Orange Health Care Center
225 Boston Post Rd, Orange, CT 06477 · For profit - Corporation · 60 certified beds · (203) 795-0835 Medicare & Medicaid certified
On the public record, this home looks stronger than most — but visit before you decide.
- a strong health-inspection score (5/5) — the hardest rating to game (though it’s ranked within its own state, not nationally)
- no federal fines or payment denials on record
- a high payroll-based staffing rating (5/5)
- lower-than-typical staff turnover (20% vs 45% nationally) — better care continuity
- fewer deficiencies at its most recent standard inspection than at the one before — a sign of improvement
- a high number of inspection citations overall (19) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.
A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.
| Health inspectionSurveyor-assigned, ranked within your stateInspector-verified | 5 of 5 |
| StaffingFrom payroll records (PBJ) | 5 of 5 |
| Quality measuresSelf-reported by the facility | 5 of 5 |
Location & what’s nearby
Open in Google Maps ↗ · Directions ↗ · Larger map ↗
Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.
Quality measures — how residents actually fare
| Overall quality measures | 5 of 5 |
| Long-stay residentspeople who live here | 5 of 5 |
| Short-stay residentsrehab / post-hospital | 4 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 | 15.0% | 18.0% | 15.4% | typical |
| Long-stay residents who lose too much weight | 2.1% | 6.5% | 5.4% | better |
| Long-stay residents with a catheter left in their bladder | 0.0% | 0.7% | 0.9% | better |
| Long-stay residents with a urinary tract infection | 0.6% | 1.5% | 2.0% | better |
| Long-stay residents with depressive symptoms | 7.4% | 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 | 2.3% | 3.5% | 3.3% | better |
| Long-stay residents whose ability to walk worsened | 11.9% | 16.4% | 16.1% | better |
| Long-stay residents on antianxiety or hypnotic medication | 9.0% | 17.6% | 18.9% | better |
| Long-stay residents given the seasonal flu vaccine | 97.9% | 93.5% | 95.3% | typical |
| Long-stay residents with pressure ulcers | 4.4% | 4.0% | 4.7% | typical |
| Long-stay residents with worsening bladder/bowel control | 29.3% | 24.7% | 21.2% | worse |
| Long-stay residents who got an antipsychotic medication§ — see the note below the table | 12.5% | 17.8% | 17.1% | better |
| Short-stay residents who newly got an antipsychotic medication | 2.4% | 1.5% | 1.4% | worse |
| Short-stay residents given the seasonal flu vaccine | 57.1% | 69.7% | 79.4% | worse |
| Short-stay residents rehospitalized after admission | 27.2% | 24.3% | 22.6% | worse |
| Short-stay residents with an outpatient ER visit | 4.2% | 10.7% | 12.0% | better |
| Long-stay hospitalizations per 1,000 resident days | 2.18 | 2.06 | 1.67 | worse |
| Long-stay outpatient ER visits per 1,000 resident days | 0.49 | 1.46 | 1.80 | better |
‡ On this measure the state average is at least twice (or half) the typical state — a gap that size is usually how the state codes and reports the measure, not how its homes actually perform. Against a benchmark this state does not sit on, a “vs typical state” verdict would mostly be measuring the state, so we compare this home with its own state instead and show both averages.
§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.
CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.
Short-stay rehab — if you are coming here from a hospital
Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.
54.9% 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 73 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.
Met the expected recovery: 55.6% 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 36 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 0.62 therapist hours per resident per day in 2026Q1 — more than 89% of the 13,892 homes that report any therapy hours at all.
Weekend therapy: weekend therapy hours are 30% 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 | 54.9%CMS range 43.6–65.0 | 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 | 10.7%CMS range 7.0–16.2 | 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 | 55.6% | 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 | 52.8% | 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 | 47.2% | 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 | 98.1% | 98.7% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge | 100.0% | 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 | 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 | 0.0% | 1.9% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization | 8.3%CMS range 4.9–12.6 | 7.1% | Oct 2023–Sep 2024 | no different from U.S. |
| Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs | 0.93 | 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 60 beds and averages 49.4 residents a day — about 82% occupied, or roughly 11 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 3.90 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.78 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.47 is at or above the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.
Weekend coverage: total nurse staffing is 3.49 hrs/resident/day on weekends vs 4.07 on weekdays — 14% thinner on weekends. RN hours go from 0.87 to 0.56 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)
This home’s total nursing-staff turnover of 20% is below the national median of 45%.
Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.
Inspection trend
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.
19 citations, most serious first. The 10 most serious are shown; the remaining 9 are one tap away and print in full.
- Potential for harm · E2025-07-21 · tag F0712 — patternEnsure that the resident and his/her doctor meet face-to-face at all required visits.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on the review of clinical records, review of facility policy/procedures and interviews for three sampled residents (Residents #4, #8, and #34) reviewed for physician visits, the facility failed to ensure that the physician made alternating visits with the APRN’s every sixty days. The findings include: 1. Resident #4 was admitted to the facility 8/1/22 with diagnoses of type 2 diabetes mellitus, chronic kidney disease (CKD), peripheral vascular disease, and atrial fibrillation. The annual MDS assessment dated [DATE] identified Resident #4 had moderately impaired cognition, was taking anticoagulant, antidepressant, opioid, antiplatelet, hypoglycemic and anticonvulsant medications and was at risk for pressure injuries. The care plan dated 7/10/23 identified Resident #4 had a diagnosis of diabetes with diabetic CKD, with interventions to report signs and symptoms of hypo/hyper glycemia or bleeding to MD, obtain labs as ordered and report results to MD. Additionally, the care plan identified Resident #4 was 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 · D2025-07-21 · tag F0580 — failed to tell family and doctor about changes — isolatedImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Number of residents sampled: 1Number of residents cited: 1Based on review of the clinical record, review of facility documentation, review of facility policy/procedures and interviews for 1 of 5 sampled residents (Resident #22) reviewed for non-pressure skin conditions, the facility failed to ensure a significant change in physical status or a need to alter treatment was consulted with the resident's physician in a timely manner. The findings include: Resident #22 was admitted to the facility 6/25/25 with diagnosis that included the presence of an aortocoronary bypass graft, and hypertension. The care plan dated 6/26/25 identified Resident #22 had a surgical incision on the chest and left lower extremity status post coronary artery bypass graft (CABG) with interventions that included: facilitate follow up with surgeon as scheduled and as needed, report any redness, warmth, fever, increased pain or edema to physician, and treatment to surgical site as ordered. Additionally, the care plan identified the potential…
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 · D2025-07-21 · tag F0628 — isolatedProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Number of residents sampled: 1Number of residents cited: 1Based on clinical record review, review of facility documentation, and interviews for one sampled resident (Resident #61) reviewed for discharge, the facility failed to ensure the Ombudsman's office was provided with the required notification of the transfer. The findings include:Resident #61's diagnoses included rheumatoid arthritis of multiple sites, anemia, and type 2 diabetes mellitus.The admission MDS assessment dated [DATE] identified Resident #61 had intact cognition, required set-up or clean up assistance with personal hygiene, toileting hygiene, upper body dressing, supervision with bed mobility, transfers and ambulation.The Social Worker (SW#2) progress note dated 4/17/25 at 4:50 PM identified Resident #61 was discharged home with medications and home care services in place. The note further identified that discharged paperwork was reviewed and signed with the resident.A review of the transfer notice sent to the Ombudsmen's office for the month…
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 before2025-07-21 · 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 Number of residents sampled: 22Number of residents cited: 2Based on clinical record reviews and interviews for two of three sampled residents (Residents #8 and #22) reviewed for care planning, the facility failed to ensure that the care plan meeting was scheduled and completed by the interdisciplinary team following the MDS assessment. The findings include: 1. Resident #8's diagnoses included depression, anxiety, and vascular dementia.The quarterly MDS assessment dated [DATE] identified Resident #8 had severely impaired cognition, required maximal assistance for bed mobility, transfers and required total assistance for personal hygiene, toileting hygiene, lower body dressing. The assessment further identified Resident #8 was non-ambulatory and utilized a wheelchair independently.The Reportable Event Report dated 5/22/25 at 12:15 PM identified Resident #8 was observed on the floor in his/her room lying on his/her left side in front of the wheelchair with no noted injuries. The report further 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 · Dcited before2025-07-21 · 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 Number of residents sampled: 5Number of residents cited: 5Based on review of the clinical record, review of facility documentation, review of facility policy/procedures and interviews for three of five sampled residents (Residents #14, 22, and #34) reviewed for non-pressure skin conditions (surgical incisions/wounds), the facility failed to ensure the primary care physician managed and monitored the post-surgical wound and acted upon changes to the wound in a timely manner and failed to ensure the alternating pressure mattress was set to the residents’ weights as ordered The findings include: 1. Resident #14’s diagnoses included dementia, and anxiety. The quarterly MDS assessment dated [DATE] identified Resident #14 was severely cognitively impaired, had no behaviors, was dependent for bed mobility, transfers, and personal hygiene, required substantial to maximal assistance with dressing, was non ambulatory, and utilized a wheelchair for mobility. The MDS further identified Resident #14 had no current skin…
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 before2023-05-25 · tag F0761 — failed to label and store drugs safely — patternEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on a observation of one of two medication storage rooms, facility policy and staff interview, the facility failed to remove 4 of 4 expired intravenous (IV) solution bags from the storage stock. The findings include: A tour of the A Wing medication storage room on [DATE] at 11:54 AM with the DNS and Infection Preventionist identified the following: a. A 1-liter solutions bag of 0.9% Sodium Chloride was located in the black IV-Emergency (E) Box, had an expiration date of 3/2023 (2 months past the expiration date). b. A 1-liter solution bag of 5% Dextrose was located in the black IV-E Box had an expiration date of 12/2022 (5 months past the expiration date). c. A 1-liter solution bag of 10% Dextrose was located in the black IV-E Box and had an expiration date of 4/2022 (13 months past the expiration date). d. A 1-liter solution bag of 0.45% Sodium Chloride was located in the IV- E Box and had an expiration date of 10/2021 (17 months past the expiration date). Interview with DNS on [DATE] at 11:55 AM…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · E2023-05-25 · 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 with the Dietary Manager and staff interview, the facility failed to ensure the kitchen and kitchen storage areas were maintained in a sanitary manner. The findings include: A tour of the Dietary Department with the Dietary Manager on 5/22/23 at 10:45 AM identified the following: a. The kitchen ceiling fan and the white pipe below it were noted to have a moderate accumulation of black and gray dust-like particles. b. The kitchen ceiling above the coffee machine was noted to have brown drip stains. c. The hatchway stairs (which led to the food storage room in the basement) were noted to have dry leaves and a heavy accumulation of black stains and debris on the step corners adjacent to the walls. d. The last step to the ground of the hatchway stairs which led to the food storage area was noted to have a sticky trap with black droppings on it. e. The doorframe leading to the laundry room which stored a white freezer to the right and a black refrigerator to the left was noted to have a pest service sticky trap on either side of the door frame.…
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 before2023-05-25 · 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 observations, review of the clinical record, review of facility policy, and interviews for the one sampled resident (Resident #26) reviewed for activities, the facility failed to ensure the care plan was comprehensive related to identifying interventions that addressed the resident's love of music and desire to have music in his/her room. The findings include: Resident #26's diagnoses included glaucoma, cerebral atherosclerosis, and major depressive disorder. The annual MDS assessment dated [DATE] identified Resident #26 was [AGE] years old with intact cognition, required extensive assistance with bed mobility, transfers, dressing toilet use, and personal hygiene. The MDS further identified Resident #26 found it somewhat important to have music he/she liked, participate in his favorite activities, go outside to get fresh air when the weather is good, and he/she found it not important to participate in group activities. The psychotherapy progress note dated 2/24/23 indicated that the resident doesn't…
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 · D2023-05-25 · tag F0679 — failed to provide activities — isolatedProvide activities to meet all resident's 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 observations, review of the clinical record, review of facility policy, and interviews for the one sampled resident (Resident # 26) reviewed for activities, the facility failed to provide individualized activities for a resident with a visual deficit. The findings include: Resident #26's diagnoses included glaucoma, cerebral atherosclerosis, and major depressive disorder. The annual MDS assessment dated [DATE] identified Resident #26 was [AGE] years old with intact cognition, required extensive assistance with bed mobility, transfers, dressing toilet use, and personal hygiene. The MDS further identified Resident #26 found it somewhat important to have music he/she liked, participate in his favorite activities, go outside to get fresh air when the weather is good, and he/she found it not important to participate in group activities. The psychotherapy progress note dated 2/24/23 indicated that the resident doesn't attend as many recreation activities due to his deficits and noted that the resident is…
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 · D2023-05-25 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolatedProvide safe and appropriate respiratory care for a resident when needed.
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, review of facility policy, and interviews for one sampled resident (Resident #405) reviewed for respiratory care, the facility failed to label nebulizer tubing and failed to keep tubing and mask stored appropriately. The findings include: Resident #405 was admitted to the facility in May of 2023 with diagnoses that included nontraumatic subdural hemorrhage, aphasia, difficulty in walking, and anemia. The physician's order dated 5/5/23 directed to administer Albuterol Sulfate Nebulization Solution (2.5 mg/3ml) 0.083% 3 milliliter via nebulizer every 6 hours as needed for shortness of breath and/or wheezing. The care plan dated 5/8/23 did not address Resident #405's respiratory status. The admission MDS dated [DATE] identified Resident #405 had moderately impaired cognition, required extensive assistance with dressing, eating, and personal hygiene. Observations on 5/22/23 at 12:00 PM and 5/23/23 at 1:47 PM noted the nebulizer machine on the bedside table 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 · D2023-05-25 · tag F0758 — failed to limit and justify psychotropic drugs — isolatedImplement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record review, facility documentation review, facility policy review and interviews for three of five sampled residents (Resident #5, Resident #12 and Resident #49) reviewed for unnecessary medication use, the facility failed monitor orthostatic blood pressure in accordance to the facility policy for Resident #5, Resident #12 and Resident #49 and failed to identify/monitor target behaviors for Resident #12 who was receiving an antipsychotic medication. The findings include: 1. Resident #5's diagnoses included schizophrenia, hypertension, Chronic Obstructive Pulmonary Disease (COPD) and hypothyroid. The admission Minimum Data Set (MDS) assessment dated [DATE] identified that Resident #5 had a Brief Interview for Mental Status (BIMS) score of 15 out of 15, indicative of no cognitive impairment and required limited assist of 1 person with bed mobility, transfer, toileting, hygiene and ambulation. The Resident Care Plan (RCP) dated 3/25/23 identified Resident #5 had diagnosis of schizophrenia.…
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 · D2023-05-25 · tag F0810 — isolatedProvide special eating equipment and utensils for residents who need them and appropriate assistance.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, clinical record review, review of facility documentation, and interviews for one sampled resident (Resident #34) who required assistive devices for dining, the facility failed to provide the appropriate assistive devices. The findings include: Resident # 34's diagnoses included traumatic brain injury, muscle weakness, and neuralgia. A quarterly rehabilitation screen dated 3/29/23 completed by speech therapy directed NDD3 diet (A level 3 National Dysphagia Diet), thin liquids, Lipped plate, and placemat for all meals. The quarterly MDS assessment dated [DATE] identified Resident #34 had intact cognition, required extensive assistance with bed mobility, dressing, and personal hygiene, and was independent with eating with set up help from the staff. The Resident Care Plan dated 5/6/23 identified Resident #34 was at risk for unplanned weight changes due to his/her mechanically altered diet and fluctuation in appetite, with interventions that included: set up meals, and monitor meal intake…
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 · E2021-04-19 · tag F0578 — failed to honor advance directives / code status — patternHonor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
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 documentation and interviews for 1 of 2 sampled residents (Resident #39) reviewed for advanced directives, the facility failed to ensure that physician's orders for DNR were kept current on subsequent physician's orders. The findings include: Resident #39's diagnoses included type 2 diabetes mellitus, hypernatremia, hypokalemia, chronic obstructive pulmonary disease, dementia, seizure disorder, metabolic encephalopathy, hypertension, and hyperlipidemia. The quarterly MDS assessment dated [DATE] identified Resident #39 had severe cognitive impairment and required extensive to total assistance with all activities of daily living with the omission of eating. A nurse's note dated [DATE] identified that Resident #39 tested positive for COVID-19, the resident's responsible party was notified, and code status was discussed with the decision to maintain the resident's full code status. The note further identified that the resident was sent to the hospital for…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · E2021-04-19 · tag F0730 — patternObserve each nurse aide's job performance and give regular training.
What the surveyor found here — the official record, unedited, may be distressing
Based on review of facility documentation, facility policy and interviews, the facility failed to ensure that required yearly in service training was completed related to caring for cognitively impaired residents. The findings include: An interview and review of the required yearly nurse aide training with RN #1 dated 4/15/21 at 10:20 AM identified that there was no training related to dementia and the care of the cognitively impaired resident conducted for the past year (2020). RN #1 identified that the dementia training should have been started at the time the facility was impacted by the pandemic. RN #1 further noted that the required in-service training was not completed for any of the facility's staff. An interview on 4/19/21 at 12:39 PM with the DNS identified, dementia training should be completed annually. The facility policy for annual and as needed education directed that facility staff complete a minimum of 12 hours annually of in-service training.
- Potential for harm · D2021-04-19 · tag F0656 — failed to write and follow a full care plan — isolatedDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, review of the clinical record and staff interviews for one of 1sampled resident (Resident #1) reviewed for skin integrity, the facility failed to develop a comprehensive plan to address the resident's fragile skin integrity and increased risk for bruising related to use of aspirin. The findings included: Resident #1's diagnoses included vascular dementia with behavioral disturbances, hypertension and a history of atherosclerotic heart disease (ASHD), coronary artery disease (CAD) and myocardial infarction (MI). An admission MDS assessment dated [DATE] and quarterly assessment dated [DATE] identified the resident as severely impaired for cognitive status, exhibiting symptoms of verbal and physical abusive behaviors 1-3 days, requiring extensive assistance from staff for most activities of daily living, no other skin condition, or problems except for MASD. Physician admission orders dated 10/12/20 and subsequent monthly orders from the period of November 2020 to April 2021 directed ASA 325mg…
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 before2021-04-19 · 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 clinical record review, review of the facility documentation and staff interviews for 1 sampled resident, (Resident #17), reviewed for urinary tract infection, the facility failed to ensure that an order for a urinalysis with culture and sensitivity was obtained and collected by the lab in a timely manner. The findings include: Resident #1 was admitted with diagnoses that included, dementia with behavioral disturbance, rectal cancer and acute kidney failure. The annual Minimum Data Set assessment (MDS) dated [DATE] identified Resident #17 had severe cognitive impairment, required extensive assistance with personal hygiene, toileting and was noted to be always incontinent of bladder The care plan dated 2/24/2021 identified Resident #17 had an alteration in elimination related to bladder incontinence with interventions that included; assist with bathroom hygiene, provide incontinent care as needed and encourage bathroom use. A physician's progress note dated 4/5/2021 identified Resident #17 was evaluated…
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 before2021-04-19 · tag F0761 — failed to label and store drugs safely — isolatedEnsure 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 observation, review of facility policy and procedure and interviews for two of two medication storage refrigerators, the facility failed to ensure the freezer section of the refrigerators were frost-free and food items unrelated to medication administration were contained. The finding included: On 4/13/21 at 11:09 A.M. an observation of the medication storage room on the A-wing unit with RN #4 identified the freezer section of the medication storage refrigerator was noted to be coated with a thick layer of ice and lacked a thermometer. An interview with RN #4 at the time indicated, he/she was unsure of the last time the freezer was cleaned or defrosted. RN #4 further noted, he/she didn't know where the thermometer of the freezer was located and believed maintaining the cleanliness and defrosting of the freezer was the responsibility of the 3rd shift licensed staff. On 4/13/21 at 11:25 A.M. an observation of the medication storage room on the B-wing unit with RN #5 identified the freezer section of the medication storage refrigerator was noted to be coated with a thick layer…
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 · B2023-05-25 · tag F0623 — patternProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal 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, review of facility documentation, review of facility policy, and interviews for one of two sampled residents (Resident #53) reviewed for hospitalization, the facility failed to provide the required notification of the transfer to the state Ombudsman's office. The findings include: Resident #53's diagnoses included pneumonia, anemia, stroke, acute kidney failure, and hypertension. The Nursing admission assessment dated [DATE] identified Resident #53 was alert to person, verbally appropriate, required extensive assistance with bed mobility, personal hygiene, and dressing. The nurse's note dated 2/25/23 at 7:27 AM identified Resident #53 was awake throughout the night climbing out of his/her bed and pulled out his/her indwelling catheter. The indwelling catheter was unable to be reinserted due Resident #53 being uncooperative. A Situation Background Assessment and Recommendation (SBAR) note dated 2/25/23 at 5:00 PM identified Resident #53 pulled out his/her urinary catheter 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.
- No harm found · B2021-04-19 · tag F0842 — failed to keep accurate, complete medical records — patternSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted 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 observations, review of the clinical records, review of facility documentation, and interviews for 2 of 3 sampled residents (Resident #1 & #498) reviewed for skin integrity and activities of daily living (ADL), the facility failed to ensure the clinical was complete regarding an initial skin assessment and ADL care. The findings include: 1. Resident #1's diagnoses included vascular dementia with behavioral disturbances, atherosclerotic heart disease (ASHD), hypertension, coronary artery disease (CAD) and myocardial infarction (MI). An admission MDS assessment dated [DATE] and quarterly MDS assessment dated [DATE] identified the resident as severely impaired for cognitive status, exhibiting symptoms of verbal and physical abusive behaviors 1-3 days, requiring extensive assistance from staff for most activities of daily living, no other skin condition, or problems except for moisture-associated skin damage (MASD). Physician's admission orders dated 10/12/20 directed weekly skin observation on shower day,…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.
- Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
- Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
- State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Fines & penalties
No federal fines in the current CMS record.
Who owns this facility
| Owner / manager | Type | Role | Share | Since |
|---|---|---|---|---|
| SUGERS, LINDA | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | since 10/28/2016 |
| KNUTSEN, PAUL | Individual | CORPORATE DIRECTOR; OPERATIONAL/MANAGERIAL CONTROL | — | since 10/28/2016 |
| ACAMPORA, ANDREE | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 03/11/2025 |
CMS files one row per role, so the 5 rows in the source record cover these 3 parties — each is shown once here with every role it holds. Nothing is omitted.
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.
About 70% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself.
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 075434. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-07-21, 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.