Cycle 1
Health 2024-07-30 · Fire 2024-07-30
11 health deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fairfield, CT
Cambridge Health And Rehabilitation Center
4-star overall rating with 4-star inspections with 11 recent health deficiencies
2428 Easton Tnpk, Fairfield, CT
(203) 372-0313
Overall
4 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
160
Certified beds
Average residents
145
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
National Health Care Associates
Operator or chain grouping
Approved since
1989-05-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
43 facilities
Chain averages 3 overall / 3 health / 3 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
0.55
Registered nurse staffing · state 0.70 · national 0.68
LPN hours / resident day
0.95
Licensed practical nurse staffing · state 0.84 · national 0.87
Aide hours / resident day
2.14
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
1.50
RN + LPN hours · state 1.54 · national 1.54
Weekend hours
3.24
Weekend nurse staffing · state 3.41 · national 3.43
Weekend RN hours
0.24
Weekend registered nurse coverage · state 0.46 · national 0.47
Physical therapist
0.09
Reported PT staffing · state 0.08 · national 0.07
Adjusted RN hours
0.48
CMS adjusted RN staffing hours
Adjusted total hours
3.14
CMS adjusted total nurse staffing hours
Case-mix index
1.59
Higher values indicate more complex resident acuity
RN turnover
54%
Annual RN turnover · state 39% · national 45%
Total nurse turnover
32%
Annual nurse turnover · state 38% · national 46%
SNF VBP
Value-based purchasing
Program rank
7,540
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
29.48
Composite VBP score used to determine payment impact.
Payment multiplier
0.9855
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0
Baseline 20.63% · Performance 23.01% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
4.55
Baseline 5.24% · Performance 6.47% · Measure score 4.55 · Achievement 4.55 · Improvement 0
Total nurse turnover
6.72
Baseline 29.84% · Performance 36.23% · Measure score 6.72 · Achievement 6.72 · Improvement 0
Adjusted total nurse staffing
0.52
Baseline 2.91 hours · Performance 3.21 hours · Measure score 0.52 · Achievement 0 · Improvement 0.52
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.42% |
10.72%
0.3 pts better
|
No Different than the National Rate · Eligible stays 307 · Observed rate 10.42% · Lower 95% interval 7.91% |
| Discharge to community | 65.59% |
50.57%
15 pts better
|
Better than the National Rate · Eligible stays 300 · Observed rate 56.67% · Lower 95% interval 60.58% |
| Medicare spending per beneficiary | 0.94 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 60.62% |
95.27%
34.6 pts worse
|
Numerator 117 · Denominator 193 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 193 |
| Discharge self-care score | 45% |
53.69%
8.7 pts worse
|
Numerator 45 · Denominator 100 |
| Discharge mobility score | 42% |
50.94%
8.9 pts worse
|
Numerator 42 · Denominator 100 |
| Pressure ulcers or injuries, new or worsened | 3.11% |
2.29%
0.8 pts worse
|
Numerator 6 · Denominator 193 · Adjusted rate 2.58% |
| Healthcare-associated infections requiring hospitalization | 6.47% |
7.12%
0.7 pts better
|
No Different than the National Rate · Eligible stays 191 · Observed rate 6.28% · Lower 95% interval 4.34% |
| Staff COVID-19 vaccination coverage | 2.08% |
8.2%
6.1 pts worse
|
Numerator 4 · Denominator 192 |
| Staff flu vaccination coverage | 62.1% |
42%
20.1 pts better
|
Numerator 154 · Denominator 248 |
| Discharge function score | 40% |
56.45%
16.5 pts worse
|
Numerator 40 · Denominator 100 |
| Transfer of health information to provider | 99.23% |
95.95%
3.3 pts better
|
Numerator 129 · Denominator 130 |
| Transfer of health information to patient | 96% |
96.28%
0.3 pts worse
|
Numerator 24 · Denominator 25 |
| Resident COVID-19 vaccinations up to date | 18.26% |
25.2%
6.9 pts worse
|
Numerator 21 · Denominator 115 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.3 |
2.1
0.2 pts worse
|
1.9
0.4 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.3 · Observed 2.5 · Expected 2.1 · 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 0.6 · Expected 1.6 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 71.7% |
87.5%
15.8 pts worse
|
93.4%
21.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 68.5% · Q2 73.1% · Q3 73.3% · Q4 72.0% · 4Q avg 71.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 93.8% |
93.5%
0.3 pts better
|
95.5%
1.7 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 93.8% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.6% |
3.4%
0.8 pts better
|
3.3%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.7% · Q2 1.9% · Q3 2.0% · Q4 2.8% · 4Q avg 2.6% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 50.5% |
17.1%
33.4 pts worse
|
11.4%
39.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 27.1% · Q2 40.4% · Q3 53.8% · Q4 79.2% · 4Q avg 50.5% |
| Percentage of long-stay residents who lose too much weight | 13.6% |
6.4%
7.2 pts worse
|
5.4%
8.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 17.6% · Q2 17.6% · Q3 12.2% · Q4 6.5% · 4Q avg 13.6% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 6.4% |
17.3%
10.9 pts better
|
19.6%
13.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.9% · Q2 6.4% · Q3 7.1% · Q4 7.4% · 4Q avg 6.4% |
| Percentage of long-stay residents who received an antipsychotic medication | 19.1% |
19.4%
0.3 pts better
|
16.7%
2.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 19.8% · Q2 16.9% · Q3 19.7% · Q4 20.0% · 4Q avg 19.1% · 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 | 11.0% |
18.1%
7.1 pts better
|
16.3%
5.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 14.0% · Q2 2.4% · Q3 11.9% · Q4 15.6% · 4Q avg 11.0% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 10.1% |
18.4%
8.3 pts better
|
14.9%
4.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.8% · Q2 9.1% · Q3 12.5% · Q4 9.3% · 4Q avg 10.1% · 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 | 0.2% |
1.7%
1.5 pts better
|
1.7%
1.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.2% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 37.0% |
24.8%
12.2 pts worse
|
19.8%
17.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 41.6% · Q2 46.6% · Q3 29.0% · Q4 30.4% · 4Q avg 37.0% |
| Percentage of long-stay residents with pressure ulcers | 4.2% |
4.4%
0.2 pts better
|
5.1%
0.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.3% · Q2 3.9% · Q3 2.9% · Q4 1.5% · 4Q avg 4.2% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 43.2% |
70.5%
27.3 pts worse
|
81.7%
38.5 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 38.8% · Q2 39.8% · Q3 44.3% · Q4 49.2% · 4Q avg 43.2% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 8.1% |
11.1%
3 pts better
|
12.0%
3.9 pts better
|
Short Stay · 20240701-20250630 · Adjusted 8.1% · Observed 8.1% · Expected 11.1% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.9% |
1.5%
0.4 pts worse
|
1.6%
0.3 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 2.0% · Q2 1.9% · Q3 2.4% · Q4 1.4% · 4Q avg 1.9% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 49.0% |
69.7%
20.7 pts worse
|
79.7%
30.7 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 49.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 29.5% |
25.0%
4.5 pts worse
|
23.9%
5.6 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 29.5% · Observed 30.8% · Expected 24.9% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2022-02-16 · Fire 2022-02-16
10 health deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2019-07-25 · Fire 2019-07-25
13 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (5 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-11-24
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-12-22
D · Potential for more than minimal harm
2025-11-24
F842 · Resident Assessment and Care Planning Deficiencies
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-12-22
D · Potential for more than minimal harm
2025-01-14
F580 · Resident Rights Deficiencies
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2024-11-15
D · Potential for more than minimal harm
2025-01-14
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-02-25
D · Potential for more than minimal harm
2024-10-09
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 2024-11-20
E · Potential for more than minimal harm
2024-07-30
F755 · Pharmacy Service Deficiencies
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-09-10
D · Potential for more than minimal harm
2024-07-30
F578 · Resident Rights Deficiencies
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 2024-09-10
D · Potential for more than minimal harm
2024-07-30
F580 · Resident Rights Deficiencies
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2024-09-10
D · Potential for more than minimal harm
2024-07-30
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-09-10
D · Potential for more than minimal harm
2024-07-30
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-09-10
D · Potential for more than minimal harm
2024-07-30
F692 · Quality of Life and Care Deficiencies
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2024-09-10
D · Potential for more than minimal harm
2024-07-30
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-09-10
D · Potential for more than minimal harm
2024-07-30
F757 · Pharmacy Service Deficiencies
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2024-09-10
D · Potential for more than minimal harm
2024-07-30
F791 · Quality of Life and Care Deficiencies
Health
Provide or obtain dental services for each resident.
Corrected 2024-09-10
D · Potential for more than minimal harm
2024-04-30
F677 · Quality of Life and Care Deficiencies
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-06-11
D · Potential for more than minimal harm
2024-04-30
F760 · Pharmacy Service Deficiencies
Health
Ensure that residents are free from significant medication errors.
Corrected 2024-04-25
B · Minimal harm
2024-04-30
F694 · Quality of Life and Care Deficiencies
Health
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected 2024-06-11
D · Potential for more than minimal harm
2023-10-17
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 2023-11-28
D · Potential for more than minimal harm
2023-10-17
F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2023-11-28
D · Potential for more than minimal harm
2023-10-17
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-11-28
B · Minimal harm
2023-10-17
F730 · Nursing and Physician Services Deficiencies
Health
Observe each nurse aide's job performance and give regular training.
Corrected 2023-11-28
E · Potential for more than minimal harm
2022-02-16
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2022-03-28
D · Potential for more than minimal harm
2022-02-16
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2022-03-28
D · Potential for more than minimal harm
2022-02-16
F692 · Quality of Life and Care Deficiencies
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2022-03-28
D · Potential for more than minimal harm
2022-02-16
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2022-03-28
E · Potential for more than minimal harm
2019-07-25
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2019-09-03
D · Potential for more than minimal harm
2019-07-25
F561 · Resident Rights Deficiencies
Health
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected 2019-09-03
D · Potential for more than minimal harm
2019-07-25
F580 · Resident Rights Deficiencies
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2019-09-03
D · Potential for more than minimal harm
2019-07-25
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 2019-09-03
D · Potential for more than minimal harm
2019-07-25
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Respond appropriately to all alleged violations.
Corrected 2019-09-03
D · Potential for more than minimal harm
2019-07-25
F644 · Resident Assessment and Care Planning Deficiencies
Health
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2019-09-03
D · Potential for more than minimal harm
2019-07-25
F661 · Resident Assessment and Care Planning Deficiencies
Health
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Corrected 2019-09-03
B · Minimal harm
2019-07-25
F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2019-09-03
B · Minimal harm
2019-07-25
F637 · Resident Assessment and Care Planning Deficiencies
Health
Assess the resident when there is a significant change in condition
Corrected 2019-09-03
Penalties and ownership
What sits behind the stars
Ownership
Mso Associates LLC
5% Or Greater Direct Ownership Interest · Organization
Oagmah Partnership LP
5% Or Greater Direct Ownership Interest · Organization
Bokow, Barry
5% Or Greater Direct Ownership Interest · Individual
Geffner, Ira
5% Or Greater Direct Ownership Interest · Individual
Durkovic, Anna
W-2 Managing Employee · Individual
Marvin Ostreicher 2012 Family Trust
5% Or Greater Indirect Ownership Interest · Organization
Ostreicher, Marvin
5% Or Greater Indirect Ownership Interest · Individual
Ostreicher, Marvin
Operational/Managerial Control · Individual
Ostreicher, Susan
5% Or Greater Indirect Ownership Interest · Individual
Susan Ostreicher 2012 Family Trust
5% Or Greater Indirect Ownership Interest · Organization
The Harry And Helen Ostreicher Family Trust
5% Or Greater Indirect Ownership Interest · Organization
Nearby options
Other facilities in reach
#1
Springs At 3030 Park, The
Bridgeport, CT
5-star overall rating with 4-star inspections with $8,018 in total fines with 8 recent health deficiencies
#2
Mozaic Senior Life
Bridgeport, CT
2-star overall rating with 1-star inspections with $58,260 in total fines with 9 recent health deficiencies with 13 fire-safety deficiencies in the latest cycle
#3
Ludlowe Center For Health & Rehabilitation
Fairfield, CT
2-star overall rating with 2-star inspections with abuse icon flag with $8,824 in total fines with 9 recent health deficiencies
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