2 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
5 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Niantic, CT
5-star overall rating with 5-star inspections with 2 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
23 Liberty Way, Niantic, CT
(860) 739-4007
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
130
Certified beds
Average residents
121
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Atlas Healthcare
Operator or chain grouping
Approved since
1992-02-24
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
28 facilities
Chain averages 4 overall / 3 health / 2 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
RN hours / resident day
0.97
Registered nurse staffing · state 0.70 · national 0.68
LPN hours / resident day
0.80
Licensed practical nurse staffing · state 0.84 · national 0.87
Aide hours / resident day
1.87
Nurse aide staffing · state 2.28 · national 2.35
Total nurse hours
3.64
All reported nurse hours · state 3.83 · national 3.89
Licensed hours
1.77
RN + LPN hours · state 1.54 · national 1.54
Weekend hours
3.28
Weekend nurse staffing · state 3.41 · national 3.43
Weekend RN hours
0.71
Weekend registered nurse coverage · state 0.46 · national 0.47
Physical therapist
0.12
Reported PT staffing · state 0.08 · national 0.07
Adjusted RN hours
0.96
CMS adjusted RN staffing hours
Adjusted total hours
3.61
CMS adjusted total nurse staffing hours
Case-mix index
1.38
Higher values indicate more complex resident acuity
RN turnover
10%
Annual RN turnover · state 39% · national 45%
Total nurse turnover
28%
Annual nurse turnover · state 38% · national 46%
SNF VBP
Program rank
3,396
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
44.54
Composite VBP score used to determine payment impact.
Payment multiplier
0.9977
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
6.03
Baseline 16.25% · Performance 18.64% · Measure score 6.03 · Achievement 6.03 · Improvement 0
Healthcare-associated infections
1.66
Baseline 5.71% · Performance 7.34% · Measure score 1.66 · Achievement 1.66 · Improvement 0
Total nurse turnover
8.22
Baseline 40.35% · Performance 30.09% · Measure score 8.22 · Achievement 8.22 · Improvement 6.12
Adjusted total nurse staffing
1.90
Baseline 4.05 hours · Performance 3.62 hours · Measure score 1.90 · Achievement 1.90 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 8.67% |
10.72%
2.1 pts better
|
No Different than the National Rate · Eligible stays 297 · Observed rate 7.07% · Lower 95% interval 6.54% |
| Discharge to community | 65.53% |
50.57%
15 pts better
|
Better than the National Rate · Eligible stays 315 · Observed rate 58.73% · Lower 95% interval 58.93% |
| Medicare spending per beneficiary | 1.1 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 98.42% |
95.27%
3.2 pts better
|
Numerator 249 · Denominator 253 |
| Falls with major injury | 1.19% |
0.77%
0.4 pts worse
|
Numerator 3 · Denominator 253 |
| Discharge self-care score | 60.69% |
53.69%
7 pts better
|
Numerator 105 · Denominator 173 |
| Discharge mobility score | 45.66% |
50.94%
5.3 pts worse
|
Numerator 79 · Denominator 173 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 253 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 7.34% |
7.12%
0.2 pts worse
|
No Different than the National Rate · Eligible stays 216 · Observed rate 7.41% · Lower 95% interval 4.87% |
| Staff COVID-19 vaccination coverage | 13.47% |
8.2%
5.3 pts better
|
Numerator 26 · Denominator 193 |
| Staff flu vaccination coverage | 49.35% |
42%
7.4 pts better
|
Numerator 114 · Denominator 231 |
| Discharge function score | 54.91% |
56.45%
1.5 pts worse
|
Numerator 95 · Denominator 173 |
| Transfer of health information to provider | 98.92% |
95.95%
3 pts better
|
Numerator 183 · Denominator 185 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 24 · Denominator 24 |
| Resident COVID-19 vaccinations up to date | 37.23% |
25.2%
12 pts better
|
Numerator 51 · Denominator 137 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.0 |
2.1
1.1 pts better
|
1.9
0.9 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.0 · Observed 1.0 · Expected 1.9 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.6 |
1.5
0.9 pts better
|
1.8
1.2 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.6 · Observed 0.5 · Expected 1.5 · 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 | 4.5% |
3.4%
1.1 pts worse
|
3.3%
1.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.3% · Q2 4.2% · Q3 6.4% · Q4 3.2% · 4Q avg 4.5% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 5.5% |
17.1%
11.6 pts better
|
11.4%
5.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.6% · Q2 7.5% · Q3 4.5% · Q4 3.3% · 4Q avg 5.5% |
| Percentage of long-stay residents who lose too much weight | 5.3% |
6.4%
1.1 pts better
|
5.4%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.8% · Q2 5.0% · Q3 5.5% · Q4 5.9% · 4Q avg 5.3% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 16.8% |
17.3%
0.5 pts better
|
19.6%
2.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 18.1% · Q2 16.0% · Q3 18.7% · Q4 14.3% · 4Q avg 16.8% |
| Percentage of long-stay residents who received an antipsychotic medication | 11.5% |
19.4%
7.9 pts better
|
16.7%
5.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 11.8% · Q2 12.9% · Q3 12.9% · Q4 8.6% · 4Q avg 11.5% · 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 | 11.1% |
18.1%
7 pts better
|
16.3%
5.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 14.5% · Q2 12.4% · Q3 12.9% · Q4 4.3% · 4Q avg 11.1% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 9.9% |
18.4%
8.5 pts better
|
14.9%
5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.0% · Q2 11.5% · Q3 16.9% · Q4 6.2% · 4Q avg 9.9% · 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% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.5% |
1.7%
1.2 pts better
|
1.7%
1.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.1% · Q2 1.1% · Q3 0.0% · Q4 0.0% · 4Q avg 0.5% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 18.4% |
24.8%
6.4 pts better
|
19.8%
1.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 21.4% · Q2 17.8% · Q3 17.3% · Q4 17.2% · 4Q avg 18.4% |
| Percentage of long-stay residents with pressure ulcers | 2.8% |
4.4%
1.6 pts better
|
5.1%
2.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 3.7% · Q3 3.5% · Q4 1.2% · 4Q avg 2.8% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
70.5%
29.5 pts better
|
81.7%
18.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 6.7% |
11.1%
4.4 pts better
|
12.0%
5.3 pts better
|
Short Stay · 20240701-20250630 · Adjusted 6.7% · Observed 5.8% · Expected 9.6% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.5% |
1.5%
1 pts better
|
1.6%
1.1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.7% · Q3 0.7% · Q4 0.7% · 4Q avg 0.5% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 100.0% |
69.7%
30.3 pts better
|
79.7%
20.3 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 27.8% |
25.0%
2.8 pts worse
|
23.9%
3.9 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 27.8% · Observed 25.6% · Expected 21.9% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (2 deficiencies)
5 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Top issue: Quality of Life and Care (3 deficiencies)
7 fire-safety deficiencies
Top issue: Miscellaneous (2 deficiencies)
Top issue: Nutrition and Dietary (1 deficiency)
4 fire-safety deficiencies
Top issue: Services (2 deficiencies)
Fire safety
Fire Safety
Install properly constructed and protected linen or trash chutes.
Corrected 2025-05-02
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 2025-04-16
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2025-04-16
Fire Safety
Meet requirements for the use of electrical equipment.
Corrected 2025-05-02
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2025-05-02
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2023-07-27
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2023-07-27
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-07-27
Fire Safety
Install properly constructed and protected linen or trash chutes.
Corrected 2023-07-27
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-07-27
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2023-07-27
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-07-27
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2021-07-13
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2021-07-13
Fire Safety
Meet other general requirements that are deficient.
Corrected 2021-07-13
Fire Safety
Install properly constructed and protected linen or trash chutes.
Corrected 2021-07-13
Inspection history
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-06-02
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-06-02
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-03-03
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-10-07
Health
Provide and implement an infection prevention and control program.
Corrected 2023-08-15
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-08-15
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-08-15
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2023-08-15
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 2023-08-15
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 2021-05-20
Health
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected 2021-05-20
Penalties and ownership
5% Or Greater Direct Ownership Interest · Organization
Operational/Managerial Control · Individual
Corporate Officer · Individual
Operational/Managerial Control · Organization
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
5% Or Greater Indirect Ownership Interest · Individual
Limited Partnership Interest · Individual
Operational/Managerial Control · Individual
5% Or Greater Indirect Ownership Interest · Organization
Limited Partnership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Limited Partnership Interest · Organization
Operational/Managerial Control · Individual
Limited Partnership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Limited Partnership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Limited Partnership Interest · Organization
Limited Partnership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Limited Partnership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Limited Partnership Interest · Organization
Operational/Managerial Control · Individual
Limited Partnership Interest · Organization
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