Cycle 1
Health 2024-11-26 · Fire 2024-11-26
9 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Moodus, CT
Chestelm Health And Rehabilitation Center
5-star overall rating with 5-star inspections with 9 recent health deficiencies
534 Town St, Moodus, CT
(860) 873-1455
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
76
Certified beds
Average residents
71
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1986-05-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
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
0.75
Registered nurse staffing · state 0.70 · national 0.68
LPN hours / resident day
0.74
Licensed practical nurse staffing · state 0.84 · national 0.87
Aide hours / resident day
2.76
Nurse aide staffing · state 2.28 · national 2.35
Total nurse hours
4.24
All reported nurse hours · state 3.83 · national 3.89
Licensed hours
1.48
RN + LPN hours · state 1.54 · national 1.54
Weekend hours
3.91
Weekend nurse staffing · state 3.41 · national 3.43
Weekend RN hours
0.56
Weekend registered nurse coverage · state 0.46 · national 0.47
Physical therapist
0.08
Reported PT staffing · state 0.08 · national 0.07
Adjusted RN hours
0.78
CMS adjusted RN staffing hours
Adjusted total hours
4.44
CMS adjusted total nurse staffing hours
Case-mix index
1.31
Higher values indicate more complex resident acuity
RN turnover
40%
Annual RN turnover · state 39% · national 45%
Total nurse turnover
39%
Annual nurse turnover · state 38% · national 46%
SNF VBP
Value-based purchasing
Program rank
2,666
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
48.43
Composite VBP score used to determine payment impact.
Payment multiplier
1.0022
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
4.42
Baseline 20.85% · Performance 19.38% · Measure score 4.42 · Achievement 4.42 · Improvement 3.34
Healthcare-associated infections
6.06
Baseline 8.50% · Performance 6.20% · Measure score 6.06 · Achievement 5.46 · Improvement 6.06
Total nurse turnover
5.46
Baseline 37.21% · Performance 41.38% · Measure score 5.46 · Achievement 5.46 · Improvement 0
Adjusted total nurse staffing
3.44
Baseline 3.87 hours · Performance 4.06 hours · Measure score 3.44 · Achievement 3.44 · Improvement 0.46
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.85% |
10.72%
0.9 pts better
|
No Different than the National Rate · Eligible stays 92 · Observed rate 6.52% · Lower 95% interval 6.7% |
| Discharge to community | 63.67% |
50.57%
13.1 pts better
|
Better than the National Rate · Eligible stays 75 · Observed rate 64% · Lower 95% interval 52.46% |
| Medicare spending per beneficiary | 1.01 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 70 · Denominator 70 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 70 |
| Discharge self-care score | 45.16% |
53.69%
8.5 pts worse
|
Numerator 28 · Denominator 62 |
| Discharge mobility score | 62.9% |
50.94%
12 pts better
|
Numerator 39 · Denominator 62 |
| Pressure ulcers or injuries, new or worsened | 2.86% |
2.29%
0.6 pts worse
|
Numerator 2 · Denominator 70 · Adjusted rate 3.1% |
| Healthcare-associated infections requiring hospitalization | 6.2% |
7.12%
0.9 pts better
|
No Different than the National Rate · Eligible stays 67 · Observed rate 2.99% · Lower 95% interval 3.54% |
| Staff COVID-19 vaccination coverage | 6.47% |
8.2%
1.7 pts worse
|
Numerator 9 · Denominator 139 |
| Staff flu vaccination coverage | 75.71% |
42%
33.7 pts better
|
Numerator 106 · Denominator 140 |
| Discharge function score | 58.06% |
56.45%
1.6 pts better
|
Numerator 36 · Denominator 62 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 44 · Denominator 44 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 4 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 62.5% |
25.2%
37.3 pts better
|
Numerator 25 · Denominator 40 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.5 |
2.1
0.4 pts worse
|
1.9
0.6 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.5 · Observed 2.5 · Expected 1.9 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.0 |
1.5
0.5 pts better
|
1.8
0.8 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.0 · 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 | 2.5% |
3.4%
0.9 pts better
|
3.3%
0.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.3% · Q3 3.4% · Q4 3.3% · 4Q avg 2.5% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 5.6% |
17.1%
11.5 pts better
|
11.4%
5.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.5% · Q2 5.8% · Q3 3.8% · Q4 5.4% · 4Q avg 5.6% |
| Percentage of long-stay residents who lose too much weight | 10.7% |
6.4%
4.3 pts worse
|
5.4%
5.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 14.8% · Q2 9.1% · Q3 9.8% · Q4 9.3% · 4Q avg 10.7% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 5.0% |
17.3%
12.3 pts better
|
19.6%
14.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.8% · Q2 3.6% · Q3 5.7% · Q4 9.3% · 4Q avg 5.0% |
| Percentage of long-stay residents who received an antipsychotic medication | 14.3% |
19.4%
5.1 pts better
|
16.7%
2.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 18.0% · Q2 14.3% · Q3 14.3% · Q4 10.4% · 4Q avg 14.3% · 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 | 24.2% |
18.1%
6.1 pts worse
|
16.3%
7.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 24.1% · Q2 29.5% · Q3 24.6% · Q4 18.7% · 4Q avg 24.2% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 25.0% |
18.4%
6.6 pts worse
|
14.9%
10.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 29.4% · Q2 36.0% · Q3 18.4% · Q4 16.0% · 4Q avg 25.0% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 2.2% |
0.9%
1.3 pts worse
|
1.0%
1.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 3.5% · Q3 2.2% · Q4 1.0% · 4Q avg 2.2% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 6.7% |
1.7%
5 pts worse
|
1.7%
5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.2% · Q2 5.0% · Q3 10.5% · Q4 3.3% · 4Q avg 6.7% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 30.6% |
24.8%
5.8 pts worse
|
19.8%
10.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 32.6% · Q2 38.3% · Q3 31.3% · Q4 20.5% · 4Q avg 30.6% |
| 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 2.5% · Q2 5.0% · Q3 4.7% · Q4 4.5% · 4Q avg 4.2% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 99.3% |
70.5%
28.8 pts better
|
81.7%
17.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 98.4% · Q2 100.0% · Q3 98.7% · Q4 100.0% · 4Q avg 99.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 11.4% |
11.1%
0.3 pts worse
|
12.0%
0.6 pts better
|
Short Stay · 20240701-20250630 · Adjusted 11.4% · Observed 11.1% · Expected 10.9% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 3.3% |
1.5%
1.8 pts worse
|
1.6%
1.7 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 2.6% · Q3 4.2% · Q4 3.5% · 4Q avg 3.3% · 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 | 19.0% |
25.0%
6 pts better
|
23.9%
4.9 pts better
|
Short Stay · 20240701-20250630 · Adjusted 19.0% · Observed 20.8% · Expected 26.2% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-02-15 · Fire 2023-02-15
3 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
3 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Cycle 3
Health 2020-01-30 · Fire 2020-01-30
1 health deficiencies
Top issue: Quality of Life and Care (1 deficiency)
3 fire-safety deficiencies
Top issue: Emergency Preparedness (2 deficiencies)
Fire safety
Fire-safety citations
D · Potential for more than minimal harm
2023-02-15
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2023-04-06
D · Potential for more than minimal harm
2023-02-15
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-04-06
D · Potential for more than minimal harm
2023-02-15
K711 · Miscellaneous Deficiencies
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2023-04-06
D · Potential for more than minimal harm
2020-01-30
E1 · Emergency Preparedness Deficiencies
Fire Safety
Establish an Emergency Preparedness Program (EP).
Corrected 2020-03-09
D · Potential for more than minimal harm
2020-01-30
E30 · Emergency Preparedness Deficiencies
Fire Safety
List the names and contact information of those in the facility.
Corrected 2020-03-09
D · Potential for more than minimal harm
2020-01-30
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2020-03-09
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-08-13
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 2025-09-19
D · Potential for more than minimal harm
2025-08-13
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-09-19
E · Potential for more than minimal harm
2024-11-26
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-01-20
D · Potential for more than minimal harm
2024-11-26
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 2025-01-20
D · Potential for more than minimal harm
2024-11-26
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-01-20
D · Potential for more than minimal harm
2024-11-26
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 2025-01-20
D · Potential for more than minimal harm
2024-11-26
F692 · Quality of Life and Care Deficiencies
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2025-01-20
C · Minimal harm
2024-11-26
F585 · Resident Rights Deficiencies
Health
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.
Corrected 2025-01-20
B · Minimal harm
2024-11-26
F637 · Resident Assessment and Care Planning Deficiencies
Health
Assess the resident when there is a significant change in condition
Corrected 2025-01-20
D · Potential for more than minimal harm
2023-02-15
F550 · Resident Rights Deficiencies
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2023-03-05
D · Potential for more than minimal harm
2023-02-15
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-03-05
D · Potential for more than minimal harm
2023-02-15
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-03-05
E · Potential for more than minimal harm
2020-01-30
F698 · Quality of Life and Care Deficiencies
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2020-03-12
Penalties and ownership
What sits behind the stars
Ownership
Epright, Brinton
5% Or Greater Direct Ownership Interest · Individual
Epright, Evelyn
5% Or Greater Direct Ownership Interest · Individual
Epright, Brinton
Corporate Director · Individual
Epright, Evelyn
Corporate Director · Individual
Epright, Mark
Corporate Officer · Individual
Epright, Mark
W-2 Managing Employee · Individual
Marinar, Brenda
Corporate Officer · Individual
Marinar, Brenda
W-2 Managing Employee · Individual
Nearby options
Other facilities in reach
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Aaron Manor Nursing & Rehabilitation
Chester, CT
2-star overall rating with 2-star inspections with $20,872 in total fines with 15 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
#2
Cobalt Lodge Health Care And Rehabilitation Center
Cobalt, CT
1-star overall rating with 1-star inspections with Special Focus status with abuse icon flag with $57,600 in total fines with 31 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
#3
Apple Rehab Colchester
Colchester, CT
1-star overall rating with 1-star inspections with abuse icon flag with $51,720 in total fines with 7 recent health deficiencies
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