Federal inspection record · CMS data as of October 1, 2026
Civita Care Center At West River
245 Orange Avenue, Milford, CT · (203) 876-5123
- Certified beds
- 120
- Residents per day
- 110
- Ownership
- For-Profit
- Chain
- Civita Care Centers
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- August 4, 1992
1
How this home got 4 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.
-
Quality measures
★★★★★+1 star
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
★★★★★4 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Connecticut homes
Civita Care Center At West River carries 62 inspection points. That is fewer than 57% 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
31 health citations on record since 2023. 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
Quality of Life and Care8E
- E
Provide safe, appropriate pain management for a resident who requires such services.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Assist a resident in gaining access to vision and hearing services.
- D
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
- 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 enough food/fluids to maintain a resident's health.
- D
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Resident Rights6D
- 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 a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
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.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- 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 a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Pharmacy Service5E
- E
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- E
Ensure that residents are free from significant medication errors.
- D
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
- D
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.
- D
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.
Infection Control5E
- E
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
- E
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.
- E
Provide and implement an infection prevention and control program.
- E
Develop and implement policies and procedures for flu and pneumonia vaccinations.
- C
Report COVID19 data to residents and families.
Resident Assessment and Care Planning4D
- 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 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.
- D
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Nutrition and Dietary2F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Nursing and Physician Services1E
- E
Observe each nurse aide's job performance and give regular training.
Inspection history
2026-08-20
12 health deficiencies · 5 fire-safety deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
2025-01-29
12 health deficiencies · 10 fire-safety deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
2023-01-26
7 health deficiencies · 16 fire-safety deficiencies
Top issue: Infection Control (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 40 min of nursing staff time a day, 38 min of it from a registered nurse.
This home
3 h 40 min
Connecticut average
3 h 54 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 28% of nursing staff and 33% 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 daysAbout the same | 1.9 | 1.9 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.8 pts better | 0.6 | 1.4 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine9.8 pts worse | 79.3% | 89.1% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine4.2 pts worse | 89.5% | 93.7% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury2.2 pts better | 1.4% | 3.6% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms29.4 pts worse | 54.4% | 25.0% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.3 pts worse | 7.7% | 6.4% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication5.8 pts better | 12.2% | 18.0% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication1.3 pts worse | 19.0% | 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 worsened0.5 pts better | 14.3% | 14.8% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased8.9 pts better | 8.8% | 17.7% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.5 pts better | 0.2% | 0.7% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.2 pts better | 1.2% | 1.4% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence4.6 pts better | 19.4% | 24.0% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.5 pts worse | 5.4% | 3.9% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine11.8 pts better | 84.3% | 72.5% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit6.3 pts better | 4.1% | 10.4% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.1 pts worse | 1.5% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine12.2 pts better | 85.2% | 73.0% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission1.1 pts worse | 24.6% | 23.5% | 23.4% |
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Who owns and runs it
22 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 |
|---|---|---|---|
| Ct6 Opco Holdco LLC | 5% Or Greater Direct Ownership Interest · Organization | 100% | 6 facilities |
| 245 Orange LLC | 5% Or Greater Mortgage Interest · Organization | 0% | 1 facilities |
| 245 Orange LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Balsamo, Joseph | Adp Of The SNF · Individual | 0% | 1 facilities |
| Cleary, Kevin | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Cleary, Kevin | Adp Of The SNF · Individual | 0% | 1 facilities |
| Ct6 Propco Holdco LLC | Adp Of The SNF · Organization | 0% | 5 facilities |
| Esnh LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 9 facilities |
| Esnh LLC | Adp Of The SNF · Organization | 0% | 9 facilities |
| Everflow Healthcare LLC | Adp Of The SNF · Organization | 0% | 6 facilities |
| Friedman, Samuel | Adp Of The SNF · Individual | 0% | 9 facilities |
| Jpnh LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 9 facilities |
| Jpnh LLC | Adp Of The SNF · Organization | 0% | 9 facilities |
| Pepper, Yehuda | 5% Or Greater Indirect Ownership Interest · Individual | 0% | 9 facilities |
| Pepper, Yehuda | Managing Control - Governing Body · Individual | 0% | 9 facilities |
| Pepper, Yehuda | Operational/Managerial Control · Individual | 0% | 9 facilities |
| Pepper, Yehuda | Adp Of The SNF · Individual | 0% | 9 facilities |
| Schwarcz, Eli | 5% Or Greater Indirect Ownership Interest · Individual | 0% | 13 facilities |
| Schwarcz, Eli | 5% Or Greater Mortgage Interest · Individual | 0% | 13 facilities |
| Schwarcz, Eli | Adp Of The SNF · Individual | 0% | 13 facilities |
| Sfnh LLC | Adp Of The SNF · Organization | 0% | 6 facilities |
| Templer, David | Adp Of The SNF · Individual | 0% | 6 facilities |
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Fire safety
31 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Egress7D
- D
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- D
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
- D
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- 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
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- 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
Install emergency lighting that can last at least 1 1/2 hours.
Smoke7E
- D
Provide properly protected cooking facilities.
- D
Properly provide smoke detection systems in areas open to corridors.
- D
Install corridor and hallway doors that block smoke.
- E
Provide properly protected cooking facilities.
- D
Have approved installation, maintenance and testing program for fire alarm systems.
- D
Properly select, install, inspect, or maintain portable fire extinguishes.
- D
Install corridor and hallway doors that block smoke.
Gas, Vacuum, and Electrical Systems7F
- F
Meet requirements for the installation and maintenance of medical gas and medical vacuum systems.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- D
Meet requirements for the use of electrical equipment.
- D
Have proper medical gas storage and administration areas.
- D
Have generator or other power source capable of supplying service within 10 seconds.
- D
Meet requirements for the use of electrical equipment.
- D
Have proper medical gas storage and administration areas.
Services4D
- D
Meet other general requirements that are deficient.
- D
Install properly constructed and protected linen or trash chutes.
- D
Meet other general requirements that are deficient.
- D
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Miscellaneous4E
- D
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- E
Provide a written emergency evacuation plan.
- D
Have simulated fire drills held at unexpected times.
- D
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Construction1D
- D
Meet other general requirements.
Emergency Preparedness1D
- D
Establish staff and initial training requirements.
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Other homes nearby
-
Civita Care Center At Milford
Milford, CT · Civita Care Centers
★★★★★- Worst citation, 3 yrs
- L
- Nursing / resident / day
- 3 h 40 min
- Fines
- $41,811
-
Milford Health And Rehabilitation Center
Milford, CT · National Health Care Associates
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 4 h
- Fines
- $12,429
-
Lord Chamberlain Manor Nursing & Rehabilitation Ce
Stratford, CT · Ryders Health Management
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 5 h 39 min
- Fines
- $14,069