Norwich Sub-Acute And Nursing
93 West Town Street, Norwich, CT 06360 · For profit - Limited Liability company · 120 certified beds · (860) 889-2614 Medicare & Medicaid certified
The public record raises real questions here. Weigh the concerns below carefully.
- a strong health-inspection score (4/5) — the hardest rating to game (though it’s ranked within its own state, not nationally)
- 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 4 actual-harm citations
- a high number of inspection citations overall (23) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
- the CMS record shows $47,483 in federal fines (most recent 2025-10-15)
- its payroll-based staffing rating is low (2/5)
- about 22% of its spending goes to commonly-owned related companies
- its last standard health inspection was over 3 years ago — the star rating may not reflect current conditions
One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.
A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.
| Health inspectionSurveyor-assigned, ranked within your stateInspector-verified | 4 of 5 |
| StaffingFrom payroll records (PBJ) | 2 of 5 |
| Quality measuresSelf-reported by the facility | 3 of 5 |
Location & what’s nearby
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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.
Quality measures — how residents actually fare
| Overall quality measures | 3 of 5 |
| Long-stay residentspeople who live here | 3 of 5 |
| Short-stay residentsrehab / post-hospital | 3 of 5 |
Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.
Trend — is this home getting better or worse?
Over 2025-02 to 2026-06, this home’s CMS overall rating fell from 4 to 3 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 | 18.6% | 18.0% | 15.4% | worse |
| Long-stay residents who lose too much weight | 4.4% | 6.5% | 5.4% | better |
| Long-stay residents with a catheter left in their bladder | 1.9% | 0.7% | 0.9% | worse |
| Long-stay residents with a urinary tract infection | 0.0% | 1.5% | 2.0% | better |
| Long-stay residents with depressive symptoms | 9.7% | 22.3% | 6.5% | better 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 | 1.8% | 3.5% | 3.3% | better |
| Long-stay residents whose ability to walk worsened | 20.1% | 16.4% | 16.1% | worse |
| Long-stay residents on antianxiety or hypnotic medication | 18.9% | 17.6% | 18.9% | typical |
| Long-stay residents given the seasonal flu vaccine | 98.9% | 93.5% | 95.3% | typical |
| Long-stay residents with pressure ulcers | 3.6% | 4.0% | 4.7% | better |
| Long-stay residents with worsening bladder/bowel control | 21.8% | 24.7% | 21.2% | typical |
| Long-stay residents who got an antipsychotic medication§ — see the note below the table | 9.8% | 17.8% | 17.1% | better |
| Short-stay residents who newly got an antipsychotic medication | 1.0% | 1.5% | 1.4% | better |
| Short-stay residents given the seasonal flu vaccine | 91.5% | 69.7% | 79.4% | better |
| Short-stay residents rehospitalized after admission | 20.3% | 24.3% | 22.6% | better |
| Short-stay residents with an outpatient ER visit | 8.0% | 10.7% | 12.0% | better |
| Long-stay hospitalizations per 1,000 resident days | 2.03 | 2.06 | 1.67 | worse |
| Long-stay outpatient ER visits per 1,000 resident days | 2.80 | 1.46 | 1.80 | worse |
‡ 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.
54.4% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 199 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.
Met the expected recovery: 39.4% 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 94 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 0.32 therapist hours per resident per day in 2026Q1 — more than 52% of the 13,892 homes that report any therapy hours at all.
Weekend therapy: weekend therapy hours are 29% 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 | 54.4%CMS range 44.0–61.5 | 51.5% | Oct 2022–Sep 2024 | no different from U.S. |
| Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF | 11.3%CMS range 8.8–14.6 | 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 | 39.4% | 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 | 33.0% | 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 | 44.7% | 50.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified | 100.0% | 98.7% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting | 100.0% | 100.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay | 0.0% | 0.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened | 2.3% | 1.9% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization | 8.1%CMS range 5.5–12.4 | 7.1% | Oct 2023–Sep 2024 | no different from U.S. |
| Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs | 1.03 | 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 120 beds and averages 102.9 residents a day — about 86% occupied, or roughly 17 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 3.33 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.69 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 1.93 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.
Weekend coverage: total nurse staffing is 3.05 hrs/resident/day on weekends vs 3.45 on weekdays — 12% thinner on weekends. RN hours go from 0.78 to 0.48 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)
This home’s total nursing-staff turnover of 38% is about the same as the national median of 45%.
Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.
Inspection trend
Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.
This trend is not current. The most recent of these two inspections was over 3 years ago; the arrow describes what inspectors found then, not what the home is like now.
Inspection deficiencies
State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.
Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.
23 citations, most serious first. The 14 most serious are shown; the remaining 9 are one tap away and print in full.
- Actual harm · Gcited beforedisputed · IDR2026-06-04 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolatedEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on review of the clinical record, facility documentation/policies, and interviews, for one (1) of three (3) sampled residents (Resident #1) who required assistance with Activities of Daily Living (ADL's), the facility failed to ensure safe bed level care for a cognitively impaired resident who required the assistance of two staff for bed mobility. Specifically, staff performed a one person turn using an unsafe technique, which resulted in the resident sliding from the bed and sustaining an acute fracture of the right tibia. The findings include:Resident #1's diagnoses included chronic obstructive pulmonary disease, dementia, and anxiety.The quarterly Minimum Data Set assessment dated [DATE] identified Resident #1 was severely cognitively impaired (Brief Interview for Mental Status (BIMS) score of 0), was impaired on the lower extremity on one side, required maximum assistance with all care, and was dependent on staff for transfers.The Resident Care Plan dated 4/24/26 identified Resident #1 had a self-care…
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.
- Actual harm · Gcited before2025-10-15 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolatedEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record review, facility documentation review, facility policy review, and interviews for one of three residents (Resident #1) reviewed for falls, the facility failed to provide adequate supervision for a resident identified at risk for falls, to prevent a fall with injury. The failure resulted in a resident fall with laceration that required seven (7) stitches. The findings include: Resident #1 was admitted to the facility with diagnoses that included Alzheimer's disease, dementia, anxiety, generalized muscle weakness, and depression. The quarterly Minimum Data Set (MDS) dated [DATE] identified Resident #1 had a Brief Interview for Mental Status (BIMS) score of 7 that indicated severe cognitive impairment, and required staff assistance for transfers. The Resident Care Plan (RCP) dated 7/11/2025 identified Resident #1 was at risk for falls due to confusion, deconditioning and gait/balance problems. Interventions directed assistance of two (2) staff for turning and repositioning, beveled edge…
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.
- Actual harm · Gcited before2025-07-30 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolatedEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record review, facility documentation review, and interviews for one sampled resident (Resident #1) reviewed for accidents, the facility failed to ensure the resident was transferred in accordance with physician orders and the plan of care to prevent a fall with injury. The failure resulted in an acute mildly displaced fracture of the distal aspect of the fibula. The findings include: Resident #1's diagnoses included deep vein thrombosis (blood clot) of the left lower extremity and anxiety. Physician orders dated 6/6/2025 directed mobility status was an assist of two persons with rolling walker, stand pivot only for transfers, and ambulation with therapy only. Nursing admission note dated 6/6/2025 identified Resident #1 was alert and oriented. The Resident Care Plan dated 6/9/2025 identified Resident #1 required assistance with Activities of Daily Living (ADLs). Interventions directed to transfer and ambulate per physician orders. The Nurse Aide (NA) Care Card dated 7/7/2025 directed to provide…
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.
- Actual harm · Gcited beforedisputed · IIDR2025-06-09 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolatedEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on review of the clinical record, facility documentation, facility policy and interviews for one (1) of three (3) residents (Resident #1) reviewed for falls, the facility failed to ensure the resident was supervised outside of the facility leading to a fall with injury. The findings include: Resident #1's diagnoses included Congestive Heart Failure (CHF), Chronic Obstructive Pulmonary Disease (COPD), atrial fibrillation (irregular heartbeat), anxiety disorder and personality disorder. The annual Minimum Data Set (MDS) assessment dated [DATE] identified Resident #1 had intact cognition (Brief Interview for Mental Status (BIMS) of 13), required substantial assistance for bed mobility and was dependent on staff for transfers. Review of the Morse Fall Scale Evaluation dated 4/24/25 identified Resident #1 had a history of falls, was observed with a weak gait (difficulty walking) and overestimates or forgets his/her limits, putting Resident #1 at a high risk for falling. The Resident Care Plan (RCP) dated…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2025-06-09 · tag F0656 — failed to write and follow a full care plan — isolatedDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on review of the clinical record, facility documentation, facility policy and interviews for one (1) of three (3) residents (Resident #4) reviewed for elopement, the facility failed to ensure a comprehensive care plan was developed for a resident who was at risk for elopement and had a provider ordered Wanderguard (a bracelet which is a part of a wander management system designed to prevent those at risk for wandering from leaving a protected area). The findings include: Resident #4's diagnoses included dementia with behavioral disturbances and adjustment disorder with anxiety. A physician's order dated 5/30/24 directed a Wanderguard be affixed to Resident #4's wheelchair at all times. An Elopement Evaluation dated 12/11/24 identified Resident #4 was exit seeking, oblivious to needs or safety, wanted to go home or leave, had a diagnosis of Alzheimer's disease (a progressive dementia that destroys memory and important mental functions) and was at risk for elopement. The annual Minimum Data Set (MDS)…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2025-06-09 · 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 review of the clinical record, facility documentation, facility policy and interviews for one (1) of three (3) residents (Resident #1) reviewed for falls, the facility failed to ensure that a laceration sustained from a fall was treated in accordance with physician's orders. The findings include: Resident #1's diagnoses included Congestive Heart Failure (CHF), Chronic Obstructive Pulmonary Disease (COPD), atrial fibrillation (irregular heartbeat), anxiety disorder and personality disorder. The annual Minimum Data Set (MDS) assessment dated [DATE] identified Resident #1 had intact cognition (Brief Interview for Mental Status (BIMS) of 13), required substantial assistance for bed mobility and was dependent on staff for transfers. The Resident Care Plan (RCP) dated 5/29/25 identified that Resident #1 had an actual impairment to skin integrity of the face and forehead related to an abrasion and a laceration sustained from a fall. Interventions included following facility protocols for treatment of an injury…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2024-05-17 · tag F0805 — failed to prepare food in a form residents can eat — isolatedEnsure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record review, facility documentation review, facility policy review, and interviews for one of three residents (Resident #1) reviewed for nutrition, the facility failed to provide ensure a resident with difficulty swallowing was served the correct diet consistency in accordance with physician orders. The findings include: Resident #1 was admitted with diagnoses that included myoneural disorder (progressive muscle weakness), dysphagia (difficulty swallowing), dementia, and aphasia. The quarterly MDS assessment dated [DATE] identified Resident #1was alert and oriented, and independent for eating. A RCP dated 4/18/2024 identified a problem with nutritional status and that Resident #1 was on a mechanically altered diet and wore dentures. The RCP directed diet as per physician's order, adjust texture as needed to facilitate eating. A physician order dated 4/2/2024 directed International Dysphagia Diet Standardization Initiative (IDDSI) 5 minced and moist solids; allow crustless soft sandwiches…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · E2023-03-22 · 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
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, review of facility policy, and staff interviews, during a tour of the kitchen, the facility failed to store food according to professional standards. The findings include: Observation in the Dietary Department with the Food Service Manager on 3/15/23 at 9:50 AM identified the following items found in the walk- in refrigerator: 1.French dressing 1 Gal- noted to be open and with a received date of 9/15/22. The container lacked opened and expiration dates. 2. [NAME] Italian 1 Gal- noted to be open with approximately 1/8th of the contents missing, and with a received date of 3/9/23. The container lacked opened and expiration dates. 3. Sweet Relish- noted to be open with 1/2 of the contents missing, and with a received date of 2/10/23. The container lacked opened and expiration dates. 4. Mayonnaise 1 Gal, noted to be open with 3/4 of the contents missing, and with a received date of 2/10/23. The container lacked opened and expiration dates. 5. Ken's Ranch 1 Gal, noted to be open with 3/4 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.
- Potential for harm · D2023-03-22 · tag F0561 — failed to honor residents' choices — isolatedHonor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
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, facility documentation, facility policy and interview for 1 resident (Resident #447) reviewed for choices, the facility failed to ascertain and implement the resident's choice related to showering. The findings include: Resident #447 was admitted to the facility on [DATE] with diagnoses that included fibromyalgia, atrial fibrillation, and stress incontinence. The care plan dated 3/6/23 identified that Resident #447 needed assistance with activities of daily living due to weakness and deconditioning. Interventions included encouraging the resident to do as much as he/she can for him/herself. The physician's orders dated 3/7/23 directed to provide Resident #447 a shower and weekly body audit every Sunday on the 7:00 AM - 3:00 PM shift. The admission MDS dated [DATE] identified Resident #447 had intact cognition and felt it was very important to choose between a tub bath, shower, bed bath or sponge bath while at the facility. Interview with Resident #447 on 3/15/23 at…
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 before2023-03-22 · 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 review of the clinical record, facility documentation, facility policy and interviews for 1 resident (Resident #29) reviewed for hospitalization and anticoagulant use, the facility failed to complete an admission assessment upon the resident's return from the hospital and failed to ensure the physician order was followed related to the administration of an anticoagulant medication, and for 1 resident (Resident #447) reviewed for choices, the facility failed to ensure that weekly body audits were completed per facility policy. The findings include: 1. Resident # 29's diagnoses included a cerebral infarction, pathological dislocation of the right shoulder and pneumonia. The admission MDS assessment dated [DATE] identified Resident #29 had moderate cognitive impairment, required extensive assistance for bed mobility, transfers, ambulation, locomotion, dressing, toileting, and personal hygiene. The Resident Care Plan (RCP) dated 12/2/23 identified Resident #29 had an ADL (activities of daily living)…
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 · D2023-03-22 · 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, observations, facility documentation, and interviews for 1 of 3 sampled residents (Resident #25) reviewed for pressure ulcers, the facility failed to ensure that the low air loss mattress (LAL) was at the correct setting per physician orders on multiple observations. The findings include: Resident #25 was admitted to the facility on [DATE] with diagnoses that included cellulitis of the right lower limb, a terminal illness and chronic venous hypertension (idiopathic) with ulcers of bilateral lower extremities. The admission Minimum Data Set (MDS) assessment dated [DATE] identified Resident #25 was moderately cognitively impaired and required extensive assistance of one for bed mobility, dressing and hygiene. Additionally, the MDS identified Resident #25 required extensive assistance of one for toilet use, supervision of 1 with ambulation and was independent after being setup for eating. Nurse's notes dated 1/23/23 at 3:40 PM identified Resident #25 complained of difficulty…
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 · D2023-03-22 · tag F0687 — failed to care for feet properly — isolatedProvide appropriate foot care.
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 documentation, and interviews for 1 of 1 sampled resident (Resident #25) reviewed for podiatry services, the facility failed to provide foot care for a resident with long toenails. The findings include: Resident #25 was admitted to the facility as a short term stay (rehabilitation) resident on 1/7/23 with diagnoses that included cellulitis of the right lower limb, a terminal illness and chronic venous hypertension (idiopathic) with ulcers of bilateral lower extremities. admission nurses notes dated 1/7/23 at 5:15 PM identified Resident #25 was observed to have thick, overgrown, and yellow toenails. The Resident Care Plan dated 1/7/23 identified a problem with impaired mobility related to weakness and deconditioning status post hospitalization for cellulitis of the lower extremities. Interventions included to continue with therapy, provide positive feedback, assist with toilet use, and encourage frequent position changes. A Consent for Services document…
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 · D2023-03-22 · tag F0921 — failed to keep a safe, functional, sanitary building — isolatedMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on a tour of the environment, observations, and interviews, the facility failed to ensure the area outside of the East Wing was free of cigarette butts and failed to ensure the staircase landing and steps to the basement were clean. The findings include: Observations of the rear parking lot from the East Wing exit on 3/15/23 at 10:15 AM identified the grounds near the exit door were littered with cigarette butts and an empty cigarette pack. There was a smoking receptacle in the vicinity and signage which directed no smoking. Observation of the basement steps (located outside the Dietary hallway) and staircase landing on 3/15/23 at 10:20 AM and on 3/15/23 at 12:55 with the Administrator identified a large amount of debris, dust, black particles, and grime. Interview with the Directory of Dietary on 3/15/23 at 10:17 AM identified that some facility staff members, not residents, would smoke in the area outside of the East Wing exit. He also indicated that the Director of Maintenance would be responsible to oversee the upkeep of both the staff smoking area and the basement…
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 · D2020-02-21 · tag F0554 — isolatedAllow residents to self-administer drugs if determined clinically appropriate.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, clinical record review, review of facility policy and interviews for 1 of 3 residents reviewed for medication administration (Resident #62), the facility failed to assess Resident #62 for self-administration of medications prior to allowing Resident #62 to self-administer medication. The findings include: Resident #62 was admitted to the facility on [DATE] with diagnoses that included chronic obstructive pulmonary disease (COPD), pulmonary fibrosis, dementia and general weakness. Physician's orders dated 7/23/18 (and currently in effect) directed to administer Anoro Ellipta Blister Device (a respiratory metered dose inhaler) 62.5-25 micrograms (mcg), 1 puff inhalation once a day. Physician's orders dated 7/5/19 (and currently in effect) directed to administer Saline Nasal Mist Aerosol Spray 0.65%, two sprays each nostril three times a day. The quarterly Minimum Data Set (MDS) assessment dated [DATE] identified Resident #62 was moderately cognitively impaired and required supervision with…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
Show the remaining 9 citations
- Potential for harm · D2020-02-21 · 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, interviews and facility policy for 1 of 3 sampled residents (Resident #43) reviewed for skin conditions and for 1 sampled resident (Resident #206) reviewed for grievances, the facility failed to report an injury of unknown origin and an allegation of mistreatment to the State Agency. The findings include: a. Resident #43 was admitted to the facility on [DATE] with diagnosis that included dementia, cerebral vascular accident and seizure disorder. The annual Minimum Data Set (MDS) assessment dated [DATE] identified Resident #43 was severely cognitively impaired and did not exhibit any behaviors. Additionally, the MDS identified that Resident #43 required extensive assist of two for bed mobility, was totally dependent on two for transfers, and did not walk. The MDS also identified Resident #43 required total dependence of one for dressing, toilet use, hygiene, bathing, and locomotion on and off the unit. The Resident Care Plan (RCP) dated 12/31/19…
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 · D2020-02-21 · 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 review of the clinical record, facility documentation, interviews and facility policy for 1 of 1 sampled resident (Resident #206) reviewed for grievances, the facility failed to complete a thorough investigation regarding alleged incidences of mistreatment/neglect. The findings include: Resident #206 was admitted to the facility on [DATE] with diagnoses that included Clostridium Difficile, morbid obesity, and depressive disorder. A baseline Resident Care Plan (RCP) dated 9/29/19 identified a problem with having a Stage 3 pressure ulcer to the right and left buttocks on admission. Interventions included to keep the area clean and dry as much as possible and to minimize moisture, keeping linens clean, dry and wrinkle free, with repositioning every 2 hours. The admission Minimum Data Set (MDS) assessment dated [DATE] identified Resident #206 had moderately impaired cognition and required extensive assistance of two for bed mobility, toilet use, personal hygiene and was non- ambulatory. Additionally, the…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2020-02-21 · 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 and staff interviews for 1 of 3 sampled residents (Resident #43) reviewed for skin conditions, the facility failed to implement care plan interventions for a resident who had a history of a seizure disorder, had combative behaviors, and was resistant to care. The findings include: Resident #43 was admitted to the facility on [DATE] with diagnosis that included dementia, stroke, non-traumatic intracerebral hemorrhage, and epilepsy with a seizure disorder. Physician's order dated 1/13/15 (and currently in effect) directed to pad upper bed rails. The annual Minimum Data Set (MDS) dated [DATE] identified Resident #43 had severe cognitive impairment and did not exhibit behaviors. Additionally, Resident #43 required extensive assist of 2 for bed mobility, was totally dependent on 2 for transfers in and out of bed and did not walk. The MDS also identified Resident #43 required total dependence of one for dressing, toilet use, hygiene, bathing, and locomotion on 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 · D2020-02-21 · 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, facility documentation, facility policy and interviews for 1 of 3 residents (Resident #155) reviewed for transmission based precautions, the facility failed to ensure infection control practices were followed. The findings include: Resident #155 was admitted to the facility on [DATE] with diagnosis that included a perforation of the intestine and post-operative colostomy. Nurse's notes dated 2/19/20 at 12:41 AM, 6:04 AM, 11:05 AM, and 3:38 PM identified that Resident #155's colostomy was draining loose stools. Physician's order dated 2/20/20 directed to send a stool specimen for Clostridium Difficile (C-diff). Nurse's note dated 2/20/20 at 11:30 AM identified the Advanced Practice Registered Nurse (APRN) was updated on resident, ordered stool to rule out C-diff so she can start Imodium. Enteric precautions initiated. A Resident Care Plan (RCP) dated 2/21/20 identified Resident #155 was on isolation precautions for possible C-diff and a stool culture was pending. Interventions included to…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2019-01-14 · tag F0585 — failed to handle grievances — isolatedHonor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
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 one resident (Resident #40) reviewed for resident council, the facility failed to follow facility policies to resolve a grievance for a resident who reported missing items. The findings include: Resident #40 was admitted on [DATE] with diagnoses that included repeated falls, muscle weakness, and hypertension. The admission Minimum Data Set (MDS) assessment dated [DATE] identified Resident #40 had moderate cognitive impairment and required extensive assistance of one person assist with personal care. The care plan dated 9/24/18 identified Resident #40 had an alteration in thought process as exhibited by forgetfulness and a concern related to psychosocial well-being. Interventions included allowing resident to express feelings, determine resident's needs, and encourage family involvement. Facility documentation dated 1/10/18 at 9:41 AM identified that Resident #40 reported an incident of missing…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- No harm found · C2023-03-22 · tag F0838 — failed to assess facility resources and resident needs — widespreadConduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
What the surveyor found here — the official record, unedited, may be distressing
Based on observation, review of the Facility Assessment and staff interview, the facility failed to update the Facility Assessment's staffing grid to reflect the new Connecticut General Statute 19a-563h regarding 3.0 staffing. The findings include: On 3/21/23 at 12:34 PM interview and review of the Facility Assessment with the Administrator identified he included a paragraphed section entitled Staffing Plan that reflected discussions with the Scheduler to meet the new 3.0 staffing regulations, however the Facility Assessment's staffing grid located in the Facility Assessment (which identified the number of licensed staff and nurse aides that were to be scheduled) had not been updated to reflect the new staffing requirements of the Connecticut General Statute for 3.0 staffing (19a-563h.) Additionally, the Administrator identified he would re-calculate the staffing grid to reflect the new staffing requirement.
- No harm found · B2023-03-22 · tag F0625 — patternNotify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
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 interviews for 3 of 3 residents (Resident #29, 43 and 48) reviewed for hospitalizations, the facility failed to provide the resident and/or the resident representative written notice of the bed hold policy. The findings include: 1. Resident # 29's diagnoses included pulmonary embolism, cerebral infarction, a pathological dislocation of the right shoulder and hypertensive heart disease. The admission MDS assessment dated [DATE] identified Resident #29 had moderate cognitive impairment, required extensive assistance for bed mobility, transfers, ambulation, locomotion, dressing, toileting, and personal hygiene. The Resident Care Plan (RCP) dated 12/2/23 identified Resident #29 had an ADL (activities of daily living) self-care deficit with interventions that included physical and occupational therapy, assistance with the performance of ADL care. The RCP further identified Resident #29 was on an anticoagulant with interventions that included…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- No harm found · B2023-03-22 · tag F0732 — patternPost nurse staffing information every day.
What the surveyor found here — the official record, unedited, may be distressing
Based on observation and staff interview, the facility failed to ensure nurse and nurse aide staffing information was thoroughly completed prior to posting. The findings include: Observation on 3/20/23 at 11:30 AM and on 3/21/23 at 12:25 PM identified posted staffing failed to include the 3:00 PM to 11:00 PM shift staffing hours/numbers scheduled to work for nurses and nurse aides. On 3/21/23 at 12:29 PM observation of the posted staffing with the Administrator identified it was the responsibility of the scheduler to post the staffing hours on the bulletin board in the hallway by nursing supervisor office. Additionally, he indicated he instructed the scheduler to omit the 3:00 PM to 11:00 PM section until all call outs for 3:00 PM to 11:00 PM were received. Subsequent to surveyor inquiry on 3/21/23 the 3:00 PM to 11:00 PM nurse and nurse aide staffing was completed and posted.
- No harm found · B2023-03-22 · tag F0947 — failed to train nurse aides adequately — patternEnsure 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 staff interview and review of staff education, the facility failed to ensure 12 hours of mandatory staffing was completed for Nurse Aide (NA) #2, NA #3 and NA #4. The findings include: On 3/21/23 at 12:29 PM, interview and review of staff inservices with the DNS identified the following: 1. NA #2 was hired on 9/3/21. Review of the employee inservices failed to identify NA #2 had ever received 12 hours of training, including inservicing on abuse, dementia, communication (knowing what to report) and behavioral health. 2. NA #3 was hired on 3/8/23. Review of the employee inservices failed to identify NA #3 had ever received 12 hours of training, including education on resident rights, dementia, infection control and communication. 3. NA #4 was hired on 9/9/22. Review of the employee inservices failed to identify NA #4 had ever received 12 hours of training including education on resident rights, dementia and communication. Interview with the DNS at that time identified the facility does not currently have a Staff Development employee, and she was sharing the role with 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.
“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.
“Disputed” is CMS’s own flag, not our reading: the CMS deficiency file records whether the home has formally contested a citation, and we reproduce that. IDR is Informal Dispute Resolution, run by the state survey agency that wrote the citation; IIDR is Independent Informal Dispute Resolution, a separate process before an outside entity, available when CMS has proposed a civil money penalty. They are different processes and we mark them differently. Two things to hold at once. A disputed citation is still a citation — it was written by a surveyor, it stands on the record unless and until it is changed, and we neither hide it nor discount it. And we cannot tell you how the dispute came out: CMS publishes that a citation is under dispute, not the outcome, so a tag marked here may since have been upheld, reduced, or deleted, and an unmarked tag may have been disputed and resolved before this file was cut. Ask the home what it disputed and why — it is entitled to tell you, and the answer is often the most informative thing on this page.
- 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
$47,483 in federal fines across 2 penalties.
- $15,106 — penalty dated 2025-10-15
- $32,377 — penalty dated 2025-06-09
Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.
Who owns this facility
| Owner / manager | Type | Role | Share | Since |
|---|---|---|---|---|
| MIRLIS CHILDREN TRUST | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | since 02/01/2022 |
| MILLER, JOHN | Individual | W-2 MANAGING EMPLOYEE | — | since 06/30/2017 |
| MIRLIS, ELIYAHU | Individual | CORPORATE OFFICER | — | since 02/01/2022 |
| ROSE, NATHAN | Individual | CORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROL | — | since 02/01/2022 |
CMS files one row per role, so the 5 rows in the source record cover these 4 parties — each is shown once here with every role it holds. Nothing is omitted.
1 organizational owner 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 $3.4M paid to related parties — landlords or management companies under common ownership — equal to about 22% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.
Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.
Cost & finances
Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.
What families pay in CT
This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the Connecticut Medicaid page.
Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.
Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 075079. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2023-03-22, 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.