Federal inspection record · CMS data as of October 1, 2026
Complete Care At Kimberly Hall North
1 Emerson Dr, Windsor, CT · (860) 688-6443
- Cited for abuse (CMS abuse icon)
- Certified beds
- 150
- Residents per day
- 144
- Ownership
- For-Profit
- Chain
- Complete Care
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- January 11, 1977
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.
-
Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Connecticut.
-
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
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★2 of 5
Matches the rating CMS publishes on Care Compare.
This home carries CMS's abuse icon, which caps its inspection rating at 2 stars and so its overall rating at 4.
2
Where it sits among Connecticut homes
Complete Care At Kimberly Hall North carries 92 inspection points. That is fewer than 31% 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
39 health citations on record since 2022. 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.
Harm and immediate-jeopardy citations (5)
-
G
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
-
G
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
-
J
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
-
J
Ensure that residents are free from significant medication errors.
-
G
Provide safe, appropriate pain management for a resident who requires such services.
Everything else, by area of care
Freedom from Abuse, Neglect, and Exploitation8E
- 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 all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- 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 all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- E
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- E
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Resident Rights5E
- E
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
Allow residents to self-administer drugs if determined clinically appropriate.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- B
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.
Infection Control4E
- 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.
- E
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
- 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.
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.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Quality of Life and Care4D
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- 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
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Nutrition and Dietary3F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
- D
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Pharmacy Service3D
- 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
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Nursing and Physician Services2D
- D
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
- D
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Environmental1D
- D
Make sure that a working call system is available in each resident's bathroom and bathing area.
Inspection history
2026-07-17
13 health deficiencies · 2 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (4 deficiencies)
2024-09-19
16 health deficiencies · 4 fire-safety deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
2022-05-26
10 health deficiencies · 14 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 10 min of nursing staff time a day, 29 min of it from a registered nurse.
This home
3 h 10 min
Connecticut average
3 h 54 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 34% of nursing staff and 50% 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
Fines and payment denials
$13,065 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2026-04-10 | Fine | $13,065 |
6
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 days0.9 pts better | 1.0 | 1.9 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1.2 pts better | 0.2 | 1.4 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine10.5 pts better | 99.6% | 89.1% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine3.3 pts better | 97.0% | 93.7% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.6 pts worse | 5.2% | 3.6% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms10.2 pts better | 14.8% | 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 medication2.1 pts better | 15.9% | 18.0% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication0.6 pts worse | 18.3% | 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 worsened9.2 pts worse | 24.0% | 14.8% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased14.9 pts worse | 32.6% | 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 infection1.4 pts better | 0.0% | 1.4% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence4.7 pts worse | 28.7% | 24.0% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.5 pts better | 2.4% | 3.9% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine12.7 pts better | 85.2% | 72.5% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit1.7 pts better | 8.7% | 10.4% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.4 pts better | 0.0% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine23.7 pts better | 96.7% | 73.0% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission9.2 pts worse | 32.7% | 23.5% | 23.4% |
·
Who owns and runs it
33 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 |
|---|---|---|---|
| Pc Gen Ct Opco Holdco LLC | 5% Or Greater Direct Ownership Interest · Organization | 100% | 3 facilities |
| Banton, Bernadette | Adp Of The SNF · Individual | 0% | 1 facilities |
| Brown, Natalie | Operational/Managerial Control · Individual | 0% | 3 facilities |
| Brown, Natalie | Adp Of The SNF · Individual | 0% | 3 facilities |
| Des Capital LLC | Indirect Ownership Interest · Organization | 0% | 28 facilities |
| Des Capital LLC | Adp Of The SNF · Organization | 0% | 28 facilities |
| Gallagher, James | Operational/Managerial Control · Individual | 0% | 3 facilities |
| Gallagher, James | Adp Of The SNF · Individual | 0% | 3 facilities |
| Hoch, Robert | Operational/Managerial Control · Individual | 0% | 21 facilities |
| Hoch, Robert | Adp Of The SNF · Individual | 0% | 21 facilities |
| Jrk Investments LLC | Indirect Ownership Interest · Organization | 0% | 28 facilities |
| Jrk Investments LLC | Adp Of The SNF · Organization | 0% | 28 facilities |
| Kimberly Hall North Propco LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Klugman, Jacob | Indirect Ownership Interest · Individual | 0% | 30 facilities |
| Klugman, Jacob | Adp Of The SNF · Individual | 0% | 30 facilities |
| Lagana, Kristin | Operational/Managerial Control · Individual | 0% | 5 facilities |
| Lagana, Kristin | Adp Of The SNF · Individual | 0% | 5 facilities |
| Pc Gen Ct Opco Topco LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 3 facilities |
| Pc Gen Ct Propco Holdco LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Pc Gen Ct Propco Topco LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Pc Gen Ct Topco LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 3 facilities |
| Pc Gen Ct Topco LLC | Adp Of The SNF · Organization | 0% | 3 facilities |
| Peace Capital Holdings LLC | Adp Of The SNF · Organization | 0% | 46 facilities |
| Sms 2021 Trust | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 77 facilities |
| Sms 2021 Trust | Adp Of The SNF · Organization | 0% | 77 facilities |
| Stein, Shalom | Indirect Ownership Interest · Individual | 0% | 87 facilities |
| Stein, Shalom | Managing Control - Governing Body · Individual | 0% | 87 facilities |
| Stein, Shalom | Corporate Officer · Individual | 0% | 87 facilities |
| Stein, Shalom | Trustee Of The SNF · Individual | 0% | 87 facilities |
| Sternbuch, Daniel | Indirect Ownership Interest · Individual | 0% | 31 facilities |
| Sternbuch, Daniel | Adp Of The SNF · Individual | 0% | 31 facilities |
| Tetreault, Marnie | Operational/Managerial Control · Individual | 0% | 5 facilities |
| Tetreault, Marnie | Adp Of The SNF · Individual | 0% | 5 facilities |
·
Fire safety
20 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke7F
- D
Inspect, test, and maintain automatic sprinkler systems.
- D
Install an approved automatic sprinkler system.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- E
Provide properly protected cooking facilities.
- D
Properly select, install, inspect, or maintain portable fire extinguishes.
Egress4E
- E
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- E
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- E
Have exits that are accessible at all times.
- E
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Gas, Vacuum, and Electrical Systems3E
- D
Meet requirements for the installation and maintenance of electrical systems.
- E
Ensure proper usage of power strips and extension cords.
- D
Have generator or other power source capable of supplying service within 10 seconds.
Emergency Preparedness3F
- F
Establish emergency prep training and testing.
- F
Establish staff and initial training requirements.
- E
Develop and maintain an Emergency Preparedness Program (EP).
Miscellaneous3F
- F
Provide a written emergency evacuation plan.
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- D
Have simulated fire drills held at unexpected times.
·
Other homes nearby
-
Complete Care At Kimberly Hall-South
Windsor, CT · Complete Care
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 52 min
- Fines
- $14,728
-
Seabury
Bloomfield, CT
★★★★★- Worst citation, 3 yrs
- K
- Nursing / resident / day
- 5 h 9 min
- Fines
- $18,268
-
Touchpoints At Bloomfield
Bloomfield, CT · Icare Health Network
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 3 min
- Fines
- $0