15 health deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
4 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Chester, CT
2-star overall rating with 2-star inspections with $20,872 in total fines with 15 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
3 South Wig Hill Rd, Chester, CT
(860) 526-5316
Overall
2 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Beds
60
Certified beds
Average residents
55
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Ryders Health Management
Operator or chain grouping
Approved since
1995-11-06
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
8 facilities
Chain averages 2 overall / 2 health / 4 staffing / 2 quality stars
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
RN hours / resident day
1.08
Registered nurse staffing · state 0.70 · national 0.68
LPN hours / resident day
0.72
Licensed practical nurse staffing · state 0.84 · national 0.87
Aide hours / resident day
2.36
Nurse aide staffing · state 2.28 · national 2.35
Total nurse hours
4.15
All reported nurse hours · state 3.83 · national 3.89
Licensed hours
1.80
RN + LPN hours · state 1.54 · national 1.54
Weekend hours
3.68
Weekend nurse staffing · state 3.41 · national 3.43
Weekend RN hours
0.84
Weekend registered nurse coverage · state 0.46 · national 0.47
Physical therapist
0.11
Reported PT staffing · state 0.08 · national 0.07
Adjusted RN hours
1.12
CMS adjusted RN staffing hours
Adjusted total hours
4.33
CMS adjusted total nurse staffing hours
Case-mix index
1.31
Higher values indicate more complex resident acuity
RN turnover
47%
Annual RN turnover · state 39% · national 45%
Total nurse turnover
49%
Annual nurse turnover · state 38% · national 46%
SNF VBP
Program rank
5,241
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
36.89
Composite VBP score used to determine payment impact.
Payment multiplier
0.9902
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
6.98
Baseline 19.79% · Performance 18.20% · Measure score 6.98 · Achievement 6.98 · Improvement 5.26
Healthcare-associated infections
3.72
Baseline 5.92% · Performance 6.72% · Measure score 3.72 · Achievement 3.72 · Improvement 0
Total nurse turnover
1.37
Baseline 40.00% · Performance 58.06% · Measure score 1.37 · Achievement 1.37 · Improvement 0
Adjusted total nurse staffing
2.69
Baseline 3.36 hours · Performance 3.84 hours · Measure score 2.69 · Achievement 2.69 · Improvement 1.49
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 8.87% |
10.72%
1.9 pts better
|
No Different than the National Rate · Eligible stays 163 · Observed rate 5.52% · Lower 95% interval 6.19% |
| Discharge to community | 64.5% |
50.57%
13.9 pts better
|
Better than the National Rate · Eligible stays 146 · Observed rate 62.33% · Lower 95% interval 57.73% |
| Medicare spending per beneficiary | 0.79 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 96.91% |
95.27%
1.6 pts better
|
Numerator 94 · Denominator 97 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 97 |
| Discharge self-care score | 32.47% |
53.69%
21.2 pts worse
|
Numerator 25 · Denominator 77 |
| Discharge mobility score | 48.05% |
50.94%
2.9 pts worse
|
Numerator 37 · Denominator 77 |
| Pressure ulcers or injuries, new or worsened | 5.15% |
2.29%
2.9 pts worse
|
Numerator 5 · Denominator 97 · Adjusted rate 4.75% |
| Healthcare-associated infections requiring hospitalization | 6.72% |
7.12%
0.4 pts better
|
No Different than the National Rate · Eligible stays 76 · Observed rate 5.26% · Lower 95% interval 3.53% |
| Staff COVID-19 vaccination coverage | 3.03% |
8.2%
5.2 pts worse
|
Numerator 3 · Denominator 99 |
| Staff flu vaccination coverage | 23.88% |
42%
18.1 pts worse
|
Numerator 32 · Denominator 134 |
| Discharge function score | 46.75% |
56.45%
9.7 pts worse
|
Numerator 36 · Denominator 77 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 70 · Denominator 70 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 3 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 42.86% |
25.2%
17.7 pts better
|
Numerator 21 · Denominator 49 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 4.1 |
2.1
2 pts worse
|
1.9
2.2 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 4.1 · Observed 3.2 · Expected 1.5 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.3 |
1.5
0.8 pts worse
|
1.8
0.5 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.3 · Observed 1.8 · Expected 1.3 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 75.6% |
87.5%
11.9 pts worse
|
93.4%
17.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 66.7% · Q2 68.1% · Q3 91.1% · Q4 76.1% · 4Q avg 75.6% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 83.7% |
93.5%
9.8 pts worse
|
95.5%
11.8 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 83.7% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.8% |
3.4%
0.6 pts better
|
3.3%
0.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.8% · Q2 4.3% · Q3 0.0% · Q4 2.2% · 4Q avg 2.8% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.0% |
17.1%
17.1 pts better
|
11.4%
11.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents who lose too much weight | 7.0% |
6.4%
0.6 pts worse
|
5.4%
1.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 5.1% · Q3 15.4% · Q4 7.3% · 4Q avg 7.0% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 21.2% |
17.3%
3.9 pts worse
|
19.6%
1.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 23.1% · Q2 22.5% · Q3 20.5% · Q4 19.0% · 4Q avg 21.2% |
| Percentage of long-stay residents who received an antipsychotic medication | 9.9% |
19.4%
9.5 pts better
|
16.7%
6.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.3% · Q2 8.8% · Q3 11.8% · Q4 10.8% · 4Q avg 9.9% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.0%
About the same
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 21.2% |
18.1%
3.1 pts worse
|
16.3%
4.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q3 31.0% · 4Q avg 21.2% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 19.3% |
18.4%
0.9 pts worse
|
14.9%
4.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.6% · Q2 21.1% · Q3 28.6% · Q4 22.2% · 4Q avg 19.3% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.9% |
0.9%
About the same
|
1.0%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.9% · Q3 0.0% · Q4 1.7% · 4Q avg 0.9% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 5.1% |
1.7%
3.4 pts worse
|
1.7%
3.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.4% · Q2 8.7% · Q3 0.0% · Q4 8.9% · 4Q avg 5.1% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 28.1% |
24.8%
3.3 pts worse
|
19.8%
8.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 15.7% · Q2 42.3% · Q3 30.3% · Q4 23.8% · 4Q avg 28.1% |
| Percentage of long-stay residents with pressure ulcers | 3.7% |
4.4%
0.7 pts better
|
5.1%
1.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.9% · Q2 4.2% · Q3 5.0% · Q4 1.7% · 4Q avg 3.7% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 36.9% |
70.5%
33.6 pts worse
|
81.7%
44.8 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 48.0% · Q2 28.4% · Q3 33.3% · Q4 39.0% · 4Q avg 36.9% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 16.5% |
11.1%
5.4 pts worse
|
12.0%
4.5 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 16.5% · Observed 15.7% · Expected 10.6% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 2.4% |
1.5%
0.9 pts worse
|
1.6%
0.8 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 1.5% · Q2 2.8% · Q3 3.2% · Q4 2.0% · 4Q avg 2.4% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 49.1% |
69.7%
20.6 pts worse
|
79.7%
30.6 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 49.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 34.9% |
25.0%
9.9 pts worse
|
23.9%
11 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 34.9% · Observed 32.5% · Expected 22.2% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (5 deficiencies)
4 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Top issue: Resident Rights (3 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Top issue: Quality of Life and Care (4 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire Safety
List the names and contact information of those in the facility.
Corrected 2024-12-13
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2024-12-13
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-12-13
Fire Safety
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
Corrected 2024-12-13
Inspection history
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-04-21
Health
Respond appropriately to all alleged violations.
Corrected 2025-04-21
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-04-21
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-12-23
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2024-12-23
Health
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.
Corrected 2024-12-23
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-12-23
Health
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.
Corrected 2024-12-23
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2024-12-23
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-12-23
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-12-23
Health
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Corrected 2024-12-23
Health
Provide and implement an infection prevention and control program.
Corrected 2024-12-23
Health
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Corrected 2024-12-23
Health
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected 2024-12-23
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-04-08
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-04-08
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2023-05-25
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2023-05-25
Health
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Corrected 2023-05-25
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-03-01
Health
Provide and implement an infection prevention and control program.
Corrected 2023-03-01
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2023-03-01
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2023-03-01
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2023-03-01
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2023-03-01
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-03-01
Health
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Corrected 2023-03-01
Health
Observe each nurse aide's job performance and give regular training.
Corrected 2023-03-01
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2023-03-01
Health
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.
Corrected 2023-03-01
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2023-03-01
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2020-03-13
Health
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.
Corrected 2020-03-13
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2020-03-13
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2020-03-13
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2020-03-13
Penalties and ownership
Fine · fine $12,854
Fine
Fine · fine $8,018
Fine
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
Operational/Managerial Control · Individual
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