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Civita Care Center At Long Ridge

710 Long Ridge Road, Stamford, CT 06902 · For profit - Limited Liability company · 120 certified beds · (203) 329-4026 Medicare & Medicaid certified

Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Flagged for abuseBehavioral-health or dementia-care citation — no harm found (F0758)
Insights

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

In its favor
  • no federal fines or payment denials on record
  • a high payroll-based staffing rating (4/5)
  • lower-than-typical staff turnover (25% vs 45% nationally) — better care continuity
  • fewer deficiencies at its most recent standard inspection than at the one before — a sign of improvement
Worth asking about
  • CMS has flagged it for abuse
  • it has an abuse, neglect, or exploitation citation (F0600), cited Jul 2025
  • it has citations for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0609, F0610) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
  • a high number of inspection citations overall (28) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • its payroll-based staffing score sits well above its independent inspection score
  • its independent health-inspection rating is low (2/5)

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.

2/5
CMS overall
2 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 2 of 5
StaffingFrom payroll records (PBJ) 4 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
★★★★★ 5/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
292 Long Ridge Rd Ste 206 · (203) 276-7213 · Call to confirm hours
Pharmacy
1201 High Ridge Rd · (203) 321-0429 · Call to confirm hours
Grocery
856 High Ridge Rd · (203) 322-3899 · Call to confirm hours
Park
Typically dawn to dusk
Place of worship
24 Roxbury Rd · (203) 322-1669

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 2 of 5

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Trend — is this home getting better or worse?

Over 2025-02 to 2026-06, this home’s CMS overall rating fell from 3 to 2 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 rating2★
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 increased19.6%18.0%15.4%worse
Long-stay residents who lose too much weight10.6%6.5%5.4%worse
Long-stay residents with a catheter left in their bladder1.3%0.7%0.9%worse
Long-stay residents with a urinary tract infection2.3%1.5%2.0%worse
Long-stay residents with depressive symptoms43.9%22.3%6.5%worse than state — see note marked double-dagger below the table
Long-stay residents who were physically restrained0.3%0.0%0.1%worse than state — see note marked double-dagger below the table
Long-stay residents with falls causing major injury1.3%3.5%3.3%better
Long-stay residents whose ability to walk worsened11.5%16.4%16.1%better
Long-stay residents on antianxiety or hypnotic medication16.2%17.6%18.9%better
Long-stay residents given the seasonal flu vaccine85.2%93.5%95.3%worse
Long-stay residents with pressure ulcers3.2%4.0%4.7%better
Long-stay residents with worsening bladder/bowel control21.6%24.7%21.2%typical
Long-stay residents who got an antipsychotic medication — see the note below the table12.7%17.8%17.1%better
Short-stay residents who newly got an antipsychotic medication3.0%1.5%1.4%worse
Short-stay residents given the seasonal flu vaccine94.4%69.7%79.4%better
Short-stay residents rehospitalized after admission22.2%24.3%22.6%typical
Short-stay residents with an outpatient ER visit14.0%10.7%12.0%worse
Long-stay hospitalizations per 1,000 resident days2.562.061.67worse
Long-stay outpatient ER visits per 1,000 resident days3.091.461.80worse

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.

50.1% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 199 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

50.1%U.S. median 51.5%
Got home and stayed home
13.8%U.S. median 10.7%
Went back to hospital
45.6%U.S. median 56.6%
Met the expected recovery
not reportedno hours filed
Therapy hours / resident / day

Met the expected recovery: 45.6% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 90 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: not reported. This home filed no therapist hours at all in its payroll data for this quarter. That is a gap in what it reported, and we do not read it as an absence of therapy — the homes that file nothing here include ones that discharged hundreds of Medicare rehab patients in the very same period, who plainly received therapy from someone. Because we cannot tell a home that under-reports from one that genuinely provides little, this home is left out of the comparison above rather than scored at zero. Ask it directly how many therapist hours a rehab resident gets, and on which days.

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 SNF50.1%CMS range 41.4–56.651.5%Oct 2022–Sep 2024no different from U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF13.8%CMS range 10.6–17.110.7%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 discharge45.6%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 discharge38.9%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 discharge43.3%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 identified92.9%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 setting100.0%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 stay0.9%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 hospitalization8.3%CMS range 5.8–12.57.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs0.861.02Oct 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

0.74
RN hours/ resident / day
0.89
LPN hours/ resident / day
2.13
Aide hours/ resident / day
3.76
Total nurse hours/ resident / day
0.41
RN hoursweekends
24.7%
Total nursing turnover
38.9%
RN turnover

How full it usually is: this home is certified for 120 beds and averages 116.2 residents a day — about 97% occupied, or roughly 4 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 3.76 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.74 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.13 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.35 hrs/resident/day on weekends vs 3.93 on weekdays — 15% thinner on weekends. RN hours go from 0.88 to 0.41 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 25% 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

7
deficiencies at the latest standard inspection (2025-07-22)
17
at the previous standard inspection (2023-09-26)

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

Inspection deficiencies

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

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.

28 citations, most serious first. The 10 most serious are shown; the remaining 18 are one tap away and print in full.

  • Potential for harm · Dcited before2026-04-08 · 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 record review, facility documentation review, and staff interviews for one of three residents (Resident #1) reviewed for accidents, the facility failed to ensure an accident was reported timely when Resident #1 hit his/her hip during a transfer. The findings include: Resident #1 had a diagnosis of chronic atrial fibrillation (abnormal heart rhythm), vascular dementia, and muscle weakness. The admission Minimum Data Set, dated [DATE] identified Resident #1 had a Brief Interview Mental Status (BIMS) score of 11 indicating moderately impaired cognition and required partial assistance with transfers. The Resident Care Plan dated 1/10/26 identified a fall risk, agitation, restlessness, and needed assistance with activities of daily living. Interventions directed to provide one (1) staff assistance for transfers. The nursing note dated 3/11/26 at 8:10 AM identified Resident #1 was observed with discoloration and pain to the left hip. The APRN was notified and Resident #1 was transferred to the hospital for…

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

    Resident Assessment and Care Planning Deficiencies · Past Non-Compliance
  • Potential for harm · Ecited before2025-07-22 · 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 tour of the kitchen, observations, review of facility policy and staff interviews, the facility failed to ensure that expired food items were discarded in a timely manner, dishwasher temperatures and sanitizing sink sanitizer concentrations were consistently recorded. The facility also failed to ensure the 3-bay sink was used appropriately, and clean dishes were stored in a sanitary manner. The findings included: a An observation of the walk-in refrigerator with [NAME] #1 at 11:20 AM identified an open can of whipped cream with dry white substance on the tip of the can. There were also some brown stains on the metal-colored area of the can. The expiration date on the whipped cream can indicated Best by 5/14/2024. [NAME] #1 identified a dietary aide who arrives at 11:30 AM is responsible for deep cleaning the walk-in refrigerator. [NAME] #1 further indicated the facility had no longer need for whipped cream from the cans and is now using non-dairy whipped cream. [NAME] #1 was unable to identify why the can had not been discarded. b. A review of the dish machine temperature…

    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 · D2025-07-22 · tag F0561 — failed to honor residents' choices — isolated
    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record review, resident interview, and staff interviews for 1 of 3 residents reviewed for choices (Resident #5), the facility failed to consistently provide a shower twice a week per the resident's preference. The findings include: Resident #5's diagnoses included quadriplegia and chronic pain. A care plan revised dated 5/16/2025 indicated Resident #5 had mobility impairment related to quadriplegia. Interventions included: transferring the resident to an adaptive wheelchair using a mechanical lift with the assistance of two staff members. The quarterly Minimum Data Set (MDS) assessment dated [DATE] identified Resident #5 was cognitively intact and did not exhibit behaviors of rejection of care. The MDS assessment further indicated Resident #5 was dependent for bathing and transferring. A physician's order reviewed on 7/8/2025 directed to shower/bath Resident #5 on Wednesday and Saturday. A Nurse Aide Care card directed that Resident # 5 receive a shower/bath on Wednesday and Saturday. 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 · Dcited before2025-07-22 · tag F0600 — failed to protect residents from abuse and neglect — isolated
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record reviews, facility documentation and staff interviews for 1 of 3 residents reviewed for abuse (Resident #73), the facility failed to ensure the resident was free from physical abuse. The findings include: 1.Resident #73's diagnoses included dementia, anxiety, and alcohol-induced psychotic disorder with hallucinations. The admission MDS assessment dated [DATE] identified Resident #73 had moderate cognitive impairment and had exhibited potential indicators of psychosis such as hallucinations and delusions. The MDS assessment further indicated Resident #73 had not exhibited behaviors directed towards others. A nursing note by Registered Nurse (RN #1) dated 4/1/2025 identified the charge nurse (LPN#2) reported Resident #73 had informed LPN#2 that she/he had been hit by his/her roommate (Resident #38). The nursing note further indicated the resident was assessed by RN#1, no injuries noted, and the appropriate staff were notified, including the police department. A social work note dated…

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

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-07-22 · tag F0610 — failed to investigate and act on abuse reports — isolated
    Respond appropriately to all alleged violations.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record review, facility documentation, facility policy review and staff interviews for 1 of 3 residents (Resident #131) reviewed for abuse, the facility failed to complete a thorough investigation of the cause of an unwitnessed fall with bruising per facility policy. The findings include:Resident #131's diagnoses included coronary artery disease, hypertensive heart disease with heart failure, and essential tremors.The quarterly Minimum Data Set (MDS) assessment dated [DATE] identified Resident #131 was cognitively intact and required a wheelchair for mobility. The resident also required 2 or more helpers with toileting hygiene, personal hygiene, and shower transfer. The Resident Care Plan (RCP) updated on 1/22/25 identified Resident #131 was on hospice and goals of care directed supportive and palliative in nature.A nurse's note dated 2/19/25 at 2:30 PM identified Resident #131 stated she/he had a fall when she/he lost his/her balance when Resident #131 attempted to get up from her/his…

    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 · D2025-07-22 · tag F0628 — isolated
    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record review, observation facility policy and interview for 1 of 2 sampled residents (Resident #128) reviewed for Hospitalization, the facility failed to provide a bed hold form to the resident/resident representative when resident was sent to the hospital and follow policy and procedures. The findings include:Resident #128's diagnoses included hemiplegia (paralysis on one side of the body) and hemiparesis (weakness on one side of the body) following a cerebral infarction (stroke) affecting the right dominant side, aphasia (trouble with speaking, understanding, reading, writing), and atrial fibrillation. The quarterly Minimum Data Set (MDS) assessment dated [DATE] identified Resident #128 was intact cognitively and required the assistance of 2 or more helpers with toileting hygiene, showering, and transfers. The nurse's note dated 7/7/25 at 2:00 PM identified Resident #128 was transferred to the hospital via ambulance and Resident #128's responsible party was notified.The nurse's note dated…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-07-22 · tag F0656 — failed to write and follow a full care plan — isolated
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical review, review of policy and interview for the only resident reviewed for dementia (Resident #4), the facility failed to ensure staff initiated a care plan for a resident with dementia. The findings include: Resident #4's diagnosis includes dementia. The admission Minimum Data Set (MDS) assessment dated [DATE] indicated dementia would be addressed in the care plan. On 7/18/2025 at 1:14 PM an interview and record review with the Assistant Director of Nursing Services (ADNS) indicated Resident #4 had a diagnosis of dementia, the admission MDS assessment indicated the facility would proceed with care planning for dementia. However, she/he did not know why nursing had not initiated a dementia care plan and would add a dementia care plan at this time (177 days or 5 months, 26 days later). The facility Policy labeled Comprehensive Care Planning indicated in part, each resident's comprehensive person-centered care plan is developed within 7 days of the completion of the required MDS assessment and no…

    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 · Dcited before2025-07-22 · tag F0692 — failed to prevent malnutrition and dehydration — isolated
    Provide enough food/fluids to maintain a resident's health.
    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 3 residents reviewed for nutrition (Resident #61), the facility failed to ensure staff reported weight discrepancies. The findings include: Resident # 61's diagnosis includes end stage renal disease, type 2 diabetes mellitus, and morbid obesity. The hospital Inter-Agency Referral Report dated 7/4/2025 at 11:08 AM indicated a weight of 98.3kg (converted to pounds 98.3 x 2.2 = 216.26 lbs.). A physician's order dated 7/4/2025 directed to obtain a weight monthly on the first day of the month on the 7:30AM to 3:30 PM shift. A physician's order dated 7/4/2025 directed to obtain a weekly weight times 4 weeks on Fridays on the 7:30 AM to 3:30 PM shift. The Vitals Report for weights entry dated 7/4/2025 at 11:24 PM indicated Resident #61's weight was 200.2 pounds and on 7/5/2025 at 9:44 PM weight was 200.2 pounds. On 7/6/2025 at 9:23 PM Resident #61's was entered at 200.3 pounds. The Vitals Report for weights dated 7/7/ 2025 at 2:34 PM indicated…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-05-09 · 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 clinical record reviews, facility documentation, facility policy and interviews for one (1) of three (3) sampled residents (Resident #1) who were reviewed for a change in condition, the facility failed to implement professional standards of care when Resident #1 was found unresponsive to determine if the episode was cardiac versus choking. The findings include: Resident #1's diagnosis included dysphagia (difficulty with swallowing). A physician's order dated 10/7/23 Resident #1's an advanced directive was Full Code (to provide Cardiopulmonary Resuscitation (CPR). A physician's order dated 10/31/23 directed a soft, chopped renal diet with thin liquids. The quarterly Minimum Data Set assessment dated [DATE] identified Resident #1 had some memory recall deficits, difficulty focusing attention, and disorganized thinking and was independent of eating after set-up. The Resident Care Plan dated 4/9/24 identified potential for impaired dentition related to multiple missing or broken teeth and high nutritional…

    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 · E2023-09-26 · tag F0584 — failed to keep a safe, clean, comfortable home — pattern
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, review of facility documentation, job descriptions, and interviews for 7 of 8 units, the facility failed to ensure the environment was clean, maintained in good repair, and a in a homelike manner. The findings include: Observation during the initial tour on 9/24/23 at 10:08 AM through 11:30 AM, and on 9/25/23 at 12:15 PM with the Environmental Services Director, and the ADNS identified the following: a. Damaged, bent, and/or broken bed footboard in bedroom on First floor South wing in room [ROOM NUMBER]. b. Damaged, torn, stains, and/or peeling wallpaper in bedroom on Second floor South wing in rooms 201, 202, 203, 205, 206, 207, 208, and 209. Second floor [NAME] wing in rooms 210, 212, 213, 214, 216, and 219. Second floor North wing in rooms 220, 221, 222, 223, and 227. Third floor South wing in rooms 301, 302, 303, 304, 305, 306, 307, and 309. Third floor [NAME] wing in rooms 310, 312, 313, 314, 315, 316, 318, and 319. Third floor North wing in rooms [ROOM NUMBER]. c. Damaged, torn,…

    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
Show the remaining 18 citations
  • Potential for harm · E2023-09-26 · 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on review of facility documentation, facility policy and interview the facility failed to date and discard medications timely, failed to store treatment supplies according to facility policy, and failed to ensure medication refrigerators temperature logs were complete. The findings: 1a. Observation of the Station 1 medication room with RN #3 on [DATE] at 7:45 AM identified the refrigerator temperature log for August and [DATE] were incomplete for the morning temperatures and had not been monitored for all of the evening temperatures. There were multiple Insulin pens, 2 vials of Tuberculin solution, and 3 bags of intravenous solution in the refrigerator. Further, the freezer was completely covered with thick ice. Interview with RN #3 on [DATE] at 7:46 AM indicated the night nurse was responsible to take the temperature of the medication refrigerator daily and the night nurse was responsible for defrosting the medication refrigerator as needed. RN #3 indicated the freezer was completely covered with ice. RN…

    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 · Ecited before2023-09-26 · 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, review of the facility policy, and interviews the facility failed to label and date food items and discard when appropriate, maintain a clean and sanitary environment, and have garbage cans stored or covered away from clean area. The findings: 1a. Tour of the kitchen with [NAME] #1 on 9/24/23 at 6:45 AM identified in the cook refrigerator there was a large container labeled as chix salad dated 9/4/23. [NAME] #1 indicated it was not chicken salad it was egg salad and should have been discarded after 3 days. Additionally, there was a large container of sauerkraut with a use by date of 9/17/23, and a container of tuna salad dated 9/15/23. [NAME] #1 discarded the items. [NAME] #1 identified a small container of tuna salad, a metal container with 10 meatballs, 5 dinner rolls in a clear bag, 3 bagels in a clear bag, salad mix in a white bowl all were not labeled or dated> [NAME] #1 identified the food in the refrigerator was to be labeled and dated then discarded after 3 days. b. Interview and observation with DA #1 on 9/24/23 at 7:00 AM indicated the reach in…

    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 · D2023-09-26 · 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 observation, review of the clinical record, facility documentation, facility policy and interviews for 1 of 2 residents (Resident #73) reviewed for dignity, the facility failed to ensure that a resident was treated with dignity during mealtime. The findings include: Resident #73 was admitted to the facility on [DATE] with diagnoses that included dementia, atrial fibrillation, and muscle weakness. The quarterly MDS dated [DATE] identified Resident #73 had severely impaired cognition, was frequently incontinent of bowel and bladder and required the assistance of one to two staff member with transfers, dressing, toilet use, and eating. The care plan dated 6/27/23 identified Resident #73 had self-care deficits which included self-feeding due to muscle weakness and dementia. Interventions included preserving Resident #73's privacy and dignity during care. A physician's order dated 9/18/23 identified that Resident #73 required a mechanically altered diet with thin liquids and required the assistance of one…

    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 · D2023-09-26 · tag F0578 — failed to honor advance directives / code status — isolated
    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 review of the clinical record review, facility documentation, facility policy review, and interviews for 2 of 4 residents (Resident #32 and 73) reviewed for advance directives, the facility failed to have clearly documented advance directive information according to facility policy. The findings include. 1. Resident #32 was admitted to the facility on [DATE] with diagnoses that included epilepsy, hypertension, and ataxia. Further, Resident #32 had a conservator of person and estate. A physician's order dated [DATE] directed Resident #32 was full code status. Review of an advance directive form, signed by Resident #32 on [DATE], identified the resident wished to have cardiopulmonary resuscitation (CPR), artificial nutrition, artificial hydration, and hospitalization, and that Resident #32 did not wish to be an organ donor. The admission MDS dated [DATE] identified Resident #32 had intact cognition. Another advance directive form, signed by Resident #32's representative on [DATE] identified the 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.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-09-26 · tag F0600 — failed to protect residents from abuse and neglect — isolated
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on review of the clinical record, facility documentation, facility policy, and interviews for 1 of 4 residents (Resident #19) reviewed for resident-to-resident abuse, the facility failed to protect Resident #19 from physical abuse with resulting injury by Resident #201, who had a history of wandering in and out of other residents' rooms. The findings include. 1a. Resident #201 was admitted to the facility in September 2022 with diagnosis that vascular dementia with behavioral disturbance, and anxiety disorder. Resident #201's quarterly MDS dated [DATE] identified the resident had severely impaired cognition, had exhibited physical behavioral symptoms directed toward others, hitting, kicking, pushing, scratching, grabbing, and/or abusing, had exhibit wandering behaviors daily. Resident #201's corresponding care plan identified Resident #201 had behavior symptoms related to advanced dementia with behavioral disturbances, wandering, going into other resident rooms, and touching their belongings, hitting,…

    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 · D2023-09-26 · 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 review of the clinical record, facility documentation, facility policy, and interviews for 1 of 4 residents (Resident #201) who had a history of behaviors and wandering in other residents' rooms, the facility failed to immediately report to the state agency when Resident #201 wandered into Resident #19's room, an altercation ensued, and Resident #19 sustained a skin tear that required steri strips. The findings include. Resident #201 was admitted to the facility in September 2022 with diagnosis that vascular dementia with behavioral disturbance, and anxiety disorder. Resident #201's quarterly MDS dated [DATE] identified the resident had severely impaired cognition, had exhibited physical behavioral symptoms directed toward others, hitting, kicking, pushing, scratching, grabbing, and/or abusing, had exhibit wandering behaviors daily. A reportable event form dated 1/6/23 at 2:17 PM identified a resident attempted to enter Resident #19's room, Resident #19 tried to block the other resident, and was grabbed…

    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 before2023-09-26 · tag F0656 — failed to write and follow a full care plan — isolated
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on review of the clinical record, facility documentation, facility policy and interview for 1 resident (Resident #53) reviewed for psychotropic medications, the facility failed to develop a care plan to address the resident's use of psychotropic medications and behaviors. The findings include. Hospital discharge documentation dated 3/2/23 identified Resident #53 was to continue Depakote (a mood stabilizer) 125 mg as needed every 12 hours for agitation. Resident #53 was admitted to the facility on [DATE] with diagnoses that included hemiplegia following a stroke, urinary tract infection, and dysphagia. The admission diagnoses failed to identify any mental health diagnoses. A physician's order dated 3/2/23 directed to administer Depakote delayed release (DR) capsules (a mood stabilizer) 125 mg as needed every 12 hours for agitation. An APRN note dated 3/6/23 identified that Resident #53 had a history of agitation at times. The treatment plan included Ativan 1 mg every 4 hours as needed for agitation. 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.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-09-26 · tag F0657 — failed to keep the care plan current — isolated
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on review of the clinical record, facility documentation, facility policy and interview for 1 resident (Resident #30), reviewed for care planning, the facility failed to ensure that the resident was invited to participate in a resident care conference. The findings include: Resident #30 was admitted to the facility on [DATE] with diagnoses that included osteomyelitis, hemiplegia following a stroke, and muscle weakness. The quarterly MDS dated [DATE] identified Resident #30 had moderately impaired cognition, was always incontinent of bladder, frequently incontinent of bowel, and required the assistance of 2 or more staff members with transfers, toilet use, and bathing. The care plan dated 7/11/23 identified Resident #30 should attend activities based on his/her choice. Interventions included to invite Resident #30 to activities. Review of the resident care conference sign in sheets for Resident #30 identified a resident care conference was held on 9/19/23. The sign in sheet identified Resident #30 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.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-09-26 · 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 review of the clinical record, facility documentation, facility policy and interview for 1 resident (Resident #53) reviewed for psychotropic medication, the facility failed to obtain a Valproic Acid Level as ordered by the Psychiatric APRN, and for 1 resident (Resident #401) reviewed for medications, the facility failed to administer a cancer medication according to the physician's order. The findings include. 1. Resident #53 was admitted to the facility on [DATE] with diagnoses that included hemiplegia following a stroke, urinary tract infection, and dysphagia. The admission diagnoses failed to identify any mental health diagnoses. The hospital paperwork dated [DATE] identified Resident #53 was to continue Depakote capsules (a mood stabilizer) 125 mg as needed every 12 hours for agitation. The admission MDS dated [DATE] identified Resident #53 had moderately impaired cognition, was always incontinent of bowel and bladder and required the assistance of one staff member with transfers, dressing, eating…

    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 · Dcited before2023-09-26 · tag F0692 — failed to prevent malnutrition and dehydration — isolated
    Provide enough food/fluids to maintain a resident's health.
    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 interview for 1 of 6 residents (Resident #5) reviewed for nutrition, the facility failed to implement interventions for a resident with an unplanned weight loss in a timely manner and for 2 residents (Resident #16 and 71) reviewed for nutrition, the facility failed to ensure fluid intake and output were monitored according to professional standards and facility policy. The findings include. 1. Resident # 5 was admitted to the facility on [DATE] with diagnoses that included peripheral autonomic neuropathy, muscle weakness, and hypertension. Review of the electronic medical record identified that on 3/1/23, Resident #5 had a weight of 154.2 lbs. Review of the electronic medical record dated 4/1/23 identified that Resident #5 weighed 150.2 lbs., a 4 lb loss over one month. A quarterly nutrition note dated 4/25/23 by the Dietitian identified Resident #5 had a 2% weight loss over a month, was on a regular diet, and received bedtime…

    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 · D2023-09-26 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
    Provide 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 observation, review of the clinical record, facility documentation, facility policy, and interviews for 1 resident (Resident # 58) reviewed for respiratory care, the facility failed to follow physician orders for oxygen administration. The findings include: Resident #58 was admitted to the facility on [DATE] and readmitted on [DATE] with diagnoses that included mild intermittent asthma with (acute) exacerbation, type 2 diabetes, and obstructive sleep apnea. Physician's orders for September 2023 directed to administer oxygen at 4 liters per minute via nasal cannula continuously every shift: days, evenings and nights. The quarterly MDS dated [DATE] identified Resident #58 had intact cognition, required extensive assistance with bed mobility, dressing and toileting, supervision with mobility and eating, and was insulin dependent. The care plan dated 9/12/23 identified a concern with cardio/pulmonary complications with interventions including elevate head to prevent shortness of breath while lying flat 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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-09-26 · tag F0698 — failed to provide proper dialysis care — isolated
    Provide safe, appropriate dialysis care/services for a resident who requires such services.
    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 policy, and interviews for the only sampled resident (Resident #72) reviewed for dialysis, the facility failed to document intake totals for a resident on a fluid restriction. The findings include. Resident #72 was admitted to the facility on [DATE] with diagnoses that included hypertension, congestive heart failure, and end stage renal disease. Resident #72 was hospitalized on [DATE] and was readmitted to the facility on [DATE]. A physician's order dated 8/14/23 directed Resident #72 to receive a regular, renal, low concentrated sweets diet, with a 1500cc fluid restriction, per day. The admission MDS dated [DATE] identified Resident #72 had moderately impaired cognition, was independent with eating, and required a specialized treatment, dialysis, within the last 14 days. The care plan dated 8/24/23 identified Resident #72 was at risk for complications related to hemodialysis. Interventions included the provision and monitoring of dietary and fluid intake 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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-09-26 · tag F0758 — failed to limit and justify psychotropic drugs — isolated
    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on review of the clinical record, facility documentation, facility policy and interviews for 1 of 6 residents (Resident #53) who was receiving a psychotropic medication, the facility failed to identify and monitor specific target behaviors that the psychotropic medication was being used to treat. The findings include. Hospital discharge documentation dated 3/2/23 identified Resident #53 was to continue Depakote (a mood stabilizer) 125 mg as needed every 12 hours for agitation. Resident #53 was admitted to the facility on [DATE] with diagnoses that included hemiplegia following a stroke, urinary tract infection, and dysphagia. The admission diagnoses failed to identify any mental health diagnoses. A physician's order dated 3/2/23 directed to administer Depakote delayed release (DR) capsules (a mood stabilizer) 125 mg as needed every 12 hours for agitation. An APRN note dated 3/6/23 identified that Resident #53 had a history of agitation at times. The treatment plan included Ativan 1 mg every 4 hours as…

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

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-09-26 · tag F0810 — isolated
    Provide special eating equipment and utensils for residents who need them and appropriate assistance.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, review of the clinical record, facility documentation, facility policy and interviews for 1 of 6 residents (Resident #73) reviewed for nutrition, the facility failed to ensure that the resident was evaluated for the need for assistive adaptive equipment. The findings include: Resident #73 was admitted to the facility on [DATE] with diagnoses that included dementia, atrial fibrillation, and muscle weakness. The quarterly MDS dated [DATE] identified Resident #73 had severely impaired cognition, was frequently incontinent of bowel and bladder and required the assistance of one to two staff member with transfers, dressing, toilet use, and eating. The care plan dated 6/27/23 identified Resident #73 had self-care deficits which included self-feeding due to muscle weakness and dementia. Interventions included preserving Resident #73's privacy and dignity during care. The care plan further identified that Resident #73 had moderate nutritional risk related to variable intake. Interventions included…

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

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2021-08-10 · 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 and interviews for one of five residents (Resident #29) reviewed for unnecessary medications, the facility failed to ensure the resident received medications in accordance with physicians' orders. The findings include: Resident #29's diagnoses included anxiety disorder, adjustment disorder with mixed anxiety and depressed mood. The care plan dated 5/19/2021 identified Resident #29 received psychotropic medications. Interventions included to administer medications as prescribed by the physician, implement behavioral interventions and monitor for effectiveness of psychotropic drugs. The physician's order dated 5/19/2021 directed to administer Ativan (antianxiety/psychotropic medication) 0.5 milligrams (mg) by mouth twice a day for anxiety, and to administer Ativan 0.25 mg by mouth as needed (PRN) for anxiety every 24 hours; do not give within 4 hours of scheduled dose. The admission MDS dated [DATE] identified Resident #29 had intact cognition and required extensive assistance with…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2021-08-10 · tag F0758 — failed to limit and justify psychotropic drugs — isolated
    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record review, facility documentation review, facility policy review, and interviews for one of five residents (Resident #29) reviewed for unnecessary medications, the facility failed to ensure an as needed (prn) antianxiety medication was limited to 14 days, and the facility policy failed to identify as needed psychotropic medications were limited to 14 days. The findings include: Resident #29's diagnoses included anxiety disorder, adjustment disorder with mixed anxiety and depressed mood. The care plan dated 5/19/2021 identified Resident #29 received psychotropic medications. Interventions included to administer medications as prescribed by the physician, implement behavioral interventions and monitor for effectiveness of psychotropic drugs. The physician's order dated 5/19/2021 directed to administer Ativan (antianxiety/psychotropic medication) 0.5 milligrams (mg) by mouth twice a day for anxiety, and to administer Ativan 0.25 mg by mouth as needed (PRN) for anxiety every 24 hours; do not…

    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 · B2023-09-26 · tag F0623 — pattern
    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on review of the clinical record, facility documentation, facility policy, and interviews for 1 resident (Resident #5 and 60) reviewed for hospitalization, the facility failed to notify the Office of the State Long-Term Care Ombudsman of the resident's transfer to the hospital. The findings include. 1. Resident #5 was admitted to the facility on [DATE] with diagnoses that included peripheral autonomic neuropathy, muscle weakness, and hypertension. Review of the resident census form identified Resident #5 was transferred to the hospital on 9/8/23. Review of the facility census form identified Resident #5 was readmitted to the facility on [DATE]. Review of the facility documentation dated September 2023 failed to reflect the Office of the State Long-Term Care Ombudsman had been notified when Resident #5 was transferred and admitted to the hospital on [DATE]. 2. Resident #60 was admitted to the facility in February 2023, with diagnoses that included severe morbid obesity, diabetes, and anxiety disorder.…

    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
  • No harm found · B2023-09-26 · tag F0842 — failed to keep accurate, complete medical records — pattern
    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 review of the clinical record, facility documentation, facility policy and interview for 2 of 2 residents (Resident #16 and 71) reviewed for nutrition, the facility failed to ensure the clinical record reflected complete and accurate documentation related to fluid intake, for 1 of 6 residents reviewed for nutrition (Resident #5) the facility failed to ensure that weights were documented in the resident's medical record, and for 1 resident (Resident #53) reviewed for psychotropic medication, the facility failed to ensure that the mental health diagnoses were added to the resident's clinical record and failed to ensure that the psychiatric notes reflected accurate documentation related to medications. The findings include. 1. Resident #16 was admitted to the facility in January 2020 with diagnoses that included dementia without behavioral disturbance, anorexia, and anxiety disorder. The quarterly MDS dated [DATE] identified Resident #16 had severely impaired cognition and required supervision with eating…

    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

“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

No federal fines in the current CMS record.

Part of a chain

This home belongs to CIVITA CARE CENTERS — 6 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

RatingThis homeChain avg
Overall 2 of 52.0≈ chain avg
Health inspection 2 of 51.8+0.2 vs chain
Staffing 4 of 53.0+1.0 vs chain
Quality measures 3 of 52.7+0.3 vs chain
The other 5 homes this chain runs (chain average 2.0★, per CMS)

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

Owner / managerTypeRoleShareSince
CT6 OPCO HOLDCO LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST; ADP OF THE SNF100%since 10/01/2024
ESNH LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST; ADP OF THE SNFNO PERCENTAGE PROVIDEDsince 01/15/2025
JPNH LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST; ADP OF THE SNFNO PERCENTAGE PROVIDEDsince 01/15/2025
PEPPER, YEHUDAIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST; MANAGING CONTROL - GOVERNING BODY; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFNO PERCENTAGE PROVIDEDsince 10/01/2024
SCHWARCZ, ELLIOTIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST; 5% OR GREATER MORTGAGE INTEREST; ADP OF THE SNFNO PERCENTAGE PROVIDEDsince 10/01/2024
710 LONG RIDGE LLCOrganization5% OR GREATER MORTGAGE INTEREST; ADP OF THE SNFsince 01/10/2025
ANTIPUESTO, CRISIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 01/10/2025
CT6 PROPCO HOLDCO LLCOrganizationADP OF THE SNFsince 01/10/2025
EVERFLOW HEALTHCARE LLCOrganizationADP OF THE SNFsince 01/10/2025
SFNH LLCOrganizationADP OF THE SNFsince 01/10/2025
FRIEDMAN, SAMUELIndividualADP OF THE SNFsince 10/01/2024
FUSCO, MICHAELIndividualADP OF THE SNFsince 01/10/2025
TEMPLER, DAVIDIndividualADP OF THE SNFsince 10/01/2024

CMS files one row per role, so the 23 rows in the source record cover these 13 parties — each is shown once here with every role it holds. Nothing is omitted.

7 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

$15.3M
Net patient revenuemost recent cost report
-0.8%
Operating marginrevenue minus expenses
$770K
Related-party expense5% of expenses
Who pays — share of resident-days
Medicaid 76%Medicare 11%Other / private 13%

About 76% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. This home reported $770K paid to related parties (affiliated landlords or management companies) in its most recent cost report.

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

Cost & finances

$414per resident / day
operating cost
$12,572per month
≈ monthly operating cost
$410per 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

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.

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 075394. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-07-22, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →

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

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

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