score of 2 indicating…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Ecited before2023-12-22 · tag F0812 — failed to store, cook, and serve food safely — patternProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on a tour of the Dietary Department, review of facility policy, and staff interview, the facility failed to ensure expired food was discarded. The findings included: During the initial tour of the Dietary Department on 12/20/23 at 11:30 AM with the Executive Chef, the following was identified in dry storage: a. one 32-ounce box of baking soda with an expiration date of 11/27/21. b. four 28-ounce bags of refried pinto beans with an expiration date of 4/7/23. c. five 10-ounce boxes of Couscous with an expiration date of 11/21/21. Interview with the Director of Food Services on 12/21/23 at 10:30 AM identified that the Closing Manager was responsible to check for expiration dates daily and to discard expired food. Further, the Director of Food Service was unable to explain the reason expired food remained in the dry storage area, but stated it may have been due to the kitchen being short staffed. Subsequent to surveyor inquiry, the expired items were discarded. Review of the Dining Department policy (undated) directed, in part, that the executive Chef or their designee will…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2023-12-22 · tag F0550 — failed to protect resident dignity and rights — isolatedHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record review, observations, facility policy, and interviews for 1 of 3 sampled residents (Resident #339) reviewed for dignity, the facility failed to ensure a urinary privacy bag was utilized. The findings include: Resident #339's diagnosis included heart failure, diabetes, acute respiratory failure, and chronic kidney disease. The Resident Care Plan dated 12/13/23 identified Resident #339 required an indwelling Foley catheter. Interventions included providing privacy bags to the indwelling Foley catheter, empty catheter bag, and keep catheter insertion area clean. An admission Minimum Data Set (MDS) assessment dated [DATE] identified Resident #339 had intact cognition, had no impairment with upper/lower extremity range of motion and was independent with eating. The MDS further identified Resident #339 required set up assistance with oral hygiene, partial/moderate assistance with lower body dressing and personal/toilet hygiene. Additionally, the MDS identified Resident #339 had an indwelling…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2023-12-22 · tag F0657 — failed to keep the care plan current — isolatedDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
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 staff interview, clinical record review, facility documentation, and review of facility policy for 1 of 3 sampled residents (Resident #31) reviewed for accidents, the facility failed to revise the Resident Care Plan (RCP) to include interventions for fall prevention following Resident #31 falling. The findings include: Resident #31 was admitted to the facility on [DATE] with diagnoses that included sequelae of cerebral infarction, unsteadiness on feet, and dementia. Nursing notes dated 9/6/23 identified that Resident #31 was admitted to the facility following hospitalization for a left hip fracture related to a fall from home. A Resident Care Plan (RCP) dated 9/6/23 identified Resident #31 was at risks for falls. Interventions included gentle reminders for Resident #31 to use the call light if needing to get out of bed or chair, reminding Resident #31 to call for assistance prior to moving bed-to-chair and chair-to bed, frequent checks to decrease chance of falling, footwear fitting properly, having…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2023-12-22 · tag F0658 — failed to meet professional standards of care — isolatedEnsure services provided by the nursing facility meet professional standards of quality.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, staff interview and review of facility policy for 1 of 2 residents (Resident #36) reviewed for hospitalization, the facility failed to document the events of Resident #36's transfer to the hospital including an assessment by a Registered Nurse (RN) per professional standards. The findings include: Resident #36 was admitted to the facility on [DATE] with diagnoses that included a lumbar fracture, hypertension and respiratory failure. An admission Minimum Data Set (MDS) assessment dated [DATE] identified Resident #36 had intact cognition and required extensive assistance of 2 for bed mobility and transfers. The MDS further identified Resident #36 required extensive assistance of 1 for toilet use and dressing. Additionally, the MDS identified Resident #36 required limited assistance of 1 for personal hygiene. Nursing notes dated 8/18/23 at 6:40 AM and written by Licensed Practical Nurse (LPN) #1 identified Resident #36 was alert and oriented, tolerated medication well, complained 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.
- Potential for harm · D2023-12-22 · tag F0684 — failed to provide proper treatment and quality of care — isolatedProvide appropriate treatment and care according to orders, resident’s preferences and goals.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, review of the clinical record, facility policy, and interviews for the only sampled resident (Resident #13) reviewed for positioning, the facility failed to follow physician orders related to pressure reduction. The findings include: Resident #13's diagnoses included arteriosclerosis heart disease, fracture to the right femur, and acute kidney failure. The admission Minimum Data Set (MDS) assessment dated [DATE] identified Resident #13 was moderately cognitively impaired, dependent with lower body dressing, and required maximum assistance with bed mobility. Additionally, the MDS identified Resident #13 was at risk for pressure ulcers/injuries. The Resident Care Plan dated 10/26/23 identified a risk for alteration in skin integrity related to limited range in motion. Interventions included using pillows, pads, or wedges to reduce pressure on heels and pressure points, and to turn/reposition. A physician's order dated 10/26/23 directed Resident #13 to have heel boots and heels elevated while…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
Show the remaining 5 citations
- Potential for harm · D2023-12-22 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolatedProvide appropriate pressure ulcer care and prevent new ulcers from developing.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record review, review of facility policy, and interviews for 1 of 3 sampled residents (Resident #339) reviewed for pressure ulcers, the facility failed to ensure a positioning device was appropriately applied. The findings include: Resident #339's diagnoses included heart failure, diabetes, chronic kidney failure, and acute respiratory failure. Resident #339's care plan dated 12/13/23 identified he/she was at risk for alteration in skin integrity related to impaired mobility, age, and cardiac disease. Intervention directed use pillow, pads, or wedges to reduce pressure on heels and pressure points, turn and reposition, and to apply moisture barrier. An admission Minimum Data Set (MDS) assessment dated [DATE] identified Resident #339 had intact cognition, had no impairment with upper/lower extremity range of motion and was independent with eating. The MDS further identified Resident #339 required set up assistance with oral hygiene, partial/moderate assistance with lower body dressing and…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2023-12-22 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolatedEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on staff interview, clinical record review, facility documentation, and review of facility policy for 1 of 3 sampled residents (Resident #31) reviewed for accidents, the facility failed to ensure fall risk assessments were completed after resident falls. The findings include: Resident #31 was admitted to the facility on [DATE] with diagnoses that included sequelae of cerebral infarction, other abnormalities of gait and mobility, and dementia. An admission Fall Risk assessment dated [DATE] identified Resident #31 ambulated with difficulty due to problems that included unsteady gait and required the use of assisted devices for ambulation. Furthermore, it was indicated that Resident #31 had a history of falls within the last 90 days and was at higher risk for falls. A Resident Care Plan (RCP) dated 9/6/23 identified Resident #31 was at risks for falls. Interventions included gentle reminders for Resident #31 to use the call light if needing to get of bed or chair, reminding Resident #31 to call for assistance…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2023-12-22 · tag F0880 — failed to prevent and control infections — isolatedProvide and implement an infection prevention and control program.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, review of the clinical record, facility policy, and interviews for the only sampled resident (Resident #339) reviewed for glucose (blood sugar) testing, the facility failed to appropriate disinfect the area prior to testing and failed to ensure proper hand hygiene. In the laundry room, the facility failed to ensure that the clean laundry was maintained appropriately. The findings include: 1. Resident #339's diagnoses included diabetes, heart attack, and kidney disease. An admission physician's order dated 12/14/23 directed to obtain a blood sugar level with breakfast, lunch, and dinner to calculate how many units of insulin to administer. The admission Resident Care Plan dated 12/18/2023 identified Resident #339 was at risk for complications related to diabetes (high and low blood sugar irregularities). Interventions included monitoring glucose levels. The admission Minimum Data Set assessment dated [DATE] identified Resident #339 was cognitively intact and required set up assistance 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.
- Potential for harm · D2023-12-22 · tag F0947 — failed to train nurse aides adequately — isolatedEnsure 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 records, interviews, and facility policy for 1 of 3 Nurse Aides reviewed for training, (NA #2), the facility failed to ensure sufficient hours of education per the regulation. The findings include: Review of facility records on 12/22/23 at 10:48 AM indicated that NA #2 was hired March 2023, however, required trainings were all signed on 12/21/23 (during the ongoing survey). Interview with ADNS on 12/22/23 at 11:45 AM indicated staff were expected to complete all the mandatory required trainings upon hire. The ADNS identified that NA #2's required trainings were not signed until 12/21/23 (9 months post hire) due to NA #2 not being up to date. The ADNS stated that Human Resources, the DNS, and she were responsible to ensure staff completed their mandatory training requirements on hire. Review of facility documentation identified that NA #2 had worked a total of 125 hours between 11/26/23 and 12/7/23, prior to signing off on the required training. Attempts to interview NA #2 were unsuccessful. The facility In-service Training, Nurse Aide policy indicated…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · F2021-10-28 · tag F0761 — failed to label and store drugs safely — widespreadEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observations, facility policy review and staff interviews for one of one medication rooms and two of two medication carts, reviewed for medication storage, the facility failed to ensure medications were not accessible to non-licensed persons. The findings include: An observation on 10/26/2021 at 3:10 PM identified the medication room door was open wide and was held open by a wedge-type of magnetic door holder under the bottom of the door. Additional observation identified no licensed staff were in the medication room or within view of the medication room. Further, located inside the unattended medication room were two medication carts that were both observed to be unlocked. Additional observation identified Resident #15 sitting in a wheelchair inside the nursing station next to the open medication room door. NA #1 and NA #2 were reviewing documentation in the corner at the far end of the nursing station, and they were not within view of the open medication door. During an interview with LPN #1 on 10/26/2021 at 3:20 PM, LPN #1 indicated that she left the area and went 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.
“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.
- Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
- Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
- State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Fines & penalties
No federal fines in the current CMS record.
Part of a chain
This home belongs to SENIOR LIVING COMMUNITIES — 9 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →
| Rating | This home | Chain avg | |
|---|---|---|---|
| Overall | 5 of 5 | 4.6 | +0.4 vs chain |
| Health inspection | 4 of 5 | 4.1 | ≈ chain avg |
| Staffing | 5 of 5 | 4.2 | +0.8 vs chain |
| Quality measures | 4 of 5 | 3.4 | +0.6 vs chain |
The other 8 homes this chain runs (chain average 4.6★, per CMS)
A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.
Who owns this facility
| Owner / manager | Type | Role | Since |
|---|---|---|---|
| SENIOR LIVING COMMUITIES LLC | Organization | DIRECT OWNERSHIP INTEREST; OPERATIONAL/MANAGERIAL CONTROL | since 06/27/2016 |
| BRENDA U. THOMPSON 2020 IRREVOCABLE TRUST DATED DECEMBER 30, 2020 | Organization | INDIRECT OWNERSHIP INTEREST | since 01/01/2021 |
| THOMPSON, BENJAMIN | Individual | INDIRECT OWNERSHIP INTEREST; OPERATIONAL/MANAGERIAL CONTROL | since 01/01/2021 |
| THOMPSON, DONALD | Individual | INDIRECT OWNERSHIP INTEREST; MANAGING CONTROL - GOVERNING BODY | since 06/27/2016 |
| THOMPSON, JOSHUA | Individual | INDIRECT OWNERSHIP INTEREST | since 01/01/2021 |
| MAXWELL GROUP, INC. | Organization | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 01/23/2025 |
| GLERUM, KIMBERLY | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 02/01/2025 |
| WELCH, AMANDA | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 03/27/2025 |
| NHI-REIT OF EVERGREEN LLC | Organization | ADP OF THE SNF | since 11/08/2016 |
CMS files one row per role, so the 15 rows in the source record cover these 9 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.
4 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.
Follow the money — this home’s finances
Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.
This home reported $718K paid to related parties (affiliated landlords or management companies) in its most recent cost report.
Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.
Cost & finances
Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.
What families pay in CT
CMS lists this home as Medicare-certified only — it is not Medicaid-certified, so it generally cannot accept Medicaid as payment for a long-term stay. That makes it one of roughly 545 homes nationally where a Medicaid-funded placement is not an option. If you expect to rely on Medicaid, ask the home directly before you tour, and see the Connecticut Medicaid page for homes that do.
Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.
Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 075362. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-09-04, 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.