Federal inspection record · CMS data as of October 1, 2026
Cheshire House Health Care Facility & Rehab Center
3396 E Main Street, Waterbury, CT · (203) 754-2161
- Certified beds
- 75
- Residents per day
- 71
- Ownership
- For-Profit
- Chain
- Ryders Health Management
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- February 1, 1992
1
How this home got 2 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Connecticut.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★2 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Connecticut homes
Cheshire House Health Care Facility & Rehab Center carries 80 inspection points. That is fewer than 42% of Connecticut's 190 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Connecticut: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–29 pts
- 4★ 29–53 pts
- 3★ 53–79 pts
- 2★ 79–116.75 pts
- 1★ over 116.75 pts
Bars show every rated home in Connecticut by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
54 health citations on record since 2021. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Resident Rights13E
- D
Ensure that residents are fully informed and understand their health status, care and treatments.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- B
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.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Honor the resident's right to organize and participate in resident/family groups in the facility.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- E
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.
- D
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.
- B
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- C
Honor the resident's right to organize and participate in resident/family groups in the facility.
- B
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.
- B
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Quality of Life and Care11E
- E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- E
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- E
Provide enough food/fluids to maintain a resident's health.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
Provide safe, appropriate dialysis care/services for a resident who requires such services.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Freedom from Abuse, Neglect, and Exploitation10E
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Respond appropriately to all alleged violations.
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D
Protect each resident from the wrongful use of the resident's belongings or money.
- E
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- E
Respond appropriately to all alleged violations.
- D
Protect each resident from the wrongful use of the resident's belongings or money.
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Resident Assessment and Care Planning8D
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- B
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- B
Ensure each resident receives an accurate assessment.
- B
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Infection Control4D
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
- D
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
- D
Provide and implement an infection prevention and control program.
Pharmacy Service3E
- D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- E
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- E
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Nursing and Physician Services2B
- B
Observe each nurse aide's job performance and give regular training.
- B
Observe each nurse aide's job performance and give regular training.
Administration2C
- C
Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.
- C
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Nutrition and Dietary1F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspection history
2025-04-22
17 health deficiencies · 5 fire-safety deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
2023-04-28
27 health deficiencies · 5 fire-safety deficiencies
Top issue: Quality of Life and Care (6 deficiencies)
2021-05-27
10 health deficiencies · 4 fire-safety deficiencies
Top issue: Resident Rights (4 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 46 min of nursing staff time a day, 40 min of it from a registered nurse.
This home
3 h 46 min
Connecticut average
3 h 54 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 37% of nursing staff and 55% of registered nurses left in the past year, along with 1 administrator.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.3 pts better | 1.6 | 1.9 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.2 pts better | 1.2 | 1.4 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine42.7 pts worse | 46.4% | 89.1% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine35 pts worse | 58.7% | 93.7% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.5 pts better | 3.1% | 3.6% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms25 pts better | 0.0% | 25.0% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.4 pts worse | 7.8% | 6.4% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication7.1 pts worse | 25.1% | 18.0% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication1.9 pts worse | 19.6% | 17.7% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened8.9 pts worse | 23.7% | 14.8% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased8.2 pts worse | 25.9% | 17.7% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.7 pts better | 0.0% | 0.7% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.4 pts worse | 1.8% | 1.4% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence8.6 pts worse | 32.6% | 24.0% | 18.3% |
| Percentage of long-stay residents with pressure ulcers2.4 pts worse | 6.3% | 3.9% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine44.5 pts worse | 28.0% | 72.5% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit3.6 pts worse | 14.0% | 10.4% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medicationAbout the same | 1.4% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine48.8 pts worse | 24.2% | 73.0% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission1 pts better | 22.5% | 23.5% | 23.4% |
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Who owns and runs it
4 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Sbriglio, Martin | 5% Or Greater Direct Ownership Interest · Individual | 100% | 7 facilities |
| Farmer, Michelle | Corporate Director · Individual | 0% | 3 facilities |
| Farmer, Michelle | Operational/Managerial Control · Individual | 0% | 3 facilities |
| Krijgsman, Michael | Corporate Officer · Individual | 0% | 2 facilities |
·
Fire safety
14 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke5F
- F
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- D
Have approved installation, maintenance and testing program for fire alarm systems.
- D
Inspect, test, and maintain automatic sprinkler systems.
- D
Provide properly protected cooking facilities.
- D
Properly select, install, inspect, or maintain portable fire extinguishes.
Gas, Vacuum, and Electrical Systems4D
- D
Have generator or other power source capable of supplying service within 10 seconds.
- D
Ensure that testing and maintenance of electrical equipment is performed.
- D
Have proper fire barriers, ventilation and signs for the transfilling of oxygen.
- D
Have generator or other power source capable of supplying service within 10 seconds.
Egress2D
- D
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- D
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Miscellaneous2D
- D
Provide a written emergency evacuation plan.
- D
Have simulated fire drills held at unexpected times.
Emergency Preparedness1D
- D
Establish staff and initial training requirements.
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Other homes nearby
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Autumn Lake Healthcare At Bucks Hill
Waterbury, CT · Autumn Lake Healthcare
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 28 min
- Fines
- $0
-
Civita Care Center At Cheshire
Cheshire, CT · Civita Care Centers
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 3 h 27 min
- Fines
- $0
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Livewell Connecticut
Plantsville, CT
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 4 h 50 min
- Fines
- $0