Federal inspection record · CMS data as of October 1, 2026

Chestelm Health And Rehabilitation Center

534 Town St, Moodus, CT · (860) 873-1455

CMS overall rating

5 of 5

Compare with a nearby home →
Certified beds
76
Residents per day
71
Ownership
For-Profit
Chain
No chain reported
Medicare / Medicaid
Medicare + Medicaid
Certified since
May 1, 1986

1

How this home got 5 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.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in Connecticut.

  2. Staffing

    no change (already 5)

    Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.

  3. Quality measures

    no change

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    5 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Connecticut homes

Chestelm Health And Rehabilitation Center carries 20 inspection points. That is fewer than 96% of Connecticut's 190 rated homes.

5★4★3★2★1★+6 homes above 192.505102550100inspection points → fewer is better on the leftThis home · 20 pts · 5★

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

15 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 0 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 0 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 11 4 pts
E 2 8 pts
F 0 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 1 0 pts
C 1 0 pts

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 Rights5D
  1. D

    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

    June 3, 2026 · Standard · F628 · Corrected July 17, 2026

  2. D

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    August 13, 2025 · Complaint · F580 · Corrected September 19, 2025

  3. D

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    November 26, 2024 · Standard · F580 · Corrected January 20, 2025

  4. C

    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.

    November 26, 2024 · Standard · F585 · Corrected January 20, 2025

  5. D

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    February 15, 2023 · Standard · F550 · Corrected March 5, 2023

Quality of Life and Care5E
  1. E

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    November 26, 2024 · Standard · F684 · Corrected January 20, 2025

  2. D

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    November 26, 2024 · Standard · F689 · Corrected January 20, 2025

  3. D

    Provide enough food/fluids to maintain a resident's health.

    November 26, 2024 · Standard · F692 · Corrected January 20, 2025

  4. D

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    February 15, 2023 · Standard · F684 · Corrected March 5, 2023

  5. D

    Provide safe and appropriate respiratory care for a resident when needed.

    February 15, 2023 · Standard · F695 · Corrected March 5, 2023

Resident Assessment and Care Planning4E
  1. E

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    June 3, 2026 · Standard · F644 · Corrected July 17, 2026

  2. D

    Ensure services provided by the nursing facility meet professional standards of quality.

    August 13, 2025 · Complaint · F658 · Corrected September 19, 2025

  3. D

    Ensure services provided by the nursing facility meet professional standards of quality.

    November 26, 2024 · Standard · F658 · Corrected January 20, 2025

  4. B

    Assess the resident when there is a significant change in condition

    November 26, 2024 · Standard · F637 · Corrected January 20, 2025

Infection Control1D
  1. D

    Provide and implement an infection prevention and control program.

    June 3, 2026 · Standard · F880 · Corrected July 17, 2026

Inspection history

  1. 2026-06-03

    3 health deficiencies · 13 fire-safety deficiencies

    Top issue: Infection Control (1 deficiency)

  2. 2024-11-26

    9 health deficiencies · 0 fire-safety deficiencies

    Top issue: Quality of Life and Care (3 deficiencies)

  3. 2023-02-15

    3 health deficiencies · 3 fire-safety deficiencies

    Top issue: Quality of Life and Care (2 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 4 h 9 min of nursing staff time a day, 51 min of it from a registered nurse.

This home

4 h 9 min

Connecticut average

3 h 54 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 42% of nursing staff and 21% of registered nurses left in the past year, along with 2 administrators.

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.

MeasureThis homeStateU.S.
Number of hospitalizations per 1000 long-stay resident days0.8 pts worse2.71.91.8
Number of outpatient emergency department visits per 1000 long-stay resident days0.2 pts worse1.61.41.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine10.9 pts better100.0%89.1%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine6.3 pts better100.0%93.7%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury1.4 pts worse5.0%3.6%3.2%
Percentage of long-stay residents who have depressive symptoms16 pts better9.0%25.0%13.5%
Percentage of long-stay residents who lose too much weight2.3 pts worse8.7%6.4%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication5.2 pts better12.8%18.0%19.5%
Percentage of long-stay residents who received an antipsychotic medication7.4 pts better10.3%17.7%15.4%
Percentage of long-stay residents who were physically restrainedAbout the same0.0%0.0%0.1%
Percentage of long-stay residents whose ability to walk independently worsened5.2 pts worse20.0%14.8%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased3.7 pts worse21.4%17.7%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.2 pts better0.5%0.7%0.7%
Percentage of long-stay residents with a urinary tract infection0.1 pts better1.3%1.4%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence1.6 pts worse25.6%24.0%18.3%
Percentage of long-stay residents with pressure ulcers1.8 pts better2.1%3.9%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine25.3 pts better97.8%72.5%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit1 pts worse11.4%10.4%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication0.5 pts worse1.9%1.4%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine25.7 pts better98.7%73.0%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission15.3 pts better8.2%23.5%23.4%

·

Who owns and runs it

15 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Chestelm Skilled Operations Holdco LLC5% Or Greater Direct Ownership Interest · Organization100%1 facilities
Mfk Holdings LLC5% Or Greater Indirect Ownership Interest · Organization50%1 facilities
Promos First LLC5% Or Greater Indirect Ownership Interest · Organization50%1 facilities
Cavicke, DanaOperational/Managerial Control · Individual0%1 facilities
Cavicke, DanaAdp Of The SNF · Individual0%1 facilities
Horowitz, PinchosManaging Control - Governing Body · Individual0%1 facilities
Horowitz, PinchosOperational/Managerial Control · Individual0%1 facilities
Horowitz, PinchosAdp Of The SNF · Individual0%1 facilities
Kalmanowitz, MarkManaging Control - Governing Body · Individual0%1 facilities
Kalmanowitz, MarkOperational/Managerial Control · Individual0%1 facilities
Kalmanowitz, MarkAdp Of The SNF · Individual0%1 facilities
Marinar, BrendaOperational/Managerial Control · Individual0%1 facilities
Marinar, BrendaAdp Of The SNF · Individual0%1 facilities
Mfk Holdings LLCAdp Of The SNF · Organization0%1 facilities
Promos First LLCAdp Of The SNF · Organization0%1 facilities

·

Fire safety

16 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Smoke5D
  1. D

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    June 3, 2026 · K321 · Corrected June 17, 2026

  2. D

    Inspect, test, and maintain automatic sprinkler systems.

    June 3, 2026 · K353 · Corrected June 17, 2026

  3. D

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

    June 3, 2026 · K372 · Corrected June 17, 2026

  4. D

    Install an approved automatic sprinkler system.

    February 15, 2023 · K351 · Corrected April 6, 2023

  5. D

    Install corridor and hallway doors that block smoke.

    February 15, 2023 · K363 · Corrected April 6, 2023

Gas, Vacuum, and Electrical Systems4D
  1. D

    Meet requirements for the installation and maintenance of electrical systems.

    June 3, 2026 · K911 · Corrected June 17, 2026

  2. D

    Have generator or other power source capable of supplying service within 10 seconds.

    June 3, 2026 · K918 · Corrected June 17, 2026

  3. D

    Ensure proper usage of power strips and extension cords.

    June 3, 2026 · K920 · Corrected June 17, 2026

  4. D

    Ensure that testing and maintenance of electrical equipment is performed.

    June 3, 2026 · K921 · Corrected June 17, 2026

Miscellaneous3E
  1. E

    Have simulated fire drills held at unexpected times.

    June 3, 2026 · K712 · Corrected June 17, 2026

  2. D

    To conduct inspection, testing and maintenance of fire doors by qualified individuals.

    June 3, 2026 · K761 · Corrected June 17, 2026

  3. D

    Provide a written emergency evacuation plan.

    February 15, 2023 · K711 · Corrected April 6, 2023

Egress3D
  1. D

    Keep aisles, corridors, and exits free of obstruction in case of emergency.

    June 3, 2026 · K211 · Corrected June 17, 2026

  2. D

    Have exits that are accessible at all times.

    June 3, 2026 · K271 · Corrected June 17, 2026

  3. D

    Install emergency lighting that can last at least 1 1/2 hours.

    June 3, 2026 · K291 · Corrected June 17, 2026

Services1D
  1. D

    Meet other general requirements that are deficient.

    June 3, 2026 · K500 · Corrected June 17, 2026

·

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