12 health deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
10 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (4 deficiencies)
Milford, CT
3-star overall rating with 3-star inspections with 12 recent health deficiencies with 10 fire-safety deficiencies in the latest cycle
245 Orange Avenue, Milford, CT
(203) 876-5123
Overall
3 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
120
Certified beds
Average residents
110
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Civita Care Centers
Operator or chain grouping
Approved since
1992-08-04
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
6 facilities
Chain averages 2 overall / 2 health / 3 staffing / 2 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
0.66
Registered nurse staffing · state 0.70 · national 0.68
LPN hours / resident day
1.13
Licensed practical nurse staffing · state 0.84 · national 0.87
Aide hours / resident day
1.94
Nurse aide staffing · state 2.28 · national 2.35
Total nurse hours
3.73
All reported nurse hours · state 3.83 · national 3.89
Licensed hours
1.79
RN + LPN hours · state 1.54 · national 1.54
Weekend hours
3.18
Weekend nurse staffing · state 3.41 · national 3.43
Weekend RN hours
0.33
Weekend registered nurse coverage · state 0.46 · national 0.47
Physical therapist
0.05
Reported PT staffing · state 0.08 · national 0.07
Adjusted RN hours
0.67
CMS adjusted RN staffing hours
Adjusted total hours
3.82
CMS adjusted total nurse staffing hours
Case-mix index
1.33
Higher values indicate more complex resident acuity
RN turnover
39%
Annual RN turnover · state 39% · national 45%
Total nurse turnover
34%
Annual nurse turnover · state 38% · national 46%
SNF VBP
Program rank
7,410
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
29.83
Composite VBP score used to determine payment impact.
Payment multiplier
0.9856
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
0.53
Baseline 19.80% · Performance 21.19% · Measure score 0.53 · Achievement 0.53 · Improvement 0
Healthcare-associated infections
2.06
Baseline 5.57% · Performance 7.22% · Measure score 2.06 · Achievement 2.06 · Improvement 0
Total nurse turnover
8.38
Baseline 41.38% · Performance 29.41% · Measure score 8.38 · Achievement 8.38 · Improvement 6.74
Adjusted total nurse staffing
0.96
Baseline 3.54 hours · Performance 3.35 hours · Measure score 0.96 · Achievement 0.96 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.19% |
10.72%
0.5 pts worse
|
No Different than the National Rate · Eligible stays 142 · Observed rate 11.97% · Lower 95% interval 8.06% |
| Discharge to community | 62.31% |
50.57%
11.7 pts better
|
Better than the National Rate · Eligible stays 134 · Observed rate 52.24% · Lower 95% interval 52.47% |
| Medicare spending per beneficiary | 1.01 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 95.24% |
95.27%
About the same
|
Numerator 80 · Denominator 84 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 84 |
| Discharge self-care score | 47.76% |
53.69%
5.9 pts worse
|
Numerator 32 · Denominator 67 |
| Discharge mobility score | 40.3% |
50.94%
10.6 pts worse
|
Numerator 27 · Denominator 67 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 84 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 7.22% |
7.12%
0.1 pts worse
|
No Different than the National Rate · Eligible stays 86 · Observed rate 8.14% · Lower 95% interval 4.62% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 192 |
| Staff flu vaccination coverage | 21.11% |
42%
20.9 pts worse
|
Numerator 42 · Denominator 199 |
| Discharge function score | 50.75% |
56.45%
5.7 pts worse
|
Numerator 34 · Denominator 67 |
| Transfer of health information to provider | 89.58% |
95.95%
6.4 pts worse
|
Numerator 43 · Denominator 48 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 51.02% |
25.2%
25.8 pts better
|
Numerator 25 · Denominator 49 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.7 |
2.1
0.4 pts better
|
1.9
0.2 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.7 · Observed 1.6 · Expected 1.8 · 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 | 61.5% |
87.5%
26 pts worse
|
93.4%
31.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 81.0% · Q2 53.6% · Q3 51.7% · Q4 57.6% · 4Q avg 61.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 99.1% |
93.5%
5.6 pts better
|
95.5%
3.6 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 99.1% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0.3% |
3.4%
3.1 pts better
|
3.3%
3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.3% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 4.9% |
17.1%
12.2 pts better
|
11.4%
6.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.1% · Q3 3.7% · Q4 15.0% · 4Q avg 4.9% |
| Percentage of long-stay residents who lose too much weight | 10.5% |
6.4%
4.1 pts worse
|
5.4%
5.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 12.1% · Q2 11.2% · Q3 7.5% · Q4 11.1% · 4Q avg 10.5% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 11.0% |
17.3%
6.3 pts better
|
19.6%
8.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.6% · Q2 12.2% · Q3 14.6% · Q4 7.7% · 4Q avg 11.0% |
| Percentage of long-stay residents who received an antipsychotic medication | 22.0% |
19.4%
2.6 pts worse
|
16.7%
5.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 20.0% · Q2 22.1% · Q3 21.9% · Q4 24.2% · 4Q avg 22.0% · 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 | 25.1% |
18.1%
7 pts worse
|
16.3%
8.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 34.1% · Q2 28.9% · Q3 14.1% · Q4 19.4% · 4Q avg 25.1% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 21.6% |
18.4%
3.2 pts worse
|
14.9%
6.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 28.0% · Q2 28.9% · Q3 12.0% · Q4 15.7% · 4Q avg 21.6% · 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 | 3.1% |
1.7%
1.4 pts worse
|
1.7%
1.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.1% · Q2 4.2% · Q3 3.5% · Q4 0.0% · 4Q avg 3.1% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 25.4% |
24.8%
0.6 pts worse
|
19.8%
5.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 31.1% · Q2 25.3% · Q3 19.6% · Q4 24.5% · 4Q avg 25.4% |
| Percentage of long-stay residents with pressure ulcers | 5.2% |
4.4%
0.8 pts worse
|
5.1%
0.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.7% · Q2 7.1% · Q3 3.6% · Q4 3.8% · 4Q avg 5.2% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 66.1% |
70.5%
4.4 pts worse
|
81.7%
15.6 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 56.5% · Q2 52.0% · Q3 68.4% · Q4 80.7% · 4Q avg 66.1% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 4.7% |
11.1%
6.4 pts better
|
12.0%
7.3 pts better
|
Short Stay · 20240701-20250630 · Adjusted 4.7% · Observed 4.5% · Expected 10.7% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.6% |
1.5%
0.9 pts better
|
1.6%
1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.0% · Q4 0.8% · 4Q avg 0.6% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 71.5% |
69.7%
1.8 pts better
|
79.7%
8.2 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 71.5% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 27.1% |
25.0%
2.1 pts worse
|
23.9%
3.2 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 27.1% · Observed 26.8% · Expected 23.5% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (4 deficiencies)
10 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (4 deficiencies)
Top issue: Infection Control (3 deficiencies)
16 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Top issue: Quality of Life and Care (3 deficiencies)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Fire safety
Fire Safety
Meet requirements for the installation and maintenance of medical gas and medical vacuum systems.
Corrected 2025-04-22
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-04-22
Fire Safety
Meet other general requirements.
Corrected 2025-04-22
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2025-04-22
Fire Safety
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.
Corrected 2025-04-22
Fire Safety
Properly provide smoke detection systems in areas open to corridors.
Corrected 2025-04-22
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2025-04-22
Fire Safety
Install properly constructed and protected linen or trash chutes.
Corrected 2025-04-22
Fire Safety
Meet requirements for the use of electrical equipment.
Corrected 2025-04-22
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2025-04-22
Fire Safety
Provide properly protected cooking facilities.
Corrected 2023-03-15
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2023-03-15
Fire Safety
Establish staff and initial training requirements.
Corrected 2023-03-15
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2023-03-15
Fire Safety
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.
Corrected 2023-03-15
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2023-03-15
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-03-30
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2023-03-15
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-03-30
Fire Safety
Meet other general requirements that are deficient.
Corrected 2023-03-15
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2023-03-15
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-03-15
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2023-03-30
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-03-15
Fire Safety
Meet requirements for the use of electrical equipment.
Corrected 2023-03-30
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2023-03-15
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2020-03-02
Inspection history
Health
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Corrected 2025-02-25
Health
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.
Corrected 2025-03-01
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-02-25
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 2025-02-25
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2025-02-25
Health
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2025-02-25
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-02-25
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-03-01
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2025-02-25
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2025-02-25
Health
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.
Corrected 2025-02-25
Health
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Corrected 2025-02-25
Health
Observe each nurse aide's job performance and give regular training.
Corrected 2023-03-09
Health
Provide and implement an infection prevention and control program.
Corrected 2023-03-09
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2023-03-09
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2023-03-09
Health
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.
Corrected 2023-03-09
Health
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.
Corrected 2023-03-09
Health
Report COVID19 data to residents and families.
Corrected 2023-03-09
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 2020-03-24
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2020-03-24
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2020-03-24
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2020-03-24
Health
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected 2020-03-24
Health
Assure that each resident’s assessment is updated at least once every 3 months.
Corrected 2020-03-24
Health
Observe each nurse aide's job performance and give regular training.
Corrected 2020-03-24
Penalties and ownership
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Mortgage Interest · Organization
Operational/Managerial Control · Individual
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Individual
Operational/Managerial Control · Individual
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Mortgage Interest · Individual
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