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Pomperaug Woods Health Center

80 Heritage Rd, Southbury, CT 06488 · Non profit - Corporation · 37 certified beds · (203) 262-6555 Medicare only — no Medicaid

Call the home — (203) 262-6555 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Abuse/neglect citation on record (F0602) — cited May 20252 actual-harm citations$20,872 in federal fines
Insights

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

In its favor
  • a middle-of-the-pack inspection score (3/5)
  • a high payroll-based staffing rating (5/5)
Worth asking about
  • it has an abuse, neglect, or exploitation citation (F0602), cited May 2025
  • it has a citation for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0609) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
  • it has 2 actual-harm citations
  • a high number of inspection citations overall (20) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • the CMS record shows $20,872 in federal fines (most recent 2024-09-18)
  • its payroll-based staffing score sits well above its independent inspection score

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.

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

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

Location & what’s nearby

Hospital
★★ 2/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
22 Old Waterbury Rd · (203) 262-4200 · Call to confirm hours
Pharmacy
493 Heritage Rd · (203) 264-6666 · Call to confirm hours
Grocery
PAC1.0 mi
229 Main St S · (203) 755-2999 · Call to confirm hours
Park
611 Old Field Rd · (203) 262-0633 · Typically dawn to dusk
Place of worship

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 improved from 3 to 4 stars. From monthly CMS archive snapshots.

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

Overall rating4★
Inspection scorelower = better
See all quality measures vs. state & national benchmarks
MeasureThis homeState avgTypical statevs typical state
Long-stay residents whose need for help with daily activities increased16.4%18.0%15.4%typical
Long-stay residents who lose too much weight4.5%6.5%5.4%better
Long-stay residents with a catheter left in their bladder0.0%0.7%0.9%better
Long-stay residents with a urinary tract infection0.0%1.5%2.0%better
Long-stay residents with depressive symptoms14.5%22.3%6.5%better than state — see note marked double-dagger below the table
Long-stay residents who were physically restrained0.0%0.0%0.1%better than state — see note marked double-dagger below the table
Long-stay residents with falls causing major injury6.9%3.5%3.3%worse
Long-stay residents on antianxiety or hypnotic medication32.8%17.6%18.9%worse
Long-stay residents given the seasonal flu vaccine95.8%93.5%95.3%typical
Long-stay residents with pressure ulcers1.9%4.0%4.7%better
Long-stay residents with worsening bladder/bowel control26.9%24.7%21.2%worse
Long-stay residents who got an antipsychotic medication — see the note below the table14.3%17.8%17.1%better
Short-stay residents who newly got an antipsychotic medication0.0%1.5%1.4%better
Short-stay residents given the seasonal flu vaccine85.7%69.7%79.4%typical
Short-stay residents rehospitalized after admission29.5%24.3%22.6%worse
Short-stay residents with an outpatient ER visit17.0%10.7%12.0%worse
Long-stay hospitalizations per 1,000 resident days3.992.061.67worse
Long-stay outpatient ER visits per 1,000 resident days2.421.461.80worse

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.

58.4% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that better than the national rate. This is CMS’s risk-adjusted rate over 182 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

58.4%U.S. median 51.5%
Got home and stayed home
10.9%U.S. median 10.7%
Went back to hospital
36.5%U.S. median 56.6%
Met the expected recovery
0.67U.S. median 0.31
Therapy hours / resident / day
0.35hours / resident / day
Physical therapy
0.29hours / resident / day
Occupational therapy
0.03hours / resident / day
Speech therapy

Met the expected recovery: 36.5% 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 74 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 0.67 therapist hours per resident per day in 2026Q1 — more than 91% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 14% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

See every short-stay measure CMS publishes for this home
MeasureThis homeU.S. medianPeriod coveredCMS’s call
Got home and stayed homeRate of successful return to home or community from a SNF58.4%CMS range 52.6–65.451.5%Oct 2022–Sep 2024better than U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF10.9%CMS range 8.2–15.210.7%Oct 2022–Sep 2024no different from U.S.
Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge36.5%56.6%Oct 2024–Sep 2025CMS makes no comparison for this measure
Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge48.6%52.8%Oct 2024–Sep 2025CMS makes no comparison for this measure
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge23.0%50.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified84.3%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting98.4%100.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final dischargenot 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 stay2.2%0.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened0.0%1.9%Oct 2024–Sep 2025CMS makes no comparison for this measure
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization5.7%CMS range 3.0–12.87.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs0.781.02Oct 2022–Sep 2024CMS makes no comparison for this measure

From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.

Staffing

1.35
RN hours/ resident / day
0.91
LPN hours/ resident / day
3.00
Aide hours/ resident / day
5.26
Total nurse hours/ resident / day
1.03
RN hoursweekends
45.1%
Total nursing turnover
27.3%
RN turnover

How full it usually is: this home is certified for 37 beds and averages 31.0 residents a day — about 84% occupied, or roughly 6 beds typically open. It usually has some room. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 5.26 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 1.35 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 3.00 is at or above the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 4.65 hrs/resident/day on weekends vs 5.51 on weekdays — 15% thinner on weekends. RN hours go from 1.49 to 1.03 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 45% 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

8
deficiencies at the latest standard inspection (2024-10-16)
6
at the previous standard inspection (2023-04-18)

Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

ABCDEFGHIJKL

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

20 citations, most serious first. The 12 most serious are shown; the remaining 8 are one tap away and print in full.

  • Actual harm · Gcited before2024-10-16 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record reviews, facility documentation, facility policy and interviews for 3 of 5 sampled residents (Resident #26, Resident #2 and Resident #10) reviewed for accidents, the facility failed to follow the plan of care resulting in a fall with major injury (Resident #26) and failed to ensure a transfer was provided according to physician order (Resident #2) and failed to implement interventions according to the plan of care resulting in falls (Resident #10). The findings include: 1. Resident #26's diagnoses included dementia, cognitive communication deficit, history of falls, and traumatic subdural hemorrhage. The quarterly Minimum Data Set (MDS) assessment dated [DATE] identified Resident #26 was severely cognitively impaired (Brief Interview for Mental Status (BIMS) score of 3) and required moderate assistance with transfers, bed mobility and sitting to standing. The MDS further identified Resident #26 required moderate assistance with dressing and supervision with toileting, had two or more…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Actual harm · Gcited before2024-09-18 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record reviews, facility documentation, and staff interviews for one of three residents (Resident #1) reviewed for accidents, the facility failed to ensure the resident was transferred with the assistance of two staff in accordance with the Resident Care Plan and as a result, the resident was not positioned safely in the chair and when staff directed the resident to reposition him/herself, the resident slid out of the wheelchair and sustained a femur fracture. The finding includes: Resident #1's diagnoses included osteoarthritis, dementia and muscle weakness. The quarterly Minimum Data Set (MDS) dated [DATE] identified Resident #1 had a Brief Interview for Mental Status (BIMS) score of twelve (12) indicating moderate impaired cognition and required substantial/maximal assistance with toileting and transfers. The Resident Care Plan dated 8/7/24 identified Resident #1 had limited mobility. Interventions directed to provide assistance of two (2) staff for toilet transfers. Review of the facility…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-05-20 · tag F0550 — failed to protect resident dignity and rights — isolated
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on review of the clinical record, facility documentation, facility policy, and interviews for one (1) of three (3) residents (Resident #8) reviewed for abuse, the facility failed to ensure a resident was treated in a respectful and dignified manner. The findings include:Resident #8 had diagnoses that included major depressive disorder, right femur fracture, difficulty walking, fracture of the first lumbar vertebrae, bilateral sacral fractures, and sacral insufficiency fracture. The Resident Care Plan (RCP) dated 3/5/26 identified Resident #8 had a functional ADL decline related to fractures and recent surgery with interventions that directed to provide the assistance of one with ADLs and toileting. The quarterly Minimum Data Set (MDS) dated [DATE] identified Resident #8 had a Brief Interview for Mental Status (BIMS) score of 15 indicative of intact cognition, was always continent of bowel and bladder, required moderate assistance with personal hygiene, and touching assistance for toileting and toileting…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-05-29 · tag F0602 — failed to protect residents from theft of their belongings — isolated
    Protect each resident from the wrongful use of the resident's belongings or money.
    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 misappropriation, the facility failed to ensure a resident was free from misappropriation of property when an iPad was taken from the facility. The findings include: Resident #1 had diagnoses that included dementia, anxiety, generalized muscle weakness, and chronic obstructive pulmonary disease. The care plan dated [DATE] identified Resident #1 needed to feel comfortable in h/her new placement with interventions that directed to inform the resident of other available areas to explore a change of scenery such as the library, living rooms, or recreation room, provide in room visits for simple conversation, provide the resident with a monthly recreation calendar, and provide in room activities as needed to keep the resident busy in the morning and at bedtime. The quarterly [NAME] Data Set (MDS) assessment dated [DATE] identified Resident #1 had moderately…

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

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Past Non-Compliance
  • Potential for harm · Dcited before2025-01-07 · tag F0602 — failed to protect residents from theft of their belongings — isolated
    Protect each resident from the wrongful use of the resident's belongings or money.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record reviews, review of facility documentation, facility policies, and interviews for one (1) of three (3) sampled residents (Resident #1) who were reviewed for the misappropriation of personal property, the facility failed to ensure a controlled medication, Oxycodone, and the controlled disposition sheet were not removed from the facility. The findings include: Resident #1's diagnoses included osteoporosis, spondylosis of cervical region, cervicalgia, and polyosteoarthritis. The admission Minimum Data Set assessment dated [DATE] identified Resident #1 had no memory recall deficits and received a scheduled pain medication. The Resident Care Plan dated 10/18/24 identified Resident #1 was at risk for pain related to the history of chronic back pain. Interventions directed to complete pain evaluation, discuss with the resident what causes and alleviates pain, medications per physician's order, monitor pain scale every shift, notify physician if medication is not alleviating pain to an acceptable…

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

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2024-10-16 · tag F0812 — failed to store, cook, and serve food safely — pattern
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, staff interviews, and facility documentation, the facility failed to maintain refrigerator and dishwasher temperature logs and failed to ensure storage containers were clean. The findings include, Tour and observation of the kitchen on 10/10/24 at 9:40 AM with the Culinary Director identified the following: 1. Temperature logs for the refrigerators, freezers and dishwasher were completed through 9/30/24, however none were completed for 10/1/24 to 10/10/24. Subsequent to surveyor inquiry, on 10/10/24 at 10:16 AM, temperature logs were produced for the month of October, however the log was postdated with temperatures through 10/10/24 at 5 PM. 2. Four 50-pound storage containers used for flour, sugar, oatmeal and rice had a brown sticky substance around the outside of the tops of the containers. Subsequent to surveyor inquiry, the containers were cleaned. Interview on 10/10/24 at 9:40 AM with the Culinary Director identified the storage containers were not clean and that he does not have a cleaning schedule or log. Interview on 10/10/24 at 10:16 AM 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.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-10-16 · tag F0867 — failed to act on quality-improvement findings — pattern
    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on review of facility documentation, facility policy and interviews the facility failed to implement appropriate plans of action to correct quality deficiencies once identified through Quality Assurance and Performance Improvement (QAPI). The findings include: A review of the facility QAPI program identified the following: 1.QAPI Committee Minutes dated 3/21/24 identified a bed safety program was being initiated for entrapment checks prior to bed changes for residents who choose to use bed rails as a mobility enabler. QAPI Committee Minutes dated 6/19/24 identified a bed safety program was completed and that bed checks were being performed by maintenance. A review of facility documentation failed to reflect documentation of measurable goals, step by step interventions to correct the problem or how the facility was to monitor progress over time. 2.QAPI Meeting Minutes dated 3/21/24, beginning February 2024, identified a plan for mechanical lifts and sling quality control was being initiated to ensure all slings were safe for use and sizing appropriate according to manufacturer…

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

    Administration Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-10-16 · tag F0880 — failed to prevent and control infections — pattern
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation and interview, the facility failed to ensure staff were provided Personal Protective Equipment (PPE) gowns while sorting and washing soiled linens. On 10/15/2024 at 11:00 AM interview and observation with Laundry Aide (LA) #1 identified PPE gowns had never been used to handle soiled linen. An interview on 10/16/24 at 9:35 AM with the Director of Laundry (DOL) identified she/he was new to the position and did not know when PPE gowns should be utilized while processing laundry. An observation and interview with LA #1 and the DOL on 10/16/24 at 9:35 AM identified PPE gowns were never used with the handling of soiled linens. Observation with the DOL identified no PPE gowns were stored in the laundry area. Further observation identified contamination of LA #1's clothing with the handling of soiled linens and subsequent handling of clean linens. On 10/17/2024 at 11:30 AM the facility Administrator indicated laundry staff should utilize PPE gowns when handling soiled linen. Subsequent to surveyor inquiry, PPE gowns were stocked in the laundry area and staff were…

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

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-10-16 · tag F0921 — failed to keep a safe, functional, sanitary building — pattern
    Make 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 observations, review of facility policy, and interviews, the facility failed to store personal care items in a clean and sanitary manner in rooms with a shared bathroom. The findings include: Observation on 10/10/24 at 9:43 AM identified unlabeled personal care items on the left side of the bathroom countertop, shared by Resident #16 and Resident #24, to include a hairbrush, comb, used disposable razor, open ½ full shampoo bottle, blue soap dish containing a yellow used bar of soap, kidney shaped basin containing a used toothbrush, and a plastic cup laying on its side containing 2 used toothbrushes (1 white and 1 blue). Observed on the right side of the countertop were unlabeled items to include a denture cup, barrier cream and 2 electric razors. Also on the right side of the countertop was a kidney shaped basin, labeled with the last name of Resident #16, containing a used white toothbrush, toothpaste and comb. Observation on 10/10/24 at 10:01 AM identified unlabeled personal care items on the left side of the bathroom countertop, shared by Resident #27 and Resident #336,…

    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.

    Environmental Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-10-16 · tag F0558 — failed to accommodate residents' needs and preferences — isolated
    Reasonably accommodate the needs and preferences of each resident.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record reviews, facility documentation, facility policy and interviews for 1 sampled resident (Resident #22) reviewed for resident rights, the facility failed to honor a resident's food preference. The findings include: Resident #22 had diagnoses that included type II diabetes and chronic kidney disease. The Minimum Data Set (MDS) assessment dated [DATE] identified Resident #22 was cognitively intact and independent with eating. The Resident Care Plan dated 8/13/24 identified Resident #22 had impaired cognition or thought process related to dementia with confusion. Interventions directed to implement an approach to maximize involvement with daily decision making. Physician orders dated 8/30/24 directed a regular, diabetic, low potassium renal diet. An interview with Resident #22 on 10/11/24 at 12:30 PM identified she/he was supposed to receive fresh potatoes at mealtimes, but the facility repeatedly provided instant potatoes. Resident #22 further identified she/he discussed the matter 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.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-10-16 · tag F0609 — failed to report abuse allegations — isolated
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record reviews, facility documentation, facility policy and interviews for 1 of 5 sampled residents (Resident #2) reviewed for accidents, the facility failed to report an injury of unknown origin to the overseeing state agency. The findings include: Resident #2 had diagnoses that included dementia and osteoarthritis. The Minimum Data Set assessment dated [DATE] identified Resident #2 was cognitively intact (Brief Interview for Mental Status (BIMS) score of 14) and required a 2 person assist with bed mobility, transfers and toileting. The Resident Care Plan dated 8/30/23 identified Resident #2 had impaired cognition and an activity of daily living (ADL) deficit. Interventions directed to explain procedures prior to beginning and provide an assist of 2 with transfers and toileting. A facility Event Report dated 11/3/23 at 9:00 AM identified a 6.5cm by 4cm bruise was observed, on Resident #2's left upper thigh, during care. An Investigation Summary/Root Cause Analysis and Final Action Plan form…

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

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-10-16 · tag F0684 — failed to provide proper treatment and quality of care — isolated
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and staff interviews for 1 of 5 residents reviewed for unnecessary medications (Resident #16), the facility failed to ensure accurate transcription of a physician's order for a newly ordered psychotropic medication. The findings include: Resident #16 was admitted to the facility on [DATE] with diagnoses that included a history of fainting, falls, and a cervical fracture. The admission Minimum Data Set (MDS) assessment dated [DATE] identified Resident #16 was cognitively intact and had not exhibited behaviors directed toward others. A Psychiatrist note dated 10/2/24 identified Resident #16 exhibited delusions, hallucinations, and behaviors of yelling. The Psychiatrist note indicated that Risperdal (an antipsychotic medication) would be started. The note further indicated that the dose and frequency for Risperdal was 0.25 milligrams (mg) every evening at 8:00 PM. A facility Physician's Order dated 10/2/24 by the psychiatric provider, Medical Doctor (MD) #2, identified a handwritten order…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
Show the remaining 8 citations
  • Potential for harm · Dcited before2024-09-18 · tag F0684 — failed to provide proper treatment and quality of care — isolated
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record review, facility documentation, and interviews for one of three residents (Resident #2) reviewed for abuse, the facility failed to ensure the resident was transferred in accordance with physician orders. The findings include: Resident #2's diagnoses included difficulty in walking, and muscle weakness with a history of falls. The admission Minimum Data Set (MDS) dated [DATE] identified Resident #1 had moderately impaired cognition and required partial/moderate assistance with transferring from sitting to standing and from transferring from chair to bed. The Resident Care Plan (RCP) dated 7/25/2024 identified that Resident #2 was at risk for falls and required assistance with ADLs. Interventions directed to provide an assist of two (2) with transfers, and to ensure the residents call light and personal items are within reach. A physician's order dated 8/26/2024 directed to provide an assistance of two (2) when toileting and transferring with the Maximove lift. Facility reportable event…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-09-18 · tag F0842 — failed to keep accurate, complete medical records — isolated
    Safeguard 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 clinical record review, facility documentation, and staff interviews for one of three residents (Resident #1) reviewed for accidents, the facility failed to ensure the clinical record was complete and accurate to include transfer status orders. The findings include: Resident #1's diagnoses included osteoarthritis, dementia and muscle weakness. The quarterly Minimum Data Set (MDS) dated [DATE] identified Resident #1 had moderately impaired cognition, required substantial/maximal assistance with toileting, and required substantial/maximal assistance with transfers. The Resident Care Plan (RCP) dated 8/7/2024 identified Resident #1 had limited mobility. nterventions directed to provide an assistance of 2 staff for toilet transfers and for Hoyer lift at night for all transfers. Although requested the facility did not provide physician orders for Resident #1. Review of the facility incident report dated 8/26/2024 at 10:50 PM identified 2 NAs were preparing to transfer Resident #1 from the wheelchair into bed…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · F2023-04-18 · tag F0802 — failed to prepare enough nourishing food — widespread
    Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on tour of the Dietary Department and staff interview, the facility failed to ensure adequate staffing to carry out the functions for cleaning the kitchen. Tour of the Dietary Department on 4/13/23 at 11:30 AM with the Food and Beverage Director identified the following: a. The cart to transport dirty dishes was noted with a heavy accumulation of dirt, dust, and grime on the handles, lower shelf, and sides and was located by the food area, just outside of the dishroom. b. The cart behind the vegetable prep sink was noted with an accumulation of dirt and grime. c. The back of the food prep area had visible dust accumulation. d. The chemical dispensers above the 3 bay sink were noted with a heavy accumulation of dirt and grime, especially on the outer front face that dispenses the chemical when hand pumped. e. The tile areas surrounding the 3 bay sink, surrounding the dishwasher, and behind the hand washing sink had a blackened substance accumulated in the grout sections of the tiles. f. The rack containing approximately six clear plastic bins (that were turned upside down and…

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

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Fcited before2023-04-18 · tag F0812 — failed to store, cook, and serve food safely — widespread
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on tour of the Dietary Department and staff interview, the facility failed to ensure the kitchen and equipment was maintained in a sanitary manner. The findings include: Tour of the Dietary Department on 4/13/23 at 11:30 AM with the Food and Beverage Director identified the following: 1 a. The Dessert refrigerator was noted with a white, sticky substance splattered on the walls inside and lacked a thermometer on the inside or outside. The Food and Beverage Director stated there should have been a thermometer and could not locate it. b. A plastic bin that contained Panko breadcrumbs was noted to be half full and a label dated 11/29/22 was secured to the lid. The Food and Beverage Director stated 11/29/22 was the date the bin was filled with Panko and it should be a 3 month rolling date (expired on 2/29/23). c. A plastic bin that that was half full of flour lacked an expiration date and/or a date that it was emptied into the bin. The Food and Beverage Director stated the flour bin should have had a label on it. d. A cart to transport dirty dishes was noted with a heavy…

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

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2023-04-18 · tag F0761 — failed to label and store drugs safely — pattern
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations, clinical record review, review of facility policy, and interviews during a review of the facility medication storage rooms and carts, for Resident #2 and Resident #3, and general medication storage, the facility failed to ensure safe and secure storage of expired or discontinued medications in 1 of 2 medication carts and in 1 of 2 medication storage rooms. The findings include: Resident #2's diagnoses included low back pain, muscle spasm, and osteoarthritis, left hip. Review of physician orders indicated Methocarbamol 500 milligrams (mg) was last prescribed on 11/29/2021 daily for a total of 14 days was discontinued on 12/13/21, and was never re-ordered by the physician. Resident #3's diagnoses included iron deficient anemia, constipation, perforation of intestine and colostomy. Review of physician orders for October 2022 directed Ferrous Sulfate 325 mg daily and on 10/26/23 was discontinued. The new physician order dated 10/26/22 directed Slow Fe 142 mg daily. 1. Observation of the medication cart for the Maple Unit with LPN #3 on 4/17/23 at 10:35 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.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-04-18 · tag F0658 — failed to meet professional standards of care — isolated
    Ensure services provided by the nursing facility meet professional standards of quality.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interviews, review of the clinical record and facility policy for 2 of 5 sampled residents (Resident #11 and Resident #21) observed for medication administration, and for 1 of 1 sampled resident (Resident #34) reviewed for death, the facility failed to obtain an order to administer a late medication (Resident #11), failed to ensure the Licensed Practical Nurse (LPN) remained with Resident #21 to ensure the resident consumed medications prior to the LPN leaving the room and failed to complete a thorough Registered Nurse (RN) assessment at Resident #34's time of death. The findings include: 1. Resident #11's diagnoses included paroxysmal atrial fibrillation, acute kidney failure, hyperkalemia, hypomagnesemia, and muscle weakness. A Resident Care Plan dated 3/9/23 identified that Resident #11 was at risk for bleeding due to anticoagulation use with an intervention to administer medication as ordered. The admission Minimum Data Set (MDS) assessment dated [DATE] identified Resident #11 had…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-04-18 · tag F0759 — failed to keep medication error rate low — isolated
    Ensure medication error rates are not 5 percent or greater.
    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, record review and staff interview for 2 of 5 residents (Resident #11 and Resident #21) observed for medication administration, the facility failed to ensure the medication error rate was not greater than 5% (error rate was 7.41%). The findings include: 1. Resident #11's diagnoses included paroxysmal atrial fibrillation, acute kidney failure, hyperkalemia, hypomagnesemia, and muscle weakness. A Resident Care Plan dated 3/9/23 identified that Resident #11 was at risk for bleeding due to anticoagulation use with an intervention to administer medication as ordered. A physician order dated 3/9/23 directed to administer Eliquis 5mg by mouth two times daily. The admission Minimum Data Set (MDS) assessment dated [DATE] identified Resident #11 had intact cognition, required limited assistance with one person for bed mobility and personal hygiene, limited assistance with two persons for transfers and toilet use, and extensive assistance with one person for dressing. The Medication Administration…

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

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • No harm found · B2023-04-18 · tag F0578 — failed to honor advance directives / code status — pattern
    Honor 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, facility policy and interviews for 1 of 16 sampled residents (Resident #9) reviewed for advance directives, the facility failed to ensure the Advanced Directive/Treatment Decisions form was completed and signed by the resident's responsible party, physician, and a facility staff representative. The findings include: Resident #9 was admitted to the facility with diagnoses that included hypertension, atrial fibrillation, and urinary retention. A physician's order dated 8/2/22 identified Resident #9 had the status of full code (indicating that cardiopulmonary resusitation is to be performed in the event that the resident stops breathing). The quarterly Minimum Data Set (MDS) assessment dated [DATE] identified Resident #9 had severely impaired cognition. Clinical record review identified the Advanced Directives/Treatment Decisions form was not completed or signed by Resident #9' s responsible party, physician, or a facility staff representative. Interview and clinical record review…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Worried about a resident here? There are three different people you can turn to, and they do different jobs:
  • Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
  • Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
  • State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Not sure where to start, or need other help? Dial 2-1-1 for local resources — and if a call is hard or impossible for you, many local 211s also take a text (send your ZIP code to 898-211) or a web chat at 211.org; both vary by area, and 211.org will show what yours offers. Deaf or hard of hearing: dial 711 for the telecommunications relay service, then any number above. In an emergency, call 911.
It is illegal for a facility to retaliate against a resident or family for reporting a concern: federal law gives a resident the right to voice grievances — to the home or to any outside agency — without discrimination or reprisal (42 CFR §483.10(j)(1)). You may report anonymously.

Fines & penalties

$20,872 in federal fines across 2 penalties.

  • $8,018 — penalty dated 2024-09-18
  • $12,854 — penalty dated 2024-09-18

Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.

Who owns this facility

Owner / managerTypeRoleSince
NEWTOWN SAVINGS BANKOrganization5% OR GREATER MORTGAGE INTEREST; 5% OR GREATER SECURITY INTERESTsince 06/05/2020
CONNERY, JANEIndividualCORPORATE DIRECTOR; CORPORATE OFFICERsince 01/01/2012
EDELSON, CHRISTINEIndividualCORPORATE DIRECTORsince 03/01/2022
JEDLINSKY, HELENAIndividualCORPORATE DIRECTORsince 12/10/2019
LUKOS, GREGIndividualCORPORATE DIRECTOR; CORPORATE OFFICERsince 02/01/2024
MIHALCIK, MATTHEWIndividualCORPORATE DIRECTOR; CORPORATE OFFICERsince 01/01/2025
MONAHAN, PATRICKIndividualCORPORATE DIRECTORsince 10/01/2023
SCHWARZCHILD, KARENIndividualCORPORATE DIRECTORsince 02/01/2024
VAS, ANTONIOIndividualCORPORATE DIRECTORsince 05/01/2021
WNUCK, MARYIndividualCORPORATE DIRECTOR; CORPORATE OFFICERsince 01/25/2021
GYBA, VICKIIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 03/20/2025
RAAD, MARCIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 03/31/2025

CMS files one row per role, so the 19 rows in the source record cover these 12 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

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.

$12.8M
Net patient revenuemost recent cost report
-9.0%
Operating marginrevenue minus expenses
$732K
Related-party expense5% of expenses
Who pays — share of resident-days
Medicaid 0%Medicare 17%Other / private 83%

This home reported $732K paid to related parties (affiliated landlords or management companies) in its most recent cost report. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

$1,260per resident / day
operating cost
$38,308per month
≈ monthly operating cost
$1,157per day
avg. revenue, all payers

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in CT

Paying with Medicaid

CMS lists this home as Medicare-certified only — it is not Medicaid-certified, so it generally cannot accept Medicaid as payment for a long-term stay. That makes it one of roughly 545 homes nationally where a Medicaid-funded placement is not an option. If you expect to rely on Medicaid, ask the home directly before you tour, and see the Connecticut Medicaid page for homes that do.

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

Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.

Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 075318. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2024-10-16, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →

Not a government site. Eldercare Lens is not affiliated with, endorsed by, or authorized by the Centers for Medicare & Medicaid Services (CMS), Medicare, or any government agency. The star ratings, citations, and inspection wording on this page are reproduced from the public CMS record; the plain-English summaries, tiers, and comparisons around them are ours. We do not speak for CMS, and CMS has not reviewed this page. For the official record, go to Medicare Care Compare. How we’re funded →

Are you this operator? If the record here is out of date, or misses what you have since fixed, tell us and we will look: hello@eldercarelens.com. We reproduce the public CMS record and cannot change what it says — corrections to the underlying data go through CMS and your state survey agency — but we will correct anything we have got wrong about it, and we will say so on the page.

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