Cycle 1
Health 2024-09-27 · Fire 2024-09-27
5 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)
14 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Mystic, CT
Avalon Health Care Center At Stoneridge
5-star overall rating with 5-star inspections with $8,018 in total fines with 5 recent health deficiencies with 14 fire-safety deficiencies in the latest cycle
186 Jerry Browne Road, Mystic, CT
(860) 572-5623
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
40
Certified beds
Average residents
33
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Life Care Services
Operator or chain grouping
Approved since
2004-11-24
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
20 facilities
Chain averages 4 overall / 4 health / 4 staffing / 4 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
Hours and turnover
RN hours / resident day
2.19
Registered nurse staffing · state 0.70 · national 0.68
LPN hours / resident day
0.40
Licensed practical nurse staffing · state 0.84 · national 0.87
Aide hours / resident day
2.67
Nurse aide staffing · state 2.28 · national 2.35
Total nurse hours
5.25
All reported nurse hours · state 3.83 · national 3.89
Licensed hours
2.58
RN + LPN hours · state 1.54 · national 1.54
Weekend hours
4.48
Weekend nurse staffing · state 3.41 · national 3.43
Weekend RN hours
1.54
Weekend registered nurse coverage · state 0.46 · national 0.47
Physical therapist
0.04
Reported PT staffing · state 0.08 · national 0.07
Adjusted RN hours
2.39
CMS adjusted RN staffing hours
Adjusted total hours
5.75
CMS adjusted total nurse staffing hours
Case-mix index
1.25
Higher values indicate more complex resident acuity
RN turnover
26%
Annual RN turnover · state 39% · national 45%
Total nurse turnover
31%
Annual nurse turnover · state 38% · national 46%
SNF VBP
Value-based purchasing
Program rank
753
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
64.22
Composite VBP score used to determine payment impact.
Payment multiplier
1.0188
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
4.77
Baseline 18.35% · Performance 19.22% · Measure score 4.77 · Achievement 4.77 · Improvement 0
Healthcare-associated infections
6.69
Baseline 4.95% · Performance 5.84% · Measure score 6.69 · Achievement 6.69 · Improvement 0
Total nurse turnover
5.53
Baseline 38.00% · Performance 41.07% · Measure score 5.53 · Achievement 5.53 · Improvement 0
Adjusted total nurse staffing
8.70
Baseline 4.75 hours · Performance 5.55 hours · Measure score 8.70 · Achievement 8.70 · Improvement 7.29
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.58% |
10.72%
1.1 pts better
|
No Different than the National Rate · Eligible stays 141 · Observed rate 5.67% · Lower 95% interval 6.73% |
| Discharge to community | 62.93% |
50.57%
12.4 pts better
|
Better than the National Rate · Eligible stays 133 · Observed rate 63.91% · Lower 95% interval 52.71% |
| Medicare spending per beneficiary | 0.77 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 56 · Denominator 56 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 56 |
| Discharge self-care score | 52.83% |
53.69%
0.9 pts worse
|
Numerator 28 · Denominator 53 |
| Discharge mobility score | 50.94% |
50.94%
About the same
|
Numerator 27 · Denominator 53 |
| Pressure ulcers or injuries, new or worsened | 3.57% |
2.29%
1.3 pts worse
|
Numerator 2 · Denominator 56 · Adjusted rate 3.84% |
| Healthcare-associated infections requiring hospitalization | 5.84% |
7.12%
1.3 pts better
|
No Different than the National Rate · Eligible stays 65 · Observed rate 1.54% · Lower 95% interval 3.24% |
| Staff COVID-19 vaccination coverage | 13.57% |
8.2%
5.4 pts better
|
Numerator 19 · Denominator 140 |
| Staff flu vaccination coverage | Not Available |
42%
|
Numerator Not Available · Denominator Not Available · No data were submitted for this measure. |
| Discharge function score | 67.92% |
56.45%
11.5 pts better
|
Numerator 36 · Denominator 53 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 15 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 30 · Denominator 30 |
| Resident COVID-19 vaccinations up to date | 68% |
25.2%
42.8 pts better
|
Numerator 17 · Denominator 25 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.4 |
2.1
0.7 pts better
|
1.9
0.5 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.4 · Observed 1.3 · Expected 1.7 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.9 |
1.5
0.6 pts better
|
1.8
0.9 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.9 · Observed 0.9 · Expected 1.6 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
87.5%
12.5 pts better
|
93.4%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% |
93.5%
6.5 pts better
|
95.5%
4.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.8% |
3.4%
0.4 pts worse
|
3.3%
0.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 6.7% · Q3 3.7% · Q4 5.0% · 4Q avg 3.8% · 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% · 4Q avg 0.0% |
| Percentage of long-stay residents who lose too much weight | 2.6% |
6.4%
3.8 pts better
|
5.4%
2.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q2 5.0% · Q3 4.3% · 4Q avg 2.6% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 7.5% |
17.3%
9.8 pts better
|
19.6%
12.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q2 9.5% · Q3 4.3% · 4Q avg 7.5% |
| Percentage of long-stay residents who received an antipsychotic medication | 17.3% |
19.4%
2.1 pts better
|
16.7%
0.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 15.0% · Q2 13.6% · Q3 19.0% · 4Q avg 17.3% · 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 | 19.4% |
18.1%
1.3 pts worse
|
16.3%
3.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 19.4% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 19.0% |
18.4%
0.6 pts worse
|
14.9%
4.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q2 19.0% · Q3 22.7% · 4Q avg 19.0% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% |
0.9%
0.9 pts better
|
1.0%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 2.0% |
1.7%
0.3 pts worse
|
1.7%
0.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.4% · Q3 3.7% · 4Q avg 2.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 33.9% |
24.8%
9.1 pts worse
|
19.8%
14.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 38.7% · Q2 46.0% · Q3 7.3% · 4Q avg 33.9% |
| Percentage of long-stay residents with pressure ulcers | 2.3% |
4.4%
2.1 pts better
|
5.1%
2.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.2% · Q3 5.1% · 4Q avg 2.3% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 88.7% |
70.5%
18.2 pts better
|
81.7%
7 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 88.0% · Q2 84.2% · Q3 90.7% · Q4 90.5% · 4Q avg 88.7% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 15.7% |
11.1%
4.6 pts worse
|
12.0%
3.7 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 15.7% · Observed 13.8% · Expected 9.9% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% |
1.5%
1.5 pts better
|
1.6%
1.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 96.6% |
69.7%
26.9 pts better
|
79.7%
16.9 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 96.6% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 11.9% |
25.0%
13.1 pts better
|
23.9%
12 pts better
|
Short Stay · 20240701-20250630 · Adjusted 11.9% · Observed 9.2% · Expected 18.6% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2022-06-23 · Fire 2022-06-23
1 health deficiencies
Top issue: Quality of Life and Care (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2019-10-10 · Fire 2019-10-10
1 health deficiencies
Top issue: Infection Control (1 deficiency)
3 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Fire safety
Fire-safety citations
E · Potential for more than minimal harm
2024-09-27
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-12-13
E · Potential for more than minimal harm
2024-09-27
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-11-05
D · Potential for more than minimal harm
2024-09-27
E37 · Emergency Preparedness Deficiencies
Fire Safety
Establish staff and initial training requirements.
Corrected 2024-11-05
D · Potential for more than minimal harm
2024-09-27
K223 · Egress Deficiencies
Fire Safety
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Corrected 2024-11-05
D · Potential for more than minimal harm
2024-09-27
K291 · Egress Deficiencies
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2024-11-05
D · Potential for more than minimal harm
2024-09-27
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-11-05
D · Potential for more than minimal harm
2024-09-27
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-11-05
D · Potential for more than minimal harm
2024-09-27
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2024-11-05
D · Potential for more than minimal harm
2024-09-27
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-12-13
D · Potential for more than minimal harm
2024-09-27
K711 · Miscellaneous Deficiencies
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2024-11-05
D · Potential for more than minimal harm
2024-09-27
K761 · Miscellaneous Deficiencies
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2024-11-05
D · Potential for more than minimal harm
2024-09-27
K911 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2024-11-05
D · Potential for more than minimal harm
2024-09-27
K914 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2024-12-13
D · Potential for more than minimal harm
2024-09-27
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-11-05
D · Potential for more than minimal harm
2019-10-10
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2019-10-21
D · Potential for more than minimal harm
2019-10-10
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2019-10-21
D · Potential for more than minimal harm
2019-10-10
K711 · Miscellaneous Deficiencies
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2019-10-21
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-03-04
F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-05-21
D · Potential for more than minimal harm
2025-03-04
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-05-21
G · Actual harm
2024-09-27
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-10-29
D · Potential for more than minimal harm
2024-09-27
F657 · Resident Assessment and Care Planning Deficiencies
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 2024-10-29
D · Potential for more than minimal harm
2024-09-27
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-10-29
D · Potential for more than minimal harm
2022-06-23
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2022-07-16
E · Potential for more than minimal harm
2019-10-10
F883 · Infection Control Deficiencies
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2019-11-21
Penalties and ownership
What sits behind the stars
$8,018
2024-09-27
Fine
Fine · fine $8,018
Fine
Ownership
Stoneridge Jv LLC
5% Or Greater Direct Ownership Interest · Organization
Bank Of America, N.a.
5% Or Greater Security Interest · Organization
Bank Of America, N.a.
5% Or Greater Mortgage Interest · Organization
Cartier, Patrick
Operational/Managerial Control · Individual
Hennessey, John
Operational/Managerial Control · Individual
Klapproth, Pamela
Operational/Managerial Control · Individual
Lcs Holding Company LLC
5% Or Greater Indirect Ownership Interest · Organization
Lcs Management Holding Company, LLC
5% Or Greater Indirect Ownership Interest · Organization
Lcs Milwaukee I LLC
5% Or Greater Indirect Ownership Interest · Organization
Life Care Companies LLC
5% Or Greater Indirect Ownership Interest · Organization
Life Care Services Communities, LLC
5% Or Greater Indirect Ownership Interest · Organization
Life Care Services LLC
Operational/Managerial Control · Organization
Mccarthy Group LLC
5% Or Greater Indirect Ownership Interest · Organization
Mpm Senior Living Investors LLC
5% Or Greater Indirect Ownership Interest · Organization
Oak Investment Trust
5% Or Greater Indirect Ownership Interest · Organization
Oak Investment Trust Ii
5% Or Greater Indirect Ownership Interest · Organization
Rci Legacy Holdings LLC
5% Or Greater Indirect Ownership Interest · Organization
Redwood Holdings, LLC
5% Or Greater Indirect Ownership Interest · Organization
Victor, Jason
Corporate Officer · Individual
Nearby options
Other facilities in reach
#1
Pendleton Rehabilitation And Nursing Center
Mystic, CT
5-star overall rating with 4-star inspections with 10 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
#2
Mystic Healthcare & Rehabilitation Center, LLC
Mystic, CT
1-star overall rating with 2-star inspections with abuse icon flag with 9 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle
#3
Apple Rehab Mystic
Mystic, CT
3-star overall rating with 3-star inspections with $16,588 in total fines with 9 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
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