Southington Care Center
45 Meriden Ave, Southington, CT 06489 · Non profit - Corporation · 130 certified beds · (860) 621-9559 Medicare & Medicaid certified
This home has serious findings on its record. Read them closely before you consider it.
- 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 (34% vs 45% nationally) — better care continuity
- it has an abuse, neglect, or exploitation citation (F0602), cited Dec 2025
- a high number of inspection citations overall (15) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
- its last standard health inspection was over 2 years ago — the star rating may not reflect current conditions
One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.
A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.
| Health inspectionSurveyor-assigned, ranked within your stateInspector-verified | 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 | 5 of 5 |
Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.
Trend — is this home getting better or worse?
Over 2025-02 to 2026-06, this home’s CMS overall rating held steady at 5 stars. From monthly CMS archive snapshots.
Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.
See all quality measures vs. state & national benchmarks
| Measure | This home | State avg | Typical state | vs typical state |
|---|---|---|---|---|
| Long-stay residents whose need for help with daily activities increased | 12.2% | 18.0% | 15.4% | better |
| Long-stay residents who lose too much weight | 2.6% | 6.5% | 5.4% | better |
| Long-stay residents with a catheter left in their bladder | 0.3% | 0.7% | 0.9% | better |
| Long-stay residents with a urinary tract infection | 1.6% | 1.5% | 2.0% | better |
| Long-stay residents with depressive symptoms | 0.0% | 22.3% | 6.5% | check this* — see note marked star 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 | 2.8% | 3.5% | 3.3% | better |
| Long-stay residents whose ability to walk worsened | 9.9% | 16.4% | 16.1% | better |
| Long-stay residents on antianxiety or hypnotic medication | 19.6% | 17.6% | 18.9% | typical |
| Long-stay residents given the seasonal flu vaccine | 93.3% | 93.5% | 95.3% | typical |
| Long-stay residents with pressure ulcers | 1.0% | 4.0% | 4.7% | better |
| Long-stay residents with worsening bladder/bowel control | 26.8% | 24.7% | 21.2% | worse |
| Long-stay residents who got an antipsychotic medication§ — see the note below the table | 7.8% | 17.8% | 17.1% | better |
| Short-stay residents who newly got an antipsychotic medication | 1.0% | 1.5% | 1.4% | better |
| Short-stay residents given the seasonal flu vaccine | 80.4% | 69.7% | 79.4% | typical |
| Short-stay residents rehospitalized after admission | 25.6% | 24.3% | 22.6% | worse |
| Short-stay residents with an outpatient ER visit | 6.4% | 10.7% | 12.0% | better |
| Long-stay hospitalizations per 1,000 resident days | 1.85 | 2.06 | 1.67 | worse |
| Long-stay outpatient ER visits per 1,000 resident days | 1.19 | 1.46 | 1.80 | better |
* This home reported 0% on a measure where lower is better. That can mean genuinely excellent care — but because the number is self-reported, a zero can also mean the problem was not recorded. Weigh it against the inspection record above.
‡ On this measure the state average is at least twice (or half) the typical state — a gap that size is usually how the state codes and reports the measure, not how its homes actually perform. Against a benchmark this state does not sit on, a “vs typical state” verdict would mostly be measuring the state, so we compare this home with its own state instead and show both averages.
§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.
CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.
Short-stay rehab — if you are coming here from a hospital
Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.
59.3% 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 314 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.
Met the expected recovery: 71.4% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 140 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 0.52 therapist hours per resident per day in 2026Q1 — more than 82% of the 13,892 homes that report any therapy hours at all.
Weekend therapy: weekend therapy hours are 26% 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 | 59.3%CMS range 55.0–64.1 | 51.5% | Oct 2022–Sep 2024 | better than U.S. |
| Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF | 10.1%CMS range 7.8–13.1 | 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 | 71.4% | 56.6% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge | 62.1% | 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 | 75.7% | 50.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified | 98.4% | 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 | 98.3% | 100.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge | 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 | 1.6% | 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 | 8.4%CMS range 5.5–11.4 | 7.1% | Oct 2023–Sep 2024 | no different from U.S. |
| Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs | 0.96 | 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 130 beds and averages 124.8 residents a day — about 96% occupied, or roughly 5 beds typically open. It runs essentially full — expect a waiting list. 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 4.72 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 1.13 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.72 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 4.18 hrs/resident/day on weekends vs 4.94 on weekdays — 15% thinner on weekends. RN hours go from 1.30 to 0.70 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)
This home’s total nursing-staff turnover of 34% 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 more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.
This trend is not current. The most recent of these two inspections was over 2 years ago; the arrow describes what inspectors found then, not what the home is like now.
Inspection deficiencies
State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.
Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.
15 citations, most serious first. The 10 most serious are shown; the remaining 5 are one tap away and print in full.
- Potential for harm · Dcited before2026-07-02 · tag F0880 — failed to prevent and control infections — isolatedProvide and implement an infection prevention and control program.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on review of facility documentation, Legionella water testing records, facility policies, and staff interviews reviewed for infection control, the facility failed to implement an effective Legionella water management monitoring program following repeated positive Legionella test results. Specifically, the facility continued monthly environmental testing despite ongoing positive findings from February 2026 through June 2026 and did not follow the post-remediation testing intervals recommended by the Healthcare Infection Control Practices Advisory Committee (HICPAC) guidance. The findings include:Review of Legionella water testing records revealed monthly environmental testing was conducted from December 2025 through June 2026. Documentation for January 2026 testing was not available; facility staff reported the sample was lost due to a shipping error. Review further identified multiple positive Legionella results during the review period, including:On 2/24/26, the bathroom sink in room [ROOM NUMBER] tested…
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 · D2025-12-03 · tag F0602 — failed to protect residents from theft of their belongings — isolatedProtect 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, facility documentation, and interviews for one (1) of three (3) sampled residents (Resident #1) reviewed for missing personal property, the facility failed to protect a resident from misappropriation of property when Resident #1's credit card was removed from the resident's wallet by a staff member and used to make unauthorized purchases. The findings include:Resident #1's diagnoses included dementia, multiple rib fractures, and muscle weakness. The quarterly Minimum Data Set (MDS) assessment dated [DATE] identified Resident #1 had some short and long-term memory recall deficits. The Facility Reported Incident form dated 9/29/25 identified Resident #1's family member reported to the facility unknown charges appeared on Resident #1's credit card statement for purchases made out in the community, which were not made by Resident #1 nor made on behalf of Resident #1. The investigation identified Resident #1's credit card was missing from Resident #1's wallet, which was stored in a…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Ecited before2024-05-09 · tag F0880 — failed to prevent and control infections — patternProvide and implement an infection prevention and control program.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, review of the clinical record, facility policy, and interviews for 1 sampled resident (Resident #27) observed on tour, the facility failed to properly store bed pans and for 6 of 6 residents (Resident #30, Resident #68, Resident #77, Resident #111, Resident #118, and Resident #675) reviewed for Infection Prevention, the facility failed to appropriately implement Enhanced Barrier Precautions (EBP) and The findings include: 1. Resident #27's diagnosis included congestive heart failure, dementia, and hypertension. The quarterly Minimum Data Set assessment (MDS) dated [DATE] identified Resident #27 was moderately cognitively impaired and was dependent with personal hygiene, bathing, transfers, toileting, required substantial maximal assist with oral hygiene and independent with eating. Observation on 4/29/24 at 3:18 PM identified a bed pan was noted to be uncovered, not labeled, on the floor, beside the toilet of Resident #27's bathroom. A second observation on 4/30/24 at 9:22 AM with RN #1…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2024-05-09 · 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 Based on the interviews, observations, facility policy, and record review for 1 of 1 sampled resident (Resident #27) reviewed for edema, the facility failed to report a weight gain of 3 pounds or more in 24 hours as directed by the physician, and for one (1) of three (3) residents (Resident #626), reviewed for fluid restrictions, the facility failed to ensure the physician was notified when the resident exceeded the daily fluid restriction. The findings include: 1) Resident #27's diagnosis included congestive heart failure, dementia, and hypertension. Physician orders dated 10/6/23 through 5/2/24 directed to obtain a weight daily and to notify the physician with a 3 pound (lb) weight gain in 1 day or a 5 lb weight gain in 1 week. The quarterly Minimum Data Set assessment (MDS) dated [DATE] identified Resident #27 was moderately cognitively impaired and was dependent with personal hygiene, bathing and toileting. Additionally, the MDS identified Resident #27 required set up assist for oral hygiene and was…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2024-05-09 · 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 the interviews, observations, facility policy, and record review for 1 of 1 sampled resident (Resident #27) reviewed for edema, the facility failed to obtain daily weights as per physician orders. The findings include: Resident #27's diagnosis included congestive heart failure, dementia, and hypertension. Physician orders dated 10/6/23 through 5/2/24 directed to obtain a weight daily and to notify the physician with a 3 pound (lb) weight gain in 1 day or a 5 lb weight gain in 1 week. The quarterly Minimum Data Set assessment (MDS) dated [DATE] identified Resident #27 was moderately cognitively impaired and was dependent with personal hygiene, bathing and toileting. Additionally, the MDS identified Resident #27 required set up assist for oral hygiene and was independent with eating. The Resident Care Plan dated 1/10/24 indicated Resident #27 was at risk for cardiopulmonary compromise related congestive heart failure. Interventions included to monitor daily weights, report a weight gain of 3 lbs in 24…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · E2021-10-12 · tag F0695 — failed to provide proper breathing / tracheostomy care — patternProvide 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 3 of 3 sampled residents (Resident #57, #91 and #255) reviewed for respiratory care, the facility failed to ensure acceptable infection control practices were implemented regarding care of oxygen tubing, nasal cannulas, and a respiratory mouthpiece. The findings include: 1. Resident #57's diagnoses included infection of stoma of urinary tract, pneumonia, sick sinus syndrome, arteriosclerotic heart disease, chronic respiratory failure with hypoxia, atrial fibrillation and muscle weakness. A physician's order dated 8/3/21 directed to provide oxygen 2 liters via nasal cannula, titrate to keep oxygen saturation at 90% or higher every, monitor every shift as needed. The quarterly MDS assessment dated [DATE] identified Resident #57 had severe cognitive impairment, required extensive assistance with bed mobility, dressing, toileting personal hygiene and was totally dependent for transfers. The care plan dated 9/8/21…
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 before2019-04-11 · tag F0880 — failed to prevent and control infections — patternProvide and implement an infection prevention and control program.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, review of the clinical record, facility policy, and interviews for 1 resident reviewed for respiratory care (Resident #8), the facility failed to ensure infection control practices were followed when storing respiratory equipment and/or review of the Infection Control Program, failed to ensure a resident Line List was completed in it's entirety for 2 facility outbreaks The findings include: 1. Resident #8 was admitted to the facility on [DATE] with diagnoses that included dementia, atherosclerotic heart disease and hypertension. The quarterly Minimum Data Set (MDS) assessment dated [DATE] identified Resident #8 was severely cognitively impaired and required extensive assist of one person with personal care. The care plan dated 4/7/19 identified Resident #8 had an upper respiratory infection with interventions that included to administration of medications as ordered. The physician's orders dated 4/8/19 directed Ipratropium-Albuterol solution for nebulization; 0.5milligrams (mg)-3mg (2.5mg…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2019-04-11 · tag F0554 — isolatedAllow residents to self-administer drugs if determined clinically appropriate.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, clinical record review, review of facility policy and interviews for 1 of 5 sampled residents reviewed for accidents (Resident #112), the facility failed to assess Resident #112 for self-administration of medications. The findings include: Resident #112 was admitted to the facility on [DATE] with diagnoses that included a fracture of the left arm, muscle weakness, and glaucoma. A physician order dated 1/22/19 directed to administer one drop of Cosopt drops to each eye twice a day. The 14-day Minimum Data Set assessment dated [DATE] identified Resident #112 had no cognitive impairment and required extensive assistance of one person for dressing and personal hygiene. Observation on 4/8/19 at 11:50 AM with Registered Nurse (RN) #6 identified Dorzolamide HCL-Timolol (Cosopt) eye drops not secured and located on Resident #112's bedside table. Interview with Resident #112 on 4/8/19 at 11:50 AM identified the eye drops are on the bedside table because Resident #112 likes to self-administer his/her…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2019-04-11 · tag F0578 — failed to honor advance directives / code status — isolatedHonor 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 observation, interview, review of the clinical record and facility policies for 2 of 4 sampled residents reviewed for advanced directives (Resident #30 and Resident #51), the facility failed to ensure the advanced directives were comprehensive and addressed in a timely manner and/or with the resident's representative. The findings include: 1. Resident # 30 was admitted to the facility on [DATE] with diagnoses that included vascular dementia, atherosclerotic heart disease and hypothyroidism. The faciliy CPR/DNR Discussion form dated [DATE] and signed by Resident #30 identified a code status of Do Not Resuscitate (DNR). A notation noted on [DATE] the Power Of Attorney (POA) needs to sign the CPR/DNR form because Resident #30 was confused at times. (A Durable Power of Attorney form dated [DATE] and signed by Resident #30 directed medical decisions to be made by Person #4 in the event she/he was no longer able to). A physician order dated [DATE] directed a Do Not Resuscitate (DNR) code status for Resident…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2019-04-11 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolatedProvide appropriate pressure ulcer care and prevent new ulcers from developing.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, review of the clinical record and interviews for 1 of 3 sampled residents reviewed for pressure ulcers (Resident #118), the facility failed to follow physician orders for offloading heels. The findings include: Resident #118 was admitted to the facility on [DATE] with diagnoses that included displaced intertrochanteric fracture of the left femur, diabetes mellitus II and dementia without behavioral disturbance. The admission nurses note dated 3/21/19 at 2:30 PM identified Resident #118 was admitted to the facility status post left hip fracture repair with 2 incisions. The nurses note further identified Resident #118 was noted with a deep tissue injury to the left heel. The physician's order dated 3/21/19 identified to keep left heel elevated off of the bed at all times, cleanse the left lateral heel Suspected Deep Tissue Injury (SDIT) with saline, followed by medi-honey, foam dressing, every three days and check heel dressing every shift. The care plan dated 3/22/19 identified Resident #118…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
Show the remaining 5 citations
- Potential for harm · D2019-04-11 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolatedEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record review and interview for 1 of 4 sampled residents reviewed for accidents (Resident#71), the facility failed to provide supervision to prevent an accident. The findings include: Resident #71's diagnoses include Parkinson's disease and dementia. The resident care plan dated 11/21/18 identified a problem with being at risk for falls secondary to diagnosis of Parkinson's disease, use of psychoactive medications and history of falls at home. Interventions included to ensure proper positioning in bed and chair and to utilize a gait belt with transfers and ambulation. The resident profile, (CNA care card) dated 11/21/18 also directed assistance of one staff with rolling walker and gait belt with toileting and gait belt at all times. A quarterly Minimum Data Set assessment dated [DATE] identified moderate impairment in decision making; requiring extensive assistance of two staff for bed mobility, transfer, dressing and personal hygiene; balance not steady, only able to stabilize with staff…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2019-04-11 · 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
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, clinical record review, review of facility policy and interviews for 1 of 4 residents reviewed for accidents (Resident #112), the facility failed store medications in accordance with facility policy: Resident #112 was admitted to the facility on [DATE] with diagnoses that included a fracture of the left arm, muscle weakness and glaucoma. A physician order dated 1/22/19 directed to administer one drop of Cosopt drops to each eye twice a day. The 14-day scheduled minimum data set assessment dated [DATE] identified Resident #112 had no cognitive impairment and required extensive assistance of one person for dressing and personal hygiene. Observation on 4/8/19 at 11:50 AM identified Dorzolamide HCL-Timolol (Cosopt) eye drops on Resident #112's bedside table. Interview with Resident #112 on 4/8/19 at 11:50 AM identified the eye drops were on the bedside table because he/she likes to self-administer his/her eye drops at a time that is convenient for him/her. Interview with Registered Nurse #6 on…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2019-04-11 · tag F0808 — failed to follow doctor-ordered diets — isolatedEnsure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, review of the clinical record, facility policy, and interviews for 1 of 5 residents reviewed for dining (Resident #4), the facility failed to ensure the physician's diet order was clearly defined for a resident receiving a therapeutic diet. The findings include: Resident #4 was admitted to the facility on [DATE] with diagnoses that included unspecified dementia without behavioral disturbances, chronic atrial fibrillation, and primary hypertension. A speech therapy screen dated 7/25/17 identified Resident #4 was placed on a soft diet with pureed meats. Resident #4 was tolerating the diet without difficulty and showing no overt signs of swallowing difficulty warranting further evaluation. The physician's order dated 12/7/17 through 4/10/19 directed a soft, puree meat/vegetable; no mushrooms; no big pieces of vegetables; give cranberry juice diluted with water and a little added sugar (dislikes plain water). The care plan dated 1/3/19 identified an alteration in nutrition with interventions…
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 · B2024-05-09 · tag F0641 — patternEnsure each resident receives an accurate assessment.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews, review of the clinical record, and facility documentation, for 1 of 3 residents (Resident #40) reviewed for Resident Assessments, the facility failed to ensure the comprehensive Minimum Data Set (MDS) assessment was accurately coded for PASRR (Preadmission Screening and Resident Review) Level II. Resident #40 was admitted to the facility on [DATE] with diagnoses that included schizoaffective disorder, major depressive disorder, and anxiety disorder. The PASRR Level I report dated 8/10/18 indicated that a PASRR Level II evaluation must be conducted. The PASRR Level II report dated 8/10/18 indicated that Resident #40's care needs were appropriate to be serviced in a nursing facility setting, although the resident had diagnoses of schizoaffective disorder, bipolar disorder, major depressive disorder, and anxiety disorder. The annual Minimum Data Set (MDS) assessment dated [DATE] identified Resident #40 was mildly cognitively impaired and required moderate assistance for bed mobility 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.
- No harm found · B2019-04-11 · tag F0883 — failed to offer flu and pneumonia vaccines — patternDevelop and implement policies and procedures for flu and pneumonia vaccinations.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, review of the clinical record, facility documentation, facility policy, and interviews for 3 of 5 sampled residents reviewed for Influenza immunization (Resident #3, Resident #8 and Resident #83), the facility failed to ensure that education was provided to the resident and/or resident's representative prior to administering the influenza vaccine. The findings include: 1. Resident #3 was admitted to the facility on [DATE]. Resident #3's face sheet identified that he/she was not responsible for him/herself. An Influenza Vaccine Consent and Education Form dated 11/9/15 was signed by Resident #3 (although Resident # was not responsible for him/herself) giving consent to administer the influenza vaccine annually. Physician's order dated 10/11/18 directed Fluzone High dose 180 mcg/0.5ml, administer 0.5 mg intramuscular one time. Medication Administration Record dated 10/11/18 identified Resident #3 received Fluzone into the left deltoid. 2. Resident #8 was admitted to the facility on [DATE].…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
“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 | Since |
|---|---|---|---|
| AGBA, CHIBUEZE | Individual | MANAGING CONTROL - GOVERNING BODY | since 01/01/2022 |
| KOSTURKO, MARYELLEN | Individual | MANAGING CONTROL - GOVERNING BODY | since 01/01/2022 |
| PATEL, BIMAL | Individual | MANAGING CONTROL - GOVERNING BODY | since 01/01/2022 |
| BARRETT, STEPHEN | Individual | CORPORATE DIRECTOR; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 06/07/2021 |
| SMULLEN, ERIC | Individual | CORPORATE OFFICER | since 01/01/2022 |
| BABIARZ, JOSEPH | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 06/01/2021 |
CMS files one row per role, so the 9 rows in the source record cover these 6 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.
Follow the money — this home’s finances
Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.
This home reported $3.5M paid to related parties — landlords or management companies under common ownership — equal to about 16% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.
Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.
Cost & finances
Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.
What families pay in CT
This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the Connecticut Medicaid page.
Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.
Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 075336. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2024-05-09, 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.