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Maefair Center For Health & Rehabilitation

21 Maefair Court, Trumbull, CT 06611 · For profit - Corporation · 134 certified beds · (203) 459-5152 Medicare & Medicaid certified

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Abuse/neglect citation on record (F0600) — cited Apr 20251 immediate-jeopardy citation1 immediate-jeopardy citation CMS recorded as corrected before the inspection ended (past non-compliance)$25,366 in federal fines
Insights

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

In its favor
  • a middle-of-the-pack inspection score (3/5)
  • a high payroll-based staffing rating (4/5)
  • lower-than-typical staff turnover (31% 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
  • it has an abuse, neglect, or exploitation citation (F0600), cited Apr 2025
  • inspectors cited 1 immediate-jeopardy problem — the most serious level
  • inspectors recorded 1 serious finding as past non-compliance — the problem was found, fixed, and verified before the survey closed, so it is history rather than a current condition, but it is still worth asking what changed
  • a high number of inspection citations overall (30) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • the CMS record shows $25,366 in federal fines (most recent 2025-03-19)
  • about 20% of its spending goes to commonly-owned related companies

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.

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

Location & what’s nearby

Hospital
★★★★ 4/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
888 White Plains Rd · (203) 372-4065 · Call to confirm hours
Pharmacy
965 White Plains Rd · (203) 261-2541 · Call to confirm hours
Grocery
1482 Reservoir Ave · (203) 296-1416 · Call to confirm hours
Park
White Plains Rd · Typically dawn to dusk
Place of worship

Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Overall quality measures 4 of 5
Long-stay residentspeople who live here 4 of 5
Short-stay residentsrehab / post-hospital 4 of 5

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

Trend — is this home getting better or worse?

Over 2025-02 to 2026-06, this home’s CMS overall rating fell from 4 to 3 stars. From monthly CMS archive snapshots.

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

Overall rating3★
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 increased10.5%18.0%15.4%better
Long-stay residents who lose too much weight7.8%6.5%5.4%worse
Long-stay residents with a catheter left in their bladder0.3%0.7%0.9%better
Long-stay residents with a urinary tract infection1.4%1.5%2.0%better
Long-stay residents with depressive symptoms16.9%22.3%6.5%better than state — see note marked double-dagger below the table
Long-stay residents who were physically restrained0.0%0.0%0.1%better than state — see note marked double-dagger below the table
Long-stay residents with falls causing major injury2.7%3.5%3.3%better
Long-stay residents whose ability to walk worsened4.9%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 vaccine94.3%93.5%95.3%typical
Long-stay residents with pressure ulcers5.3%4.0%4.7%worse
Long-stay residents with worsening bladder/bowel control24.5%24.7%21.2%worse
Long-stay residents who got an antipsychotic medication — see the note below the table14.5%17.8%17.1%better
Short-stay residents who newly got an antipsychotic medication0.0%1.5%1.4%better
Short-stay residents given the seasonal flu vaccine54.4%69.7%79.4%worse
Short-stay residents rehospitalized after admission22.9%24.3%22.6%typical
Short-stay residents with an outpatient ER visit7.6%10.7%12.0%better
Long-stay hospitalizations per 1,000 resident days3.842.061.67worse
Long-stay outpatient ER visits per 1,000 resident days1.971.461.80typical

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.

48.6% 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 112 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

48.6%U.S. median 51.5%
Got home and stayed home
11.8%U.S. median 10.7%
Went back to hospital
50.0%U.S. median 56.6%
Met the expected recovery
0.28U.S. median 0.31
Therapy hours / resident / day
0.13hours / resident / day
Physical therapy
0.12hours / resident / day
Occupational therapy
0.03hours / resident / day
Speech therapy

Met the expected recovery: 50.0% 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 38 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 0.28 therapist hours per resident per day in 2026Q1 — more than 42% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 4% of this home’s weekday level — it runs therapy on weekdays, with essentially none at the weekend. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

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

See every short-stay measure CMS publishes for this home
MeasureThis homeU.S. medianPeriod coveredCMS’s call
Got home and stayed homeRate of successful return to home or community from a SNF48.6%CMS range 38.2–57.651.5%Oct 2022–Sep 2024no different from U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF11.8%CMS range 8.3–15.010.7%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 discharge50.0%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 discharge52.6%52.8%Oct 2024–Sep 2025CMS makes no comparison for this measure
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge44.7%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 identified100.0%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 setting89.4%100.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay0.0%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 worsened2.4%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 hospitalization9.1%CMS range 5.8–13.67.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs0.941.02Oct 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

0.59
RN hours/ resident / day
1.01
LPN hours/ resident / day
2.08
Aide hours/ resident / day
3.69
Total nurse hours/ resident / day
0.27
RN hoursweekends
30.8%
Total nursing turnover
28.6%
RN turnover

How full it usually is: this home is certified for 134 beds and averages 126.3 residents a day — about 94% occupied, or roughly 8 beds typically open. It runs fairly full. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.69 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.59 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.08 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 3.26 hrs/resident/day on weekends vs 3.86 on weekdays — 15% thinner on weekends. RN hours go from 0.72 to 0.27 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 31% 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 (2025-04-30)
11
at the previous standard inspection (2023-07-27)

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.

30 citations, most serious first. The 12 most serious are shown; the remaining 18 are one tap away and print in full.

  • Immediate jeopardy · Jcited before2025-03-19 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record reviews, facility documentation, facility policies and interviews for one (1) of three (3) sampled residents (Resident #1) who had a history of wandering throughout the facility and self-propelled in a wheelchair, the facility failed to ensure the resident was accounted for after an alarmed door was triggered. The findings include: Resident #1's diagnoses included dementia, anxiety, and depression. The quarterly Minimum Data Set assessment dated [DATE] identified Resident #1 had a Brief Interview for Mental Status (BIMS) score of three (3) indicating short and long-term memory recall deficits, was dependent on staff for transfers and utilized a wheelchair for mobilization. The Resident Care Plan dated 12/10/24 identified Resident #1 was at risk for falls due to dementia, had a history of wandering throughout the unit while self-mobilizing in a wheelchair and at times attempted to open exit doors. Interventions directed assistance of one (1) with transfers, use of a wander guard, assist…

    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 · Past Non-Compliance
  • Immediate jeopardy · Jcited before2024-10-07 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, clinical record reviews, facility documentation, facility policies, and interviews for one (1) of three (3) sampled residents (Resident #1) reviewed for elopement, the facility failed to provide adequate supervision to prevent the resident from exiting through a door that was ajar during a recreation activity. Resident #1 was observed outside in the parking lot by another resident. The failures resulted in a finding of Immediate Jeopardy. The finding includes: Resident #1's diagnoses included Alzheimer's disease, dementia, major depressive disorder, and anxiety disorder. The Elopement Evaluation performed on 7/6/24 identified a score of three (3) indicating Resident #1 was at risk for wandering and elopement. The quarterly Minimum Data Set assessment dated [DATE] identified Resident #1 had severely impaired cognition and was independent with ambulation. The Resident Care Plan dated 7/31/24 identified Resident #1 was at risk to try and leave the nursing facility due to verbalized expressions…

    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 before2025-04-30 · 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 observation, review of the clinical record, review of facility policy and interview for 1 sampled resident (Resident #368) reviewed for Advanced Directives, the facility failed to ensure the resident signed Advance Directives were reflected correctly on the Electronic Medical Record (EMR. The findings include: Resident #368 's diagnoses included atherosclerotic heart disease of native coronary artery without angina pectoris, Congestive Heart Failure (CHF) and anxiety. Review of Resident #368 paper chart indicated a code status signed on [DATE] directing Do Not Resuscitate (DNR). The care plan with a revision dated [DATE] identified the resident has an established Advanced Directive. Residents wish to receive Cardiopulmonary Resuscitation (CPR). Interventions included reviewing Advanced Directives with resident and/ or healthcare decision maker quarterly and to support residents' decision for CPR. The quarterly Minimum Data Set assessment dated [DATE] identified Resident #368 was moderately cognitively…

    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 · D2025-04-30 · tag F0584 — failed to keep a safe, clean, comfortable home — isolated
    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 clinical reviews, observations and review of facility documentation and interviews for 1 of 2 residents reviewed for the environment (Resident #82), the facility did not provide a homelike environment by not ensuring personal care equipment was stored appropriately and for 1 of 2 residents ( Resident # 68) ) reviewed for Environment, the facility failed to ensure residents room was free from odors in order to ensure a home like environment. The findings included: 1. Resident #82's diagnoses included pelvic fracture and dementia. A significant change MDS assessment dated [DATE] identified Resident #82 as severely cognitive impairment and dependent on staff for toileting. The MDS assessment also identified Resident #82 had a urinary catheter and noted continent of bowel. A care plan dated 3/10/2025 identified Resident #82 had a deficit in functional mobility and that the resident was non-ambulatory. Interventions On 4/23/2025 at 1:51 PM an interview with (Person ----) identified a concern about the smell…

    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 before2025-04-30 · 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, observation, facility policy and interviews for 1 of 5 residents reviewed for Unnecessary Medication, the facility failed to ensure medication was administered according to physician's orders. The findings include: Resident #14's diagnoses included Gastroesophageal Reflux Disease (GERD) without esophagitis, Type 2 diabetes mellitus and bipolar disorder. The care plan dated 1/14/25 identified resident is at risk for constipation. Interventions included administering medication as ordered, monitoring bowel movement. The resident care plan also identified Resident #14 utilization of psychotropic medications related to bipolar disorder. Interventions include orthostatic blood pressure as ordered. The quarterly Minimum Data Set assessment dated [DATE] identified Resident #14 was cognitively intact and required supervision or touching assistance for eating. The assessment noted dependence on staff for toilet hygiene. Observation of 4/19/25 of the Medication Administration Record…

    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 before2025-04-30 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record review, observation, facility documentation, facility policy and interviews for 4 residents (Resident #38) reviewed for accidents, the facility failed to ensure a safe transfer with a mechanical lift per manufacture specifications to prevent a potential accident. The findings include: Resident #38's diagnoses include morbid obesity, Intellectual Disabilities, and osteoarthritis. The Resident Care Plan with a revision date of 3/1/25 identified the resident had a deficit in functional mobility. Interventions included a mechanical lift for transfers. The quarterly Minimum Data Set assessment dated [DATE] identified Resident #38 as cognitively intact and depended on staff with transferring, personal hygiene and bathing. An observation on 4/23/25 of the mechanical lift transfer at 11:05 AM identified the nurse aides (NA# 5 and NA# 6) did not open the base of the mechanical lift before getting Resident #38 out of bed. In an interview with NA #5 on 4/23/25 at 11:10 AM identified she did 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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-04-30 · 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 policy and staff interviews for 1 of 4 residents (Resident #75) reviewed for nutrition, the facility failed to ensure staff obtained weekly weights and a re-weight as ordered by the physician. The findings include: Resident #75's diagnosis included sepsis, chronic osteomyelitis, a stage 4 pressure ulcer and a urinary tract infection. A physician's order dated 12/9/2024 directed to obtain weight on admission then weekly x 4 weeks. The care plan dated 12/12/2024 indicated Resident #75 was at risk for malnutrition due to variable intake, grade 3 obesity, and a pressure wound. Interventions included: allowing sufficient time to eat, encouraging intake of fluids throughout the day, monitoring and evaluating weight and weight changes and obtaining weights as indicated. The admission Minimum Data Set (MDS) assessment dated [DATE] indicated Resident #75 was cognitively intact, weighed 180 pounds and did not have a 5% weight loss or gain in the last 30 days or 10 % in 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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-04-30 · tag F0761 — failed to label and store drugs safely — isolated
    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 observations, the facility failed and staff interviews, the facility failed to discard expired medications in a timely manner and for 1 or 4 residents (Resident #7) reviewed for accidents, the facility failed to adequately secure medications. The findings included: 1. On 4/28/2025 at 11:41 AM, an observation of the Intravenous Therapy (IV) cart located in the third-floor medication room with the Infection Preventionist (RN #7) identified two bags of expired IV fluids. The fluids were 1-liter bags of 10% dextrose, both bags with an expiration date of March 2025. An interview with RN #7 indicated that the fluids were usually used for residents who were waiting for their total parental nutrition (TN) to arrive. RN#7 also indicated the night supervisor was responsible for checking the IV cart for expired medications. On 4/28/2025 at 11:53 AM, an observation with RN#7 and the nursing supervisor (RN#1) identified two expired tablets in the emergency stock box located in the third-floor medication room. 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.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-04-30 · tag F0790 — failed to provide dental care — isolated
    Provide routine and 24-hour emergency dental care for each resident.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical reviews, observations, facility policy and interviews for 1 of 1 sampled resident, (Resident #61) reviewed for dental services, the facility failed to follow up on a recommendation made by a physician regarding dental. The findings include: Resident #61 was admitted to the facility on [DATE]. The resident's diagnoses included pulmonary embolism (blood clot in lungs), unspecified dementia with behavioral disturbance, schizophrenia, anxiety disorder, and depression. The physician's orders dated 11/30/22 directed for consult: dental care as needed. A review of the facility dental vendor visit dated 1/29/24 with Resident #61 identified a lump/lesion on lower right side of lip. A recommendation was made that the lesion on the lower lip be evaluated by an oral surgeon. A quarterly Minimum Data Set (MDS) assessment dated [DATE] identified Resident #61 was cognitively intact and required setup/clean up assistance with eating, maximal assistance (helper does more than half the effort) with personal…

    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 before2025-04-30 · 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 record review, facility documentation, and staff interviews for one of three residents (Resident #96) reviewed for abuse, the facility failed to ensure the resident was free from neglect and failed to ensure care was provided timely. The findings include: Resident #96 had a diagnosis of hemiparesis (weakness on one side) and vascular dementia. The Annual MDS dated [DATE] identified Resident #96 had a Brief Interview for Mental Status (BIMS) score of 12 indicating moderately impaired cognition and required maximal assistance with Activities of Daily Living (ADLs) and was frequently incontinent of bowel and bladder. The Resident Care Plan (RCP) dated 4/3/2025 identified incontinence. Interventions directed two (2) staff members to provide care for left sided weakness and accusatory behaviors, and provide incontinent care. Facility incident report dated 4/11/2025 identified Resident #96 alleged on 4/11/2025 at approximately 2:45 PM he/she had the call light on for 45 minutes, and alleged that he/she did…

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

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Past Non-Compliance
  • Potential for harm · Dcited before2025-04-30 · 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 record review, facility documentation, and staff interviews for one of three residents (Resident #96) reviewed for abuse, the facility failed to ensure care was provided in accordance with the plan of care. The findings include: Resident #96 had a diagnosis of hemiparesis (weakness on one side) and vascular dementia. The Annual MDS dated [DATE] identified Resident #96 had a Brief Interview for Mental Status (BIMS) score of 12 indicating moderately impaired cognition and required maximal assistance with Activities of Daily Living (ADLs) and was frequently incontinent of bowel and bladder. The Resident Care Plan (RCP) dated 4/3/2025 identified incontinence. Interventions directed two (2) staff members to provide care for left sided weakness and accusatory behaviors, and provide incontinent care. Facility incident report dated 4/11/2025 identified Resident #96 alleged on 4/11/2025 at approximately 2:45 PM he/she had the call light on for 45 minutes, and alleged that he/she did not receive ADL care from…

    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 · D2025-04-30 · tag F0842 — failed to keep accurate, complete medical records — isolated
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, facility documentation, and staff interviews for one of three residents (Resident #96) reviewed for abuse, the facility failed to ensure the record was complete and accurate to include incontinent care provided. The findings include: Resident #96 had a diagnosis of hemiparesis (weakness on one side) and vascular dementia. The Annual MDS dated [DATE] identified Resident #96 had a Brief Interview for Mental Status (BIMS) score of 12 indicating moderately impaired cognition and required maximal assistance with Activities of Daily Living (ADLs) and was frequently incontinent of bowel and bladder. The Resident Care Plan (RCP) dated 4/3/2025 identified incontinence. Interventions directed two (2) staff members to provide care for left sided weakness and accusatory behaviors, and provide incontinent care. Facility incident report dated 4/11/2025 identified Resident #96 alleged on 4/11/2025 at approximately 2:45 PM he/she had the call light on for 45 minutes, and alleged that he/she did 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.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
Show the remaining 18 citations
  • Potential for harm · Dcited before2024-11-06 · 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, review of facility documentation and interviews for one (1) of three (3) sampled residents (Resident # 2) who were reviewed for an allegation of abuse, the facility failed to ensure the resident was free from physical abuse by a staff member. The findings include: Resident #2's diagnoses included Alzheimer's dementia, anxiety, depression, chronic back pain, and adult failure to thrive. The quarterly Minimum Data Set assessment dated [DATE] identified Resident #2 rarely or never made decision regarding tasks of daily life and required substantial/maximum assistance with bathing, toileting, turning and repositioning, dressing, and eating. The nurse's note dated 10/23/24 at 12:36 PM identified at approximately 10:00 AM an alleged incident was reported by a visiting hospice nurse aide, a skin assessment was performed, and no injuries were noted. The Facility Reported Incident form dated 10/23/24 at 10:00 AM identified a hospice nurse aide was visiting Resident #2 and she alleged…

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

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-08-15 · 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 record reviews, facility policies and interview for one (1) of three (3) sampled residents (Resident #1) who were reviewed for an allegation of abuse, the facility failed to ensure two (2) staff members were present in the room as outlined in the care plan. The findings include: Resident #1's diagnoses included bipolar, dementia, anxiety, and legal blindness. The quarterly Minimum Data Set assessment dated [DATE] identified Resident #1 had no memory recall deficits, was able to make decisions regarding tasks of daily life, and required substantial/ maximal assistance with toileting, personal hygiene, showering, and transfers. The resident care plan dated 7/18/24 identified Resident #1 required assistance with bathing, dressing, grooming, and hygiene and had a potential for being verbally aggressive towards staff. Interventions always directed one (1) person assistance of with activities of daily living and two (2) staff for care to ensure the resident's needs are being met. The nurse's note…

    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 · D2023-07-27 · tag F0580 — failed to tell family and doctor about changes — isolated
    Immediately 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 review of the clinical record, facility policy, and interviews for 1 of 4 residents observed during medication administration, (Resident #30) the facility failed to notify the physician or APRN when the resident's medication was not administered as directed by the physician. The findings include: Resident #30 was admitted to the facility with a diagnosis of essential hypertension, presence of automatic (implantable) cardiac defibrillator, and congestive heart failure. The quarterly MDS assessment dated [DATE] identified Resident #30 was cognitively intact, required setup with eating, and required extensive assistance with personal hygiene. The Resident Care Plan dated 6/22/23 identified that Resident #30 had congestive heart failure and high blood pressure. Interventions directed to administer medications per physician's order. Observation of medication administration for Resident #30 on 7/25/23 at 11:21 AM with LPN #3 identified the administration of Carvedilol 6.25 milligrams and Sacubitril-Valsartan…

    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 · D2023-07-27 · 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 review, observation, facility policy review, and interviews for 1 of 3 sampled residents (Resident #113) reviewed for pressure injuries, the facility failed to ensure that the wound was initially assessed and assessed on a weekly basis by a registered nurse, failed to ensure that the wound specialist's treatment recommendation was implemented, and failed to ensure that a worsening wound was evaluated by the facility's wound specialist. The findings include. Resident #113's diagnoses included multiple fractures of ribs, cognitive communication deficit, depression, and anxiety. The Norton Scale (used to predict risk for pressure ulcer development) dated 4/28/23 identified Resident #113 was at moderate risk for skin breakdown. A physician's order dated 4/28/23 directed to do weekly skin checks on shower day every Wednesday 7-3 shift, offload heels as tolerated every shift for skin integrity and skin prep to heels twice a day for 14 days. The skin audit assessment dated [DATE] identified…

    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 before2023-07-27 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record review, observation, facility policy review, and interviews for 1 of 3 sampled residents (Resident #113) reviewed for pressure ulcers, the facility failed to ensure that the wound was appropriately assessed, failed to ensure that the initial treatment to the wound was appropriate, failed to ensure that appropriate ongoing assessments of the wound was provided prior to the wound worsening to the category of unstageable. The findings include: Resident #113's diagnoses included multiple fractures of ribs, cognitive communication deficit, depression, and anxiety. The Norton Scale (used to predict risk for pressure ulcer development) dated 4/28/23 identified Resident #113 was at moderate risk for skin breakdown. A physician's order dated 4/28/23 directed to do weekly skin checks on shower day every Wednesday 7-3 shift, offload heels as tolerated every shift for skin integrity and skin prep to heels twice a day for 14 days. The skin audit assessment dated [DATE] identified Resident #113 had 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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-07-27 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record review, review of facility's documentation and interviews for 2 of 3 sampled resident (Resident #35 & #89) reviewed for accidents and who required the assistance of two staff members for bed mobility, and the facility failed to ensure that the resident received the necessary assistance resulting in a fall from the bed. The findings include: Resident #35's diagnoses included type 2 diabetes, anemia, abnormal posture, cerebral infarction due to embolism of right cerebellar artery and acquired lower extremity paralysis. The acute care hospital Discharge summary dated [DATE] identified Resident #35 had an epidural hemorrhage which resulted in bilateral lower extremity paralysis due to cord compression. The summary further identified that Resident #35 was unable to move the lower body, was completely dependent and would require meticulous care upon discharge, such as turning every two hours, meticulous perineal care, and monitoring of nutritional status. The fall risk assessment dated [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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-07-27 · 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, review of facility policy, and interviews for 1 sampled resident, (Resident #59) reviewed for respiratory care, the facility failed to follow the physician's order for the correct oxygen flow rate. The findings include: Resident #59's diagnoses included chronic obstructive pulmonary disease (COPD), asthma, and morbid (severe) obesity. The significant change MDS assessment dated [DATE] identified Resident #59 was cognitively intact and required extensive assist of two people for bed mobility, transfers, and toileting. The care plan dated 6/27/23 identified Resident #59 had oxygen therapy with interventions that included oxygen via nasal canula at 2 liters per minute (LPM). The monthly physician's orders for July/2023 with an origination date of 6/9/2023 directed oxygen via nasal cannula at 2 LPM, and check pulse oxygen every shift. Observation on 7/20/23 at 11:46 AM identified Resident #59 had oxygen in place via nasal canula with the oxygen concentrator set to…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-07-27 · tag F0697 — failed to manage pain — isolated
    Provide safe, appropriate pain management 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 clinical record review, observations, review of facility policy and interviews for 1 sampled resident (Resident #17) reviewed for pain management, the facility failed to ensure proper pain management. The findings include: Resident #17's diagnoses included trigeminal neuralgia, acute pain due to trauma, unspecified fall with fractures. The quarterly MDS assessment dated [DATE] identified Resident #17 was cognitively intact, required extensive assistance of two staff with bed mobility, transfers, and dressing, required extensive assistance of one staff with personal hygiene, and was totally dependent on two staff for toileting. The assessment further identified that the resident did not have scheduled pain medication but received as needed pain medication for occasional pain. The assessment noted the resident's pain level was 4 on a scale of 0 to 10 with 10 being the highest level of pain. A physician's order dated 7/11/23 directed to administer Gabapentin oral capsule (used to treat nerve pain) 300mg by…

    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 · D2023-07-27 · tag F0759 — failed to keep medication error rate low — isolated
    Ensure medication error rates are not 5 percent or greater.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, review of clinical records, and interviews for 2 of 4 Residents (Resident #3 and #30) reviewed for Medication Administration, the facility failed to ensure medications were administered as directed, per the physician's orders, and per professional standards to ensure a medication error rate less than 5%. The findings included: 1. Resident #3 was admitted to the facility with diagnoses that included morbid obesity, colostomy, and abdominal wall cellulitis. The quarterly MDS assessment dated [DATE] identified Resident #3 was cognitively intact, required setup with eating, and required extensive assistance with transfers. The Resident Care Plan dated 7/12/23 identified that resident #3 had a colostomy/ileostomy related to a small bowel obstruction. Interventions directed to monitor and observe the site, and record bowel movements as ordered. Observation of medication preparation for Resident #3 on 7/26/23 at 8:57 AM, identified LPN #1 had poured one half capful of Polyethylene Glycol into 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.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-07-27 · tag F0761 — failed to label and store drugs safely — isolated
    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 observations, review of the clinical record, facility policy, and interviews for the only resident (Resident #16), reviewed for self-administration of medications, the facility failed to ensure that a resident who was unable to self-administration medications did not store the medication at the bedside. The findings include: Resident #16 's diagnoses included congestive heart failure, mild cognitive impairment, knee, and left shoulder pain. The quarterly Minimum Data Set assessment dated [DATE] identified Resident #16 was moderately cognitively impaired and required the extensive assist of two staff for bed mobility, transfers, and dressing. The Resident Care Plan dated 6/14/2023 identified Resident #16 was forgetful due to a diagnosis of mild cognitive impairment. Interventions directed to reorient him/her to the date, time of day, and recent events as needed. A physician's order dated 7/3/23 directed to apply diclofenac sodium ointment 1% to the knees and left shoulder two times daily for pain.…

    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 · D2023-07-27 · tag F0773 — isolated
    Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
    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 and interviews for 1 of 5 sampled residents (Resident #9), reviewed for unnecessary medications, the facility failed to notify the MD/APRN of an elevated serum level of a medication (Clozaril) in a timely manner. The findings include: Resident #9's diagnoses included schizoaffective disorder, anxiety, and fracture of the right femur. The quarterly Minimum Data Set assessment dated [DATE] identified Resident #9 was severely cognitively impaired, and required extensive assistance for bed mobility, dressing, and personal hygiene. The Resident Care Plan dated 6/14/2023 identified Resident #9 had a psychiatric disorder. Interventions directed to administer medications as ordered by the MD/APRN and to monitor for side effects/effectiveness. A physician's order dated 7/20/23 directed to administer Clozaril (an antipsychotic medication) 50 milligrams (mg) once daily. A physician's order dated 7/20/23 directed to obtain a laboratory value for a Clozaril level. Review of the clinical…

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

    Administration Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-07-27 · tag F0919 — failed to provide a working call system — isolated
    Make sure that a working call system is available in each resident's bathroom and bathing area.
    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 and interviews for 1 of 3 sampled residents (Resident #40) reviewed for the environment, the facility failed to provide an alternate means of calling for assistance when the bedside nurse call alert system failed to correctly operate. The findings include: Resident #40's diagnoses included dementia with mood disturbance, diabetes mellitus, and pain. The quarterly Minimum Data Set assessment dated [DATE] identified Resident #40 was severely cognitively impaired, and required extensive assistance for bed mobility, transferring, dressing, and toileting. The Resident Care Plan dated 5/30/23 identified Resident #40 had increased confusion related to dementia progression. Interventions directed to have the call light within his/her reach. Observation with NA #8 on 7/26/23 at 11:22 AM identified Resident #40's call bell activation system was disconnected from the electrical box on the wall. NA #8 identified that Resident #40 had pulled the call bell out of the wall the day before and that she had…

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

    Environmental Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2021-07-01 · tag F0684 — failed to provide proper treatment and quality of care — pattern
    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 observations, review of the clinical record, and staff interviews for 1 of 5 sampled residents (Resident #62) reviewed for unnecessary medication, the facility failed to ensure blood glucose monitoring was renewed upon Resident #62's re-admission, and for 2 sampled residents (Resident #76 and Resident #102) reviewed for skin conditions, the facility failed to ensure a Registered Nurse assess a skin condition and failed to ensure that a Wound Physician's recommendation was responded to by Resident #102's physician/APRN. The findings included: 1. Resident #62's diagnoses included Diabetes Type 2, fracture of the left femur, and multiple myeloma. A Resident Care Plan dated [DATE] and updated quarterly identified a problem of diabetes with interventions that included, Accucheck per MD order, utilize sliding scale as ordered, administer Insulin per order and monitor for signs of hypoglycemia/hyperglycemia. A Significant Change Minimum Data Set (MDS) dated [DATE] identified Resident #62 was moderately…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2021-07-01 · 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 observation, review of the clinical record, facility documentation, facility policy, and interviews for 1 of 6 residents (Resident #75) reviewed for Advanced Directives, the facility failed to ensure advanced healthcare planning that included advanced directives was addressed. The findings include: Resident #75 was admitted to the facility on [DATE] with diagnoses that included a displaced fracture of the right humerus, osteoporosis and hypertension. Resident #75 was not his/her responsible party. An APRN progress note dated 6/28/21 noted a request to review and sign an order for code status. Per DNS, multiple attempts to obtain a code status had been unsuccessful. Physician orders dated 6/28/21 directed Full Code status in the absence of a Do not Resuscitate (DNR) order. Nursing and Social Service progress notes dated 5/17/21 through 6/28/21 noted 4 documented contacts with Resident #75's responsible party/representative with no documented discussions regarding code status. A review of the clinical…

    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 before2021-07-01 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
    Provide 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 observations, review of the clinical record, and staff interviews for 1 of 1 sampled resident (Resident #76) reviewed for pressure ulcers, the facility failed to ensure a treatment was completed to the right buttocks and failed to complete weekly assessments of the area. Resident #76 was admitted to the facility on [DATE] with diagnoses that included a Stage 2 right buttock pressure ulcer, malignant neoplasm of the prostate and atrial fibrillation. A Pressure Injury Initial Evaluation form dated 5/15/21 identified Resident #76 had a Stage 2 right buttock pressure ulcer measuring 3 cm length by 3 cm width by 0.5 cm depth with a small amount of drainage. Treatment directed to apply Medi-Honey to the wound bed once daily followed by a dry protective dressing. A Resident Care Plan dated 5/16/21 identified Resident #76 had actual impairment to his/her skin integrity of the right buttock. Interventions included weekly treatment documentation to include measurement of each area of skin breakdown's width,…

    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 before2021-07-01 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, review of the clinical record, facility policy and staff interviews for 1 of 2 sampled residents (Resident #64) reviewed for falls, the facility failed to ensure adequate supervision was provided to prevent a fall with injury. The findings included: Resident #64's diagnoses included paraplegia, metabolic encephalopathy, abnormalities of gait/mobility, low back pain, and repeated falls. The Resident Care Plan (RCP) dated 5/10/21 identified a problem with bathing, dressing and grooming with interventions that included that Resident #64 could mobilize independently in a power wheelchair and directed staff to gather, provide and set up all materials supplies, and equipment needed for care. A physician's order dated 5/10/21 directed independent transfers and MI (Modified Independence) to ambulate with rolling walker (RW) in the room and assistance of 1 person to ambulate in the hallway, as tolerated. An admission Minimum Data Set (MDS) dated [DATE] identified Resident # 64 had intact cognition…

    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 · D2021-07-01 · tag F0880 — failed to prevent and control infections — isolated
    Provide 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, clinical record review, review of facility policy and staff interviews for 1 of 3 residents (Resident #40) reviewed for pressure ulcers, the facility failed to ensure a clean field was established prior to a dressing change, to properly discard a contaminated dressing and failed to perform hand hygiene. The findings included: Resident #40's diagnoses included a chronic, progressive nerve disease, Diabetes, and pressure ulcers of the sacrum and bilateral heels. The admission Minimum Data Set (MDS) dated [DATE] identified Resident #40 had intact cognition and required extensive assistance of 2 for bed mobility, transfers, and toilet use. The MDS further identified Resident #40 required extensive assistance of one for personal hygiene, dressing and did not ambulate. The Resident Care Plan (RCP) dated 4/29/21 identified a problem of impaired skin integrity to the coccyx and heels related to a deep tissue injury. Interventions included to follow facility protocols for treatment of injury. 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.

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • No harm found · C2023-07-27 · tag F0755 — failed to provide safe pharmacy services — widespread
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, facility documentation, and interview for 6 of 6 units reviewed for narcotic reconciliation, the facility failed to conduct bimonthly narcotic audits per the regulation. The findings include: 1. Observation and review of the bimonthly narcotic audit flow sheets with the Director of Nursing Services (DNS) on 7/27/23 at 1:20 PM dated 4/1/23 through 6/30/23 for the 2-1-unit medication cart identified the following missing bimonthly audits: 5/2023 (1 missing), 6/2023 (2 missing) for a total of 3 out of 6 opportunities missed. 2. Observation and review of the bimonthly narcotic audit flow sheets with the Director of Nursing Services (DNS) on 7/27/23 at 1:20 PM dated 4/1/23 through 6/30/23 for the 2-2 unit medication cart identified the following missing bimonthly audits: 4/2023 (2 missing), 5/2023 (1 missing), 6/2023 (2 missing) for a total of 5 out of 6 opportunities missed. 3. Observation and review of the bimonthly narcotic audit flow sheets with the Director of Nursing Services (DNS) on 7/27/23 at 1:20 PM dated 4/1/23 through 6/30/23 for the 2-3 unit medication…

    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

“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

$25,366 in federal fines across 2 penalties.

  • $17,345 — penalty dated 2025-03-19
  • $8,021 — penalty dated 2024-08-15

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

Part of a chain

This home belongs to NATIONAL HEALTH CARE ASSOCIATES — 42 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 3 of 53.2-0.2 vs chain
Health inspection 3 of 52.8+0.2 vs chain
Staffing 4 of 53.0+1.0 vs chain
Quality measures 4 of 54.1≈ chain avg
The other 41 homes this chain runs (chain average 3.2★, per CMS)
1 of 5Brentwood Center For Health & Rehabilitation, LLCYarmouth, ME 1 of 5The Pines At Utica Center For Nursing And RehabUtica, NY 2 of 5Beacon Brook Center For Health & RehabilitationNaugatuck, CT 2 of 5Bloomfield Center For Nursing & RehabilitationBloomfield, CT 2 of 5Eastside Center For Health & Rehabilitation, LLCBangor, ME 2 of 5Kennebunk Center For Health & Rehabilitation, LLCKennebunk, ME 2 of 5Ludlowe Center For Health & RehabilitationFairfield, CT 2 of 5Mansfield Center For Nursing And RehabilitationStorrs Mansfield, CT 2 of 5Montowese Center For Health & RehabilitationNorth Haven, CT 2 of 5Riverside Health & Rehabilitation CenterEast Hartford, CT 2 of 5Shady Knoll Center For Health & RehabilitationSeymour, CT 2 of 5Summit At Plantsville Center For Health & RehabiliPlantsville, CT 2 of 5The Pines At Catskill Center For Nursing & RehabCatskill, NY 2 of 5The Pines At Glens Falls Ctr For Nursing & RehabGlens Falls, NY 3 of 5Augusta Center For Health & Rehabilitation, LLCAugusta, ME 3 of 5Cambridge Health And Rehabilitation CenterFairfield, CT 3 of 5Evergreen Center For Health & RehabilitationStafford Springs, CT 3 of 5Glastonbury Center For Health & RehabilitationGlastonbury, CT 3 of 5Hebrew Center For Health And RehabilitationWest Hartford, CT 3 of 5Laurel Ridge Center For Health & RehabilitationRidgefield, CT 3 of 5Marlborough Health & Rehabilitation CenterMarlborough, CT 3 of 5Reservoir Center For Health & Rehabilitation, TheMarlborough, MA 3 of 5Water's Edge Center For Health & RehabilitationMiddletown, CT 3 of 5Winship Green Center for Health & Rehab, LLCBath, ME 4 of 5Bethel Health Care CenterBethel, CT 4 of 5Brewer Center For Health & Rehabilitation, LLCBrewer, ME 4 of 5Dover Center For Health & RehabilitationDover, NH 4 of 5Huntington Hills Center for Health and RehabilitatMelville, NY 4 of 5Pines At Bristol For Nursing & Rehabilitation, TheBristol, CT 4 of 5Sharon Center For Health & RehabilitationSharon, CT 4 of 5Stone Bridge Center For Health & RehabilitationNewtown, CT 4 of 5The Pines At Poughkeepsie Ctr For Nursing & RehabPoughkeepsie, NY 4 of 5The Pines at Rutland Center for Nursing & RehabiliRutland, VT 4 of 5Village Crest Center For Health & RehabilitationNew Milford, CT 5 of 5Belair Care Center IncBellmore, NY 5 of 5Maple View Health & Rehabilitation CenterRocky Hill, CT 5 of 5Milford Health And Rehabilitation CenterMilford, CT 5 of 5Norway Center For Health & Rehabilitation, LLCNorway, ME 5 of 5Pine Heights at Brattleboro Center for Nursing & RBrattleboro, VT 5 of 5Regency House Nursing And Rehabilitation CenterWallingford, CT

Showing 40 of 41; lowest-rated first.

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
BG II OPCO ML LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100%since 10/10/2024
CEDAR HILL CAPITAL ASSOCIATES LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST; 5% OR GREATER SECURITY INTEREST; ADP OF THE SNFNO PERCENTAGE PROVIDEDsince 10/10/2024
DYMER HOLDINGS LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST; ADP OF THE SNFNO PERCENTAGE PROVIDEDsince 10/10/2024
ILANA OSTREICHER FAMILY TRUSTOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST; 5% OR GREATER SECURITY INTEREST; ADP OF THE SNFNO PERCENTAGE PROVIDEDsince 10/10/2024
JUNIPER CAPITAL ASSOCIATES LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST; 5% OR GREATER SECURITY INTEREST; ADP OF THE SNFNO PERCENTAGE PROVIDEDsince 10/10/2024
MARC EPHRAM OSTREICHER FAMILY TRUSTOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST; 5% OR GREATER SECURITY INTEREST; ADP OF THE SNFNO PERCENTAGE PROVIDEDsince 10/10/2024
OAK MANAGEMENT CAPITAL LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST; 5% OR GREATER SECURITY INTERESTNO PERCENTAGE PROVIDEDsince 10/10/2024
YOSSI EHRENFELD INVESTMENT LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST; ADP OF THE SNFNO PERCENTAGE PROVIDEDsince 10/10/2024
YSRO TRUSTOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST; 5% OR GREATER SECURITY INTERESTNO PERCENTAGE PROVIDEDsince 10/10/2024
ZADUN II HOLDINGS LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDEDsince 10/10/2024
EHRENFELD, MINDYIndividual5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDEDsince 10/10/2024
ARIELLA EHRENFELD INVESTMENT LLCOrganizationINDIRECT OWNERSHIP INTEREST; ADP OF THE SNFsince 10/10/2024
DAVID OSTREICHER FAMILY TRUSTOrganizationINDIRECT OWNERSHIP INTERESTsince 10/10/2024
EJ CAPITAL HOLDINGS LLCOrganizationINDIRECT OWNERSHIP INTEREST; ADP OF THE SNFsince 10/10/2024
GM EQUITIES LLCOrganizationINDIRECT OWNERSHIP INTEREST; ADP OF THE SNFsince 10/10/2024
GRAY FAMILY INVESTORS LLCOrganizationINDIRECT OWNERSHIP INTEREST; ADP OF THE SNFsince 10/10/2024
LEVON PAPA II LLCOrganizationINDIRECT OWNERSHIP INTEREST; ADP OF THE SNFsince 10/10/2024
LPKLR LLCOrganizationINDIRECT OWNERSHIP INTEREST; ADP OF THE SNFsince 10/10/2024
MICHELLE OSTREICHER FAMILY TRUSTOrganizationINDIRECT OWNERSHIP INTERESTsince 10/10/2024
PATRIOT HC 233 LLCOrganizationINDIRECT OWNERSHIP INTEREST; ADP OF THE SNFsince 10/10/2024
SHAYNA STEG FAMILY TRUSTOrganizationINDIRECT OWNERSHIP INTERESTsince 10/10/2024
WHITE DEER INVESTMENTS, LLCOrganizationINDIRECT OWNERSHIP INTERESTsince 10/10/2024
YITZCHOK STEG FAMILY TRUSTOrganizationINDIRECT OWNERSHIP INTERESTsince 10/10/2024
EHRENFELD, JACOBIndividualINDIRECT OWNERSHIP INTERESTsince 10/10/2024
GELBTUCH, JAYIndividualINDIRECT OWNERSHIP INTERESTsince 10/10/2024
LOPIANSKY, REBECCAIndividualINDIRECT OWNERSHIP INTERESTsince 10/10/2024
MILLSTEIN, NECHAMAIndividualINDIRECT OWNERSHIP INTERESTsince 10/10/2024
OSTREICHER, DAVIDIndividualINDIRECT OWNERSHIP INTERESTsince 10/10/2024
OSTREICHER, MARVINIndividualINDIRECT OWNERSHIP INTERESTsince 10/10/2024
OSTREICHER, MICHELLEIndividualINDIRECT OWNERSHIP INTERESTsince 10/10/2024
STEG, SHAYNAIndividualINDIRECT OWNERSHIP INTERESTsince 10/10/2024
STEG, YITZCHOKIndividualINDIRECT OWNERSHIP INTERESTsince 10/10/2024
WEISZ, DAVIDIndividualINDIRECT OWNERSHIP INTERESTsince 10/10/2024
WOLKENFELD, STEFANIndividualINDIRECT OWNERSHIP INTERESTsince 10/10/2024
OSTREICHER, MARCIndividual5% OR GREATER SECURITY INTEREST; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 10/10/2024
NATIONAL HEALTH CARE ASSOCIATES INCOrganizationOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 12/12/2024
GILMARTIN, THOMASIndividualOPERATIONAL/MANAGERIAL CONTROLsince 10/10/2024
PITTER, RITAIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 10/10/2024
BAKER TILLY ADVISORY GROUP LPOrganizationADP OF THE SNFsince 11/19/2024
MAEFAIR ACQUISTION REALTY LLCOrganizationADP OF THE SNFsince 11/19/2024
PREFERRED THERAPY SOLUTIONS LLCOrganizationADP OF THE SNFsince 11/19/2024
PROCARE LTC HOLDING LLCOrganizationADP OF THE SNFsince 11/19/2024
LUTHI, CHRISTOPHERIndividualADP OF THE SNFsince 12/12/2024
OSTREICHER, ILANAIndividualADP OF THE SNFsince 10/10/2024

CMS files one row per role, so the 67 rows in the source record cover these 44 parties — each is shown once here with every role it holds. Nothing is omitted.

27 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.

$15.5M
Net patient revenuemost recent cost report
-6.5%
Operating marginrevenue minus expenses
$3.3M
Related-party expense20% of expenses
Who pays — share of resident-days
Medicaid 84%Medicare 6%Other / private 11%

About 84% 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 $3.3M paid to related parties — landlords or management companies under common ownership — equal to about 20% 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

$374per resident / day
operating cost
$11,369per month
≈ monthly operating cost
$351per 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 075404. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-04-30, 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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